When clamping the umbilical cord the proximal clamp should be?
The proximal clamp on the umbilical cord should be 7 inches from the distal clamp. When clamping the umbilical cord, the clamp farthest from the baby should be approximately ________ inch(es) from the infant's body.
Is umbilical cord prolapse an emergency?
Conclusion Umbilical cord prolapse is an acute obstetric emergency that is associated with increased perinatal morbidity and mortality, thus requiring rapid identification and intervention. Once diagnosed, the most rapid method of delivery should be carried out.
What equipment is needed to deliver a baby in a hospital?
Ideally in the prehospital setting, providers should have something to cut and clamp the umbilical cord, and something to dry and stimulate the infant such as a towel. In emergency settings, typical obstetric and gynecological equipment may not be available, but if possible EMS providers should have the following items ready:
What is the initial effort for prehospital deliveries?
Because deliveries occur so infrequently in the prehospital setting, initial effort should be directed toward getting the mother quickly to a hospital with obstetric and gynecological care. This activity describes prehospital deliveries, their indications, contraindications and potential complications. Objectives:
Which of the following is indicated in the prehospital management of prolapsed umbilical cord?
Which of the following is indicated in the prehospital management of a prolapsed umbilical cord? Place the mother in a head-down position with pillows under her hips.
How do you treat prolapsed cord EMS?
The definitive treatment for a prolapsed cord is cesarean section by an OB physician. In the prehospital environment, efforts to preserve umbilical perfusion are imperative. Place the mother in the knee-chest position, her hips elevated, and if possible the stretcher placed in the Trendelenburg position.
When caring for a prolapsed umbilical cord You should quizlet?
46-When caring for a prolapsed umbilical cord, you should: Keep the presenting part of the baby off the umbilical cord during rapid transport to the hospital.
Which of the following is the midwife initial action when umbilical cord prolapse occurs?
Which of the following is the nurse's initial action when umbilical cord prolapse occurs? The immediate priority is to minimize pressure on the cord.
What is the nursing management of cord prolapse?
The client with a prolapsed cord should be treated by elevating the hips and covering the cord with a moist, sterile saline gauze. The nurse should use her fingers to push up on the presenting part until a cesarean section can be performed. Answers A, B, and D are incorrect.
How do paramedics cut the umbilical cord?
Apply a clamp about 6-8 inches from the newborn, and another one 2 inches from the first one. Cut between the 2 clamps using a scalpel. Once the cord is cut, dry the baby, wrap it in a blanket and give it to the mother so they can bond.
When caring for a patient with a prolapsed umbilical cord you should insert your gloved fingers inside the vagina and?
Place gloved hand into vagina between pubic bone and presenting part with cord between two fingers to monitor cord pulsations and exert counter-pressure on presenting part to keep pressure off the cord.
When is prehospital delivery or not?
When determining whether or not prehospital delivery of an infant will occur, you should time the patient's contractions from the: start of one contraction until the start of the next. When evaluating a woman in labor, who is gravida - 5 and para - 4, you should: expect a relatively short second stage of labor.
What is the description of the prolapsed cord quizlet?
Cord prolapse has been defined as the descent of the umbilical cord through the cervix alongside (occult) or past the presenting part (overt) in the presence of ruptured membranes.
What can you do for a prolapsed cord at home?
What to do if cord prolapses at home?Move into a knee-chest position on the floor, with your bottom higher than your shoulders, to take the baby's weight off your cervix. ... If the cord is protruding out of your vagina, gently push it back in.More items...
Why is a prolapsed cord an obstetric emergency?
In an umbilical cord prolapse, the umbilical cord slips ahead of the fetus and moves into the cervical canal, vagina, or comes out of the birth canal before the baby (1). This is an obstetrical emergency because the cord is at high risk for compression, blocking oxygen and blood flow to the baby.
How do you relieve umbilical cord pressure?
Treatments. One of the leading treatments of umbilical cord compression is amnioinfusion. Amnioinfusion is a process that involves introducing a saline solution, at room temperature, into the uterus during labor in order to relieve the pressure that can potentially lead to the umbilical cord becoming compressed.
How far apart are contractions for a 37 week pregnant woman?
During your assessment and interview, you note that she is 37 weeks along, this is her first child, and her contractions are 5 minutes apart. She also tells you that her pregnancy is considered "high risk.". Your first concern should be: completing a thorough secondary exam.
How many weeks pregnant is a 32 year old woman?
You have been called for a 32-year-old female who is in active labor. During your assessment and interview, you note that she is 37 weeks along, this is her first child, and her contractions are 5 minutes apart. She also tells you that her pregnancy is considered "high risk.". Your first concern should be:
How old is the patient when you call for a possible imminent delivery?
You are called for a possible imminent delivery. Your patient is a 15-year-old girl who is in your estimation about 8 months pregnant. She tells you that she has been hiding her pregnancy. You are especially concerned about problems she might have during the delivery.
What are the vital signs of a woman?
Her vital signs are pulse 122, respirations 22, blood pressure 96/62, and skin cool and pale. You should immediately suspect:
What to do after a physical exam for vaginal bleeding?
You determine that her vital signs are all within normal limits. After your physical exam, you determine the baby is crowning. You should next: prepare to deliver the baby on-scene. Which of the following is of greatest concern for the EMT in the prehospital care of a woman with vaginal bleed.
How many weeks pregnant is a 32 year old woman?
You have been called for a 32-year-old female who is in active labor. During your assessment and interview, you note that she is 37 weeks along, this is her first child, and her contractions are 5 minutes apart. She also tells you that her pregnancy is considered "high risk.". Your first concern should be:
What is the best way to keep a pregnant patient alive?
While treating a pregnant patient in cardiac arrest, which of the following is the best way to keep the fetus alive. Attempt to resuscitate the patient as you would any other cardiac arrest patient. You respond for an imminent delivery of a baby in the breech position.
How to respond to a call for a patient in active labor with her second child?
Place the mother in a head-down position with pillows under her hips. You respond to a call for a patient in active labor with her second child. Your interview with the patient shows that she is 40 weeks pregnant and has been in active labor for several hours.
What are the vital signs of a woman?
Her vital signs are pulse 122, respirations 22, blood pressure 96/62, and skin cool and pale.
How old is the patient when you call for a possible imminent delivery?
You are called for a possible imminent delivery. Your patient is a 15-year-old girl who is, by your estimation, about 8 months pregnant. She tells you that she has been hiding her pregnancy. You are especially concerned about problems she might have during the delivery.
How to know if a newborn has adequate breathing?
All of the following are signs of adequate breathing and circulation in the newborn except: relaxation of the extremities. You have responded to a woman who has possible premature labor. She is 8 months pregnant and is experiencing labor pains. During your assessment, you note that the baby is not yet crowning.
What is the umbilical vein?
The umbilical vein carries oxygenated blood from the placenta to the fetus. You are delivering a baby who was in a breech presentation. The baby's body has delivered, and you are attempting to deliver its head by lifting its body upward. After about 3 minutes, the baby's head has not delivered.
What are the symptoms of preeclampsia in a 30-year-old woman?
As CPR is initiated, you or another team member should: manually displace her uterus to the left, The classic presentations of preeclampsia are hypertension, excessive weight gain, and: Proteinuria. Common signs and symptoms of preeclampsia include.
When to rupture amniotic sac?
If the amniotic sac has not ruptured before the delivery of the infants head you should. Rupture the sac. You are in the process of assisting a woman in labor. She is 38 weeks pregnant with her second child, and her contractions are 3 minutes apart and are strong and regular.
What happens after delivery of stillborn baby?
Following delivery of a stillborn baby at 16 weeks, the mother presents with fever, abdominal tenderness, and a foul-smelling vaginal discharge. This clinical presentation is consistent with: A woman who does not take prenatal vitamins during the course of her pregnancy is at greatest risk for.
