OB/Peds Paramedic Unit Exam Fisdap EXAM REVIEW
Understand the Concepts
1. Causes of pediatric cardiac arrest and indications for CPR: meconium staining,
... [Show More] perinatal
vaginal bleeding, maternal trauma, premature membrane rupture and any other problem
identified during prenatal care can increase the chances of the newborn needing resuscitation.
CPR should be initiated on any child who is pulseless or has a heart rate of 60 or less after 30
seconds of PPV.
2. Complications of delivery (including postpartum hemorrhage): Prolapsed cord - this is
when the umbilical is visible, being looped outside of the vagina. In most cases delivery will
continue as normal, but there is the possibility that the fetus will likely pinch off the umbilical
cord too early, cutting off its own blood supply as it descends further into the pelvis. Multiple
gestations - twins are not terribly complicated typically, and is the exact same as delivery of
one baby just repeated twice. There are two umbilical cords, the number of placenta may vary.
Cephalic presentation - This is where the baby presents with its head hyperextended and face
first. Shoulder Dystocia - this occurs when the fetus shoulders are too broad to deliver and is a
common complication of fetal macrosomia. The first sign of shoulder dystocia is known as the
turtle sign, which is when the baby’s head pushes out during a contraction and then pulls slightly
back into the vaginal canal.Nuchal cord - this occurs when the cord has been wrapped around
the neck. Breech presentation - this occurs when the buttocks is the presenting part during
delivery. Limb presentation - this occurs when a limb of the infant is the presenting part during
delivery. Never touch or pull on the limb.
3. Fluid resuscitation doses for pediatrics and adults: Neonate dose for IV Fluid: 10mL/kg,
Infant: 20mL/kg, Adult: 20mL/kg
4. Gynecological infections: Endometritis - is an inflammation of the inner uterine lining and
is most commonly caused by an STD, specifically gonorrhea and chlamydia. S/s include lower
abdominal pain and pelvic pain, lethargy, malaise and fever. PID - is an infection of the internal
reproductive organs, specifically the uterus, fallopian tubes and ovaries and occurs almost
exclusively as a result of STD’s. This can cause reproductive problems such as infertility,
scarring in the fallopian tubes and ectopic pregnancy. Vaginitis - is an inflammation of the
vagina and can be caused by two organisms - candida albicans (a fungus that causes yeast
infections) or gardnerella. With candida the patient will complain of a burning and itchy feeling
and may also note that her vaginal discharge looks like cottage cheese. With gardnerella the
patient will complain of a fishy smelling vaginal discharge and an itching, burning sensation.
5. Indications for suctioning a newborn: It is no longer recommended to suction a newborn
routinely unless there is presence of meconium or other bodily fluids obstructing the airway.
Suctioning should occur for no longer than 10 seconds and should be performed only if [Show Less]