NREMT Test Prep and EMT Lectures - Podcast

Obstetrics and Neonatal Care - NREMT Test Prep and EMT Classroom Lectures - Lecture 2 of 3 PEDS/OB/Gynecologic Block - Season 2


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Students, following this lecture should understand the anatomy and physiology of the female reproductive system as it relates to pregnancy. The EMT student should know the assessment and emergency treatment for childbirth, including stages of labor, normal delivery, complications of pregnancy, and neonatal evaluations and resuscitation.

KNOWLEDGE DOMAINS:

The EMT student you be able to identify the anatomy and physiology of the female reproductive system and explain the normal changes that occur in the body during pregnancy. You should be able to recognize complications of pregnancy including abuse, substance abuse, hypertensive disorders, bleeding, spontaneous abortion (miscarriage), and gestational diabetes. You should be able to discuss the need to consider two patients—the woman and the unborn fetus—when treating a pregnant trauma patient. Additionally, you should be able to discuss special considerations involving pregnancy in different cultures and with teenage patients.

The EMT student should be able to explain assessment of the pregnant patient, the significance of meconium in the amniotic fluid and differentiate among

the three stages of labor as well as describe the indications of an imminent delivery. You should know the steps involved in normal delivery management and the contents of an obstetrics kit. You should be able to explain the necessary care of the fetus as the head appears and describe the procedure followed to clamp and cut the umbilical cord. You should know how to deliver placenta. The EMT should know the steps to take in neonatal assessment and resuscitation and recognize complicated delivery emergencies including breech presentations, limb presentations, umbilical cord prolapse, spina bifida, multiple gestation,
premature newborns, postterm pregnancy, fetal demise, and delivery without sterile supplies. Last you should be able to describe postpartum complications and how to treat them.

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