Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Maternal/Newborn > Abortion/Ectopic Pregnancy > Flashcards

Abortion/Ectopic Pregnancy Flashcards

1
Q

Spontaneous Abortion

A

Ending of pregnancy before 20wks “miscarriage”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Early Spontaneous Abortion

A

Ending of pregnancy before 12wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Late Spontaneous Abortion

A
  • Between 12-20 wks
  • Results from maternal causes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Causes of Late Spontaneous Abortion

A
  • Maternal infections
  • Age 35+
  • Increased partiy (lots of pregnancies)
  • Incompetent cervix & uterine abnormalities (heart shaped uterus)
  • Tobacco, alcohol, & drug use
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Causes of Early Spontaneous Abortion

A
  • Genetic factors (chromosomal abnormalities)
  • Infection (exposure to serious diseases or STDs)
  • Endocrine imbalance (Thyroid disorders, T1DM)
  • Systemic Disorders (Lupus, cystic fibrosis)
  • Unknown causes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Threatened Abortion

A

Bleeding before 20wks with a closed cervix and no indication of fetal demise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Inevitable Abortion

A

Cramping, vaginal bleeding, and dilating cervix; may be viable or nonviable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Incomplete Abortion

A

Retention of some products of conception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Complete Abortion

A

All products of conception are expelled

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Missed Abortion

A

Fetus dies, uterine growth ceases, may be weeks before contents fully expelled

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Nursing interventions for threatened abortion

A
  • Hydrate
  • Assessment
  • Administer meds to stop dilation
  • Antibiotics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Nursing Interventions for inevitable abortion

A
  • Hospice care for fetus
  • Assess for complications (hemorrhage/infection)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Nursing interventions for incomplete abortion

A
  • Dilation & cortage
  • Hospice care for fetus
  • Assess for complications (hemorrhage/infection - high risk)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Dilation & cortage

A

When the uterus is medically dilated, doctors gently scrape the uterine wall to remove extra products of infection that were not expelled

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Nursing interventions for complete abortions

A
  • Decreased risk of infection/bleeding b/c all products expelled
  • Hospice care for fetus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Recurrent/Habitual Abortion

A

Three or more consecutive spontaneous abortions

17
Q

Causes of recurrent/habitual abortions

A
  • Incompetent cervix/fibroids
  • Endocrine disorders (diabetes, thyroid disorders)
  • Autoimmune disorders (Lupus)
  • Infections
  • Genetic factors
18
Q

How are abortions diagnosed?

A
  • Ultrasound (cardiac activity)
  • Quantitative serum of HCG (decreased HCG)
  • CBC w/ differential
    -UA & STD screening
  • Blood type & screen
  • RhoGAM work-up if Rh negative
19
Q

Nursing Cares for patients experiencing abortions

A
  • Monitor all bleeding & document blood loss
  • Save any clots or tissue expelled and send to pathology
  • Monitor temp. and BP (signs of infection)
20
Q

Discharge teaching for patients experiencing abortion

A
  • Report increased bleeding
  • Report foul odor, discharge, malaise
  • Monitor temp Q8H for 72 hrs
  • No sex, tampons, or douching
  • Home care: Bed rest, counseling, support groups
21
Q

Hypovolemic Shock

A

Severe blood loss makes the heart unable to pump enough blood to the body and may cause organs to shutdown

22
Q

Vital signs with hypovolemic shock

A
  • Decreased BP and temp & LOC
  • Increased HR & RR
23
Q

S/S of hypovolemic shock

A
  • Pallor/cyanosis
  • Diaphoresis
  • Lethargy
  • Unsteady gate
  • Dizziness
  • Tinnitus
  • Metallic taste in mouth
  • Fatigue
24
Q

Ectopic Pregnancy

A

Implantation of fertilized ovum outside of the uterus

25
Q

Risk factors for ectopic pregnancy

A
  • Prior ectopic pregnancy
  • Infections
  • Inflammation
  • Endometriosis
  • Adhesions from pelvic inflammatory disease (PID)
  • Prior surgery
26
Q

Pathophysiology of ectopic pregnancy

A

Results from abnormalities that slow or prevent the passage of the fertilized ovum through the fallopian tube

27
Q

S/S of ectopic pregnancy

A
  • Happens between 6-9wks
  • Localized, stabbing abdominal pain
  • Light-heavy bleeding
  • Referred shoulder pain
  • Hypovolemic shock
28
Q

How is ectopic pregnancy diagnosed

A
  • Pelvic exam (enlarged uterus, pelvic pain w/cervical manipulation, palpable mass in fallopian tube)
  • Ultrasound
  • HCG test
29
Q

Nursing management of ectopic pregnancy

A
  • Control hemorrhage with 2 IVs (One for fluids and one for blood if needed)
  • Laparotomy/laparoscopy
  • Medications
  • Emotional support for loss of pregnancy
30
Q

Laparotomy/laparoscopy

A

Removing ectopic pregnancy/attempt to save the fallopian tube

Maternal/Newborn (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions