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← Obstetrics and Neonatal Care

EMT Basic · Chapter 34 · Review · Chapter track

Obstetrics and Neonatal Care

Referencing the content of EMT-Basic training and emergency patient care

Learning objectives (22)

  1. Demonstrate how to assist in delivery of the placenta — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  2. Demonstrate how to clamp and cut the umbilical cord — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  3. Demonstrate procedures to follow for compli- cated delivery emergencies including vaginal bleeding, breech presentation, limb presentation, and prolapsed umbilical cord — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  4. Demonstrate the postdelivery care of the woman — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  5. Demonstrate the steps to follow in postdelivery care of the newborn — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  6. Describe delivery of the placenta — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  7. Describe postpartum complications and how to treat them — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  8. Describe the indications of an imminent delivery — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  9. Describe the procedure followed to clamp and cut the umbilical cord — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  10. Differentiate among the three stages of labor — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  11. Discuss special considerations involving pregnancy in different cultures and with teenage patients — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  12. Discuss the need to consider two patients—the woman and the unborn fetus—when treating a pregnant trauma patient — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  13. Explain assessment of the pregnant patient — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  14. Explain the necessary care of the fetus as the head appears — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  15. Explain the normal changes that occur in the body during pregnancy — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  16. Explain the significance of meconium in the amniotic fluid — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  17. Explain the steps involved in normal delivery management — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  18. Explain the steps to take in neonatal assessment and resuscitation — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  19. Identify the anatomy and physiology of the female reproductive system — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  20. List the contents of an obstetrics kit — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  21. Recognize complicated delivery emergencies, including breech presentations, limb presenta- tions, umbilical cord prolapse, spina bifida, mul- tiple gestation, premature newborns, p — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

  22. Recognize complications of pregnancy including abuse, substance abuse, hypertensive disorders, bleeding, spontaneous abortion (miscarriage), and gestational diabetes — Knowledge/skills objective (printed page 1243); confirm wording in your course copy.

Chapter web resources

Optional reading from authoritative sites. Your textbook remains the primary source for this course.

When sources disagree (5 topics to verify before you teach from this chapter alone)

Printable study sheetPrintable flashcards (PDF, 10-up)Read first, then practise the track.

Showing Chapter track material. Switch tracks on the chapter page.

Vocabulary · 15

  • Gravida

    The total number of pregnancies a person has had, regardless of outcome.

    SourceAmerican College of Obstetricians and Gynecologists (ACOG) — Pregnancy terminology

  • Para

    The number of pregnancies that have reached at least 20 weeks of gestation (regardless of live birth).

    SourceAmerican College of Obstetricians and Gynecologists (ACOG) — Pregnancy terminology

  • Trimester

    One of three ~13-week segments of pregnancy used to describe fetal development and maternal changes.

    SourceAmerican College of Obstetricians and Gynecologists (ACOG) — Stages of pregnancy

  • Placenta

    The organ that develops in pregnancy to provide oxygen and nutrients to the fetus and remove waste; delivered after the baby.

    SourceNIH MedlinePlus — Placenta

  • Umbilical cord

    The flexible structure connecting the fetus to the placenta, containing two arteries and one vein.

    SourceNIH MedlinePlus — Umbilical cord

  • Amniotic sac

    The membranous sac filled with amniotic fluid surrounding the fetus during pregnancy.

    SourceNIH MedlinePlus — Amniotic sac

  • Crowning

    Appearance of the fetal head at the vaginal opening, signaling delivery is imminent.

    SourceAmerican College of Obstetricians and Gynecologists (ACOG) — Labor and delivery

  • APGAR score

    A neonatal assessment at 1 and 5 minutes after birth — Appearance, Pulse, Grimace, Activity, Respiration; each scored 0–2 for a maximum of 10.

    SourceAmerican Academy of Pediatrics — APGAR score

  • Preeclampsia

    Pregnancy-related hypertension with proteinuria or end-organ involvement, typically after 20 weeks' gestation.

    SourceAmerican College of Obstetricians and Gynecologists (ACOG) — Preeclampsia and high blood pressure

  • Eclampsia

    New-onset seizures in a pregnant or postpartum person with preeclampsia, in the absence of another cause.

    SourceAmerican College of Obstetricians and Gynecologists (ACOG) — Eclampsia

  • Placenta previa

    Placenta partially or completely covering the cervical opening; presents as painless bright-red vaginal bleeding.

    SourceAmerican College of Obstetricians and Gynecologists (ACOG) — Placenta previa

  • Placental abruption

    Premature separation of the placenta from the uterine wall; presents with painful vaginal bleeding and a firm, tender uterus.

    SourceAmerican College of Obstetricians and Gynecologists (ACOG) — Placental abruption

  • Breech presentation

    Fetal position in which the buttocks or feet, rather than the head, present first at delivery.

    SourceAmerican College of Obstetricians and Gynecologists (ACOG) — Breech presentation

  • Prolapsed cord

    Umbilical cord protruding through the cervix ahead of the fetus, compressing the cord and threatening fetal oxygen supply.

    SourceAmerican College of Obstetricians and Gynecologists (ACOG) — Umbilical cord prolapse

  • Postpartum hemorrhage

    Blood loss greater than 500 mL after vaginal delivery or 1,000 mL after cesarean, or any volume causing instability.

    SourceAmerican College of Obstetricians and Gynecologists (ACOG) — Postpartum hemorrhage

Sequences · 2

  • Assisting a normal field delivery — Order EMT steps for assisting a vertex delivery in the field.
  • APGAR components in order — Order the five components of the APGAR mnemonic.