Course Library

Trauma in Pregnancy

Information Covered:

1. Introduction
   1. Anatomy and physiology review of the female reproductive system
      1. uterus
      2. cervix
      3. ovaries
      4. vagina
      5. breasts
   2. Female reproductive cycle
      1. female hormones
         1. estrogen
         2. progesterone
         3. prostaglandins
      2. neurohormonal basis
      3. ovarian cycle
      4. menstrual cycle
   3. Cultural values affecting pregnancy
   4. Special considerations of adolescent pregnancy
2. Physiology
   1. Normal anatomical, physiological, and psychological changes in pregnancy
      1. reproductive system
      2. respiratory system
      3. cardiovascular system
      4. gastrointestinal system
      5. urinary tract
      6. skin, hair, and eyes
      7. musculoskeletal system
      8. metabolism
      9. endocrine
      10. psychological
   2. Identify normal events of pregnancy
   3. Conception and fetal development
   4. Development and functions of the placenta
3. General system physiology, assessment, and management of the obstetrical patient.
   1. Premonitory signs of labor
      1. lightening
      2. Braxton Hicks
      3. cervical changes
      4. bloody show
      5. rupture membrane
      6. other
   2. Stages of labor and delivery
      1. first stage
      2. second stage
      3. third stage
      4. maternal response to labor
      5. fetal response to labor
   3. Assessment of the Pregnant Patient
      1. airway, breathing, circulation
      2. initial assessment
      3. SAMPLE history
      4. vital signs
      5. obstetrical history
      6. physical examination
      7. evaluating gestational age
      8. fetal movement
      9. fetal heart tones
      10. deep tendon reflexes
      11. inspect for crowning
   4. Management of a normal delivery obstetrical patient
      1. Treatment modalities
         1. oxygen
         2. non-pharmacological intervention
         3. pharmacological interventions
   5. Postpartum Care
      1. assessment of fundus
      2. quality of lochia
      3. signs of hemorrhage
4. Complications Related to Pregnancy
   1. Abuse
   2. Substance abuse
   3. Supine hypotensive disorder
   4. Diabetes mellitus
   5. Various cardiac disorders
   6. Bleeding Related to Pregnancy: pathophysiology, assessment, complications, management
      1. abortion
         1. elective abortion
         2. spontaneous abortion
         3. threatened
         4. imminent
         5. complete
         6. incomplete
         7. missed
         8. habitual
         9. septic
      2. Ectopic pregnancy
   7. Placental problems: pathophysiology, assessment, management
      1. abruption placenta
      2. placenta previa
   8. Hyperemesis gravidum
      1. pathophysiology
      2. assessment
      3. management
   9. Hypertensive disorders: pathophysiology, assessment, management
      1. pregnancy inducedhypertension
      2. preeclampsia
      3. eclampsia
   10. Rh sensitization
5. High Risk Pregnancy: pathophysiology, assessment, complications, management
   1. precipitous labor and birth
   2. post termpregnancy
   3. meconium staining
   4. fetal macrosomia
   5. multiple gestation
   6. intrauterine fetal death
   7. amniotic fluid embolism
   8. hydramnios
   9. cephalopelvic disproportion
6. Complications of Labor: pathophysiology, assessment, complications, management
   1. premature rupture of membranes
   2. preterm labor
   3. uterus rupture
   4. fetal distress
7. Complications of Delivery: pathophysiology, assessment, complications, management
   1. cephalic presentation
   2. breech
   3. shoulder dystocia
   4. nuchal cord
   5. prolapse of cord
   6. Postpartum Complications: pathophysiology, assessment, complications, management

Content Creator: Chrystal Schwartz
CAPCE Course Number: 20-EMTP-F3-5399
Total CE Hours: 1
Level: Advanced
EMT-CE uses the NEMSES guidelines as the foundation for every course outline.