7 Obstetrics, Gynecology, and Pediatric Emergencies Free Online FlashCards

Who takes priority during an obstetric emergency?

Assess and treat the pregnant patient’s airway, breathing, circulation, mental status, and signs of shock first. Fetal concerns should not delay care for the patient.

What signs suggest birth is imminent?

Strong, close-together contractions with an urge to push or visible presenting parts suggest imminent birth. If birth is imminent, prepare to deliver where the patient is; do not pull on the infant.

When does a newborn need assisted ventilation?

Begin assisted ventilation if the newborn is apneic or gasping, or if the heart rate remains below 100/min after initial steps. Effective ventilation is reflected by a rising heart rate.

What is the key response to a prolapsed umbilical cord?

A prolapsed cord is an emergency because compression can reduce fetal oxygenation. Do not push the cord back; relieve pressure only as trained and authorized, and expedite transport.

How do classic bleeding patterns differ in previa and abruption?

Placenta previa classically causes painless late-pregnancy bleeding. Placental abruption often causes painful bleeding and abdominal tenderness, although bleeding can be concealed.

Which warning signs may indicate a ruptured ectopic pregnancy?

Sudden severe pain, shoulder pain, weakness, dizziness, or fainting may indicate a ruptured ectopic pregnancy with internal bleeding, even when external bleeding is slight.

What are EMT priorities for a seizure during or shortly after pregnancy?

Protect the patient from injury, maintain the airway, support breathing, and transport urgently. Do not restrain the patient or put anything in the mouth.

What should EMTs do for heavy bleeding after birth?

Heavy bleeding after birth can rapidly cause shock. Provide supportive care, keep the patient warm, and transport urgently; do not pull on the umbilical cord or attempt placental removal.

How should EMTs manage external vaginal bleeding?

Use an external dressing for external vaginal bleeding. Do not pack the vagina or perform an internal examination.

What should an EMT observe before touching a child?

Observe the child’s appearance, interaction, work of breathing, and skin circulation before touching. Then perform an age-appropriate primary assessment.

Which changes can signal pediatric respiratory failure?

Fatigue, reduced responsiveness, poor air movement, cyanosis, or slowing respirations can signal respiratory failure, not improvement. Support oxygenation and ventilation as indicated.

Does normal blood pressure rule out shock in a child?

Yes. Children may be in shock before hypotension appears. Assess mental status, skin temperature and color, pulse quality, and capillary refill along with blood pressure.