A pregnant patient has an increased risk of vomiting and aspiration. Be prepared for and anticipate vomiting; keep your suction unit readily avaiable

Umbilical cord around the fetal neck

spontaneous abortion

between 39 and 40 weeks, 6 days, approximately 9 calendar months

Normally, a newborn's respirations are regular and rapid, with a good strong cry. If the respirations are slow, shallow, and labored, or if the cry is weak, the newborn may have respiratory insufficiency and need assistance with ventilation. Complete absence of respirations or crying is obviously a very serious sign; in addition to assisted ventilation, CPR may be necessary

in females, the area between the anus and the vagina

Remember that the patient's body is also supplying oxygen to the fetus. Keep the oxygen saturation level high and administer high -flow, 100% oxygen by nonrebreathing mask

The cord is present before the fetus

a tube containing the blood vessels connecting the fetus and placenta

a woman who is pregnant for the first time

A structure that allows an embryo to be nourished with the mother's blood supply

The position in which an infant is born; the part of the infant that appears first

Measure the pulse by chest auscultation. If a stethoscope is not available, you can measure pulsations with your fingers at the brachial pulse. A newborn with no pulse requires immediate CPR

when part of the baby is visible through the vaginal opening

1) The degree of muscle tone indicates the oxygenation of the newborn infant's tissues.

2) Normally, the hips and knees are flexed at birth, and, to some degree, the infant will resist straightening them out.

3) A newborn should not be floppy or limp

a congenital defect that occurs during early pregnancy when the spinal canal fails to close completely around the spinal cord to protect it

implantation of the placenta over the cervical opening or in the lower region of the uterus

Transport the patient on her side. If the patient is on a backboard because spinal injury is suspected, tilt the backboard 30 degrees to the left. Call early for ALS assistance or a medical helicopter for significant MOIs or major traumatic injuries. Transport the patient to a trauma center if one is available in your area; give early notification that you have a pregnant trauma patient in your transport

A delivery in which the head of the newborn comes out first

a thin, fluid-filled membrane that surrounds and protects the developing embryo

1) Grimacing, crying, or withdrawing in response to stimuli is normal in a newborn and indicates that the newborn infant is doing well.

2) The way to test this is to snap a finger against the sole of the infant's foot

Could be due to the presence of drugs. If her water is broken and is green fluid could mean (fetal stool). The newborn is in distress and is possible for the fetus to aspirate meconium during delivery

newborn who delivers before 8 months (36 weeks of gestation) or weighs less than 5 pounds at birth

Control any external bleeding with direct pressure. Maintain a high index of suspicion for internal bleeding and shock-based on the MOI. Keep the patient warm

physical and cognitive abnormalities in children caused by a pregnant woman's heavy drinking

when an infant's limb protrudes from the vagina before the appearance of any other body part

premature separation of the placenta from the wall of the uterus

woman who has been pregnant more than once

a form of diabetes mellitus that occurs during some pregnancies

Low blood pressure resulting from compression of the inferior vena cava by the weight of the pregnant uterus when the mother is supine

listen to breath sounds, and confirm that bilateral breath sounds are present. If the patient's ventilations are inadequate, provide or assist ventilation with a bag-valve mask (BVM) and 100% oxygen

true toxemia of pregnancy characterized by high blood pressure, albuminuria, edema of the legs and feet, severe headaches, dizziness, convulsions, and coma

birth position in which the buttocks, feet, or knees emerge first

(1) Dilation of the cervix (2) Delivery of the fetus (3) Delivery of the placenta

a scale of 1-10 to evaluate a newborn infant's physical status at 1 and 5 minutes after birth

abnormal condition associated with pregnancy, marked by high blood pressure, proteinuria, edema, and headache

shortly after birth, the skin of a light-skinned newborn and the mucous membranes of a dark-skinned newborn should turn pink. Newborn often have cyanosis of the extremities for a few minutes after birth, but hands and feet should "pink up" quickly. Blue skin all over or blue mucous membranes signall a central cyanosis