The cord is cut 1 inch from the baby’s abdomen.

The cord is clamped but not cut until arrival at the hospital

The clamps are removed from the cord after cutting.

There is a 6-inch segment of cord still connected to the baby.

Upright and on the mother’s chest (if possible)

Six inches below the vaginal opening

Level with the vaginal opening

Prone and in a head-down position

“It is essential that the mother not be moved until the placenta has been delivered.”

The placenta is full of bacteria and should not be transported in the ambulance near the baby.”

The EMT must deliver the placenta by applying gentle pressure to the abdomen after the baby has been born.”

The placenta typically delivers itself within 20 minutes of the birth of the baby.”

open the vaginal canal using obstetric forceps.

prepare for delivery of the placenta.

massage the patient’s uterus.

apply a sanitary pad over the vaginal opening.

continue to monitor the patient and baby.

place the mother in a knee-chest position.

apply gentle traction to the protruding umbilical cord.

move the patient into a side-lying position.

perform a uterine massage.

insert sterile gauze into the vaginal canal.

transport with lights and sirens.

place the mother on her left side.

She places her hands on the upper abdomen and pushes the uterus toward the pelvis.

Both hands cup the uterus, with one of the hands positioned just above the symphysis pubis. Answer: D

She uses the lower palms of both hands to firmly press downward on the uterus.

Both hands are positioned at the symphysis pubis and she pushes with an upward motion

Allowing the baby to nurse immediately after delivery can help to control uterine bleeding

We should be concerned if there is any bleeding from the vagina following delivery.”

If blood is observed coming from the vagina after the baby has been delivered, the mother should be placed in the shock position.”

Post-delivery hemorrhage can best be controlled by inserting a bulky dressing into the vagina.”

heart rate between 60 and 100 beats per minute.

respirations of 28 per minute.

heart rate of 120 beats per minute.

facial grimace when irritated.

Protects abdominal organs during fetal growth

Powerfully contracts to force the fetus from the mother’s body

Permits the excretion of waste from the baby to the mother

Manufactures specific blood cells needed for fetal immunity

Just prior to delivery and then five minutes after delivery

Before and after the baby is dried and warmed

One and five minutes after the baby has been delivered

Ten minutes after birth and then at 20 minutes, if needed

The cervix constricts near the time of delivery to prevent a premature birth.”

The ‘bloody show’ comes from the cervix and confirms pregnancy in the first trimester.”

The EMT can palpate the cervix to measure the contractions that the mother is having.”

The cervix becomes plugged with mucus to prevent contamination of the uterus.”

type of resuscitation needed.

precise age of gestation.

maturity of heart and lungs.

status of overall condition.

It contains fluid and surrounds and protects the uterus.”

“It protects and insulates the baby during pregnancy.”

It contains a fluid called Wharton’s jelly that enables the baby to breathe and move.”

It must rupture during the second trimester of pregnancy for fetal development to progress.”

airway, breathing, circulation.

grimace, movement, skin moisture.

heart rate, activity, respirations.

airway, breathing, level of consciousness.