BLEEDING

Question 1

signs of hypovolemic shock

Answer 1

10% lost or 2units of blood

Question 2

when does fetal distress occurs

Answer 2

when 25% of blood volume is lost

Question 3

caused of threatened spontaneous miscarriage

Answer 3

idiopathic, possibly chromosomal aberration or uterine abnormalities

Question 4

assessment of imminent miscarriage

Answer 4

vaginal spotting, cramping, cervical dilation

Question 5

fetus dies in utero but is not expelled, brownish vaginal discharge, cervix closed

Answer 5

missed miscarriage

Question 6

sudden unilateral lower abdominal quadrant pain, minimal vaginal bleeding possible signs of hypovolemic shock

Answer 6

ectopic (tubal) pregnancy

Question 7

abnormal proliferation of trophoblast cells

Answer 7

gestational trophoblastic disease (hydatidifrom mole)

Question 8

cervix begins to dilate and pregnancy is lost at about 20 weeks
- painless bleeding leading to expulsion of fetus

Answer 8

Incompetent cervix

Question 9

Low implantation of placenta possibly because of uterine abnormality

Answer 9

Placenta previa

Question 10

Sharp abdominal pain followed by uterine tenderness, vaginal bleeding, signs of maternal hypovolemic shock

Answer 10

Premature separation of placenta

Question 11

it has show (pink-stained vaginal discharge)

Answer 11

preterm labor

Question 12

medical term for any interruption of a pregnancy before a fetus is viable

Answer 12

Abortion

Question 13

a viable fetus is usually defined as a fetus of more than ..

Answer 13

20 - 24 weeks of gestation or weighs 500g

Question 14

a miscarriage of a early miscarriage if it occurs between ..

Answer 14

week 16 - 24

Question 15

when does threatened miscarriage becomes imminent?

Answer 15

• uterine contractions
• cervical dilation

Question 16

part of the conceptus is expelled but the membranes or placenta are retained in the uterus

Answer 16

Incomplete miscarriage

Question 17

• when the fundal height is measured and no increased in size
• fetus dies in utero but is not expelled

Answer 17

Missed miscarriage

Question 18

action of mifepristone

Answer 18

cause contractions and birth

Question 19

reasons a woman have abortions

Answer 19

• threatens a woman’s life
• genetic disorders of the fetus
• unwanted pregnancy (elective)

Question 20

medically induced termination

Answer 20

• mifepristone
• methotrexate
• misoprostol

Question 21

which implantation occurred outside the uterine cavity

Answer 21

ectopic pregnancy

Question 22

risk factors of ectopic pregnancy

Answer 22

• previous ectopic pregnancy tubal ligation
• previous tubal surgery
• intrauterine device
• multiple sexual partners

Question 23

works by stopping the growth of fertilized egg before a rupture occurs

Answer 23

Methotrexate

Question 24

at risk of gestational trophoblastic disease

Answer 24

• low protein intake
• woman older than 35 years of age
• woman of Asian heritage
• blood group A woman who marry blood group O men

Question 25

purse-string sutures are places in the cervix by the vaginal route

Answer 25

Mcdonald or Shirodkar procedure