109 pregnancy

Question 1

any interruption of pregnancy before a fetus is viable

Answer 1

abortion

Question 2

viable fetus

Answer 2

more than 20 to 24 weeks of gestation or one that weighs atleast 500 g

Question 3

early miscarriage

Answer 3

before 16 week of pregnancy

Question 4

late miscarriage

Answer 4

before 16 week and 24 week of pregnancy

Question 5

developing placenta is tentatively attached to the decidua of the uterus

Answer 5

first 6 weeks of pregnancy

Question 6

developing placenta is moderately attached

Answer 6

week 6 to 12

Question 7

attachment is penetrating and deep

Answer 7

after 12 week

Question 8

the stage of attachment that can lead to the most severe,even life threatening bleeding

Answer 8

between 6 and 13 week

Question 9

most frequent cause of miscarriage in first trimester of pregnancy is

Answer 9

abnormal fetal development
due to teratogenic factor or chromosomal aberration

Question 10

may be cause but ore strongly associated with pre term birth

Answer 10

urinary tract infection

Question 11

systemic infections

Answer 11

rubella
syphilis
poliomyelitis
cytomegalovirus
toxoplasmosis

Question 12

presenting symptoms of spontaneous miscarriage is almost always

Answer 12

vaginal spotting

Question 13

symptoms of threatened abortion

Answer 13

vaginal bleeding( only scant/bright red)
slight crampling
no cervical dilation

Question 14

key intervention in threatened abortion

Answer 14

avoidance of strenuous activity for 24 to 48 hours

Question 15

the entire products of conception (fetus,membranes and placenta) are expelled spontaneously without any assistance

Answer 15

complete miscarriage

Question 16

part of conceptus (usually fetus) is expelled,but the membranes or placenta are retained in uterus

Answer 16

Incomplete miscarriage

Question 17

danger of maternal hemorrhage

Answer 17

Incomplete miscarriage

(D&C or suction curettage)

Question 18

referred as early pregnancy failure,fetus dies in utero but is not expelled

Answer 18

missed miscarriage

Question 19

usually discovered at prenatal examination when fundal height is measured and no increase in size

Answer 19

missed miscarriage

Question 20

If the pregnancy is over 14 weeks in length and therefore these procedures are no longer possible, labor can be induced by a blank introduced into the cervix to cause dilation,

Answer 20

prostaglandin suppository or misoprostol (Cytotec)

Question 21

missed miscarriage
followed by oxytocin stimulation or administration of

Answer 21

mifepristone (cause contractions and birth)

Question 22

implantation occurred outside the uterine cavity

Answer 22

ectopic pregnancy

Question 23

most common site of ectopic pregnancy

Answer 23

fallopian tube

80%- ampulla
12%- isthmus
8%- interstitial or fimbrial

Question 24

implantation site
extrauterine

Answer 24

tubal
ovarian
abdominal

Question 25

implantation site
intrauterine

Answer 25

cervical
comual

Question 26

ectopic pregnancy appears to be increasing,possible because of

Answer 26

1.increase pelvic inflammatory disease (lead to tubal scarring)
2. vitro fertilization
3.Women who smoke

Question 27

risk factor (ectopic pregnancy)

Answer 27

Previous PID (chlamydia infection)
Previous ectopic pregnancy
Tubal ligation
previous tubal surgery
intrauterine device
prolonged infertility
multiple sexual partners

Question 28

also effective in diagnosing ectopic pregnancy

Answer 28

magnetic resonance imaging (MRI)

Question 29

implantation was in the interstitial portion of the tube, rupture can cause

Answer 29

severe intraperitoneal bleeding

(because of the large vessels in the part of tube)

Question 30

in ectopic pregnancy, woman usually experience

Answer 30

•sharp,stabbing pain in one of her lower abdominal quadrant
•shoulder tip pain
•scant vaginal spotting

Question 31

severe shock as evidence by

Answer 31

rapid thread pulse
rapid respiration
falling blood pressure
leukocytosis ( from trauma)
falling Hcg
falling serum progesterone level

Question 32

can also be used to visualize the fallopian tube

Answer 32

laparoscopy or culdoscopy

Question 33

usually reveals a clear cut diagnosis picture (E.P)

Answer 33

ultrasonography

Question 34

a woman waits for a time before seeking help, her abdomen gradually becomes rigid from peritoneal irritation. Her umbilicus may develop a bluish - tinged hue (Cullen Sign). She may have continuing extensive or dull vaginal and abdominal pain:raor novement of a cervix on pelvic examination can cause excruciating pain. She may fell pain in her shoulders as well from blood in the peritoneal cavity causing irritation to the phrenic nerve. A tender mass is usually palpable in Douglas cul-de-sac on vaginal examination.

Answer 34

• abdomen gradually becomes rigid from peritoneal irritation.
•umbilicus may develop a bluish - tinged hue (Cullen Sign).
• continuing extensive or dull vaginal and abdominal pain:
•pain in her shoulders
•tender mass is usually palpable in Douglas cul-de-sac on vaginal examination.

Question 35

in ectopic pregnancy, it works by stopping the growth of the fertilized egg before a rupture occurs

Answer 35

methotrexate

Question 36

therapy for ruptured ectopic pregnancy

Answer 36

laparoscopy

Question 37

as with miscarriage, women with Rh-negative blood should receive

Answer 37

Rh (D) immune globulin (RHID/RoGAM)

for isoimmunization protection in future childbearing

Question 38

abnormal proliferation and then degeneration of the trophoblastic villi

Answer 38

gestational trophoblastic disease (hydatidiform mole)

Question 39

h-mole, as cells degenerate, they become filled with fluid

Answer 39

appear as clear fluid-filled
grape-sized vesicles

Question 40

h-mole tend to occur most often in woman who have?

Answer 40

•low protein intake
•older than 35 years old
•asian heritage
•blood group A women marries group O men

Question 41

two types of molar growth

Answer 41

complete mole
partial mole