CHAP 21 - 109 Flashcards
C: MOSOMAL OR UTERINE ABNORMALITIES
Threatened
spontaneous
miscarriage (eraly:
under 16 weeks; late:
16-24 weeks)
FIRST AND SECOND TRIM
TIMICE
THREATENED SM
IMMINENT M
MISSED M
INCOMPLETE SPON MIS
COMPLETE SPON MIS
ECTOPIC PREGNANCY
A: VAGINAL SPOTTING AND SLIGHT CRAMPING
Threatened
spontaneous
miscarriage (eraly:
under 16 weeks; late:
16-24 weeks)
CAU: NOT USE TAMPONS TO HALT BLEEDING AS THIS CAN LEAD TO INFECTION
Threatened
spontaneous
miscarriage (eraly:
under 16 weeks; late:
16-24 weeks)
C: POOR PLACENTAL ATTACHMENT
Imminent (inevitable)
miscarriage
A: VAGINAL SPOTTING, CRAMPING, CERVICAL DILATION
Imminent (inevitable)
miscarriage
MIC SAME CAUSE
chromosomal or
uterine abnormalities
Vaginal soptting
perhaps slight
cramping; no
apparent loss of
pregnancy
Missed miscarriage
CAU: Rarely, disseminatedintravascular
coagulationisassociatedwithmissedmiscarriage
MISSED MISCARRIAGE
A: Vaginal spotting, cramping, cervical
dilatation, but
incomplete expulsion
of uterine contents
Incomplete
spontaenous
miscarriage
CAU: High risk of uterineinfection and hemorrhage
INCOMPLETE SPON MIS
A: Vaginal spotting, cramping cervical
dilatation, and
complete expulsion of
uterine contents
COMPLETE SPON MIS
Implantation of zygote
at site other than in
uterus, associated with
tubal constrictures
ECTOPIC PREG
Sudden unilateral
lower abdominal
quadrant pain;
minimal vaginal
bleeding, possible
signs of hypovolemic
shock or hemorrhage
ECTOPIC PREG
May haverepaetectopic pregnancyinfuture if tubal scarringis bilateral
ECTOPIC PREGNANCY
SECOND TRIM
GESTATIONAL TROPHOBLASTIC DISEASE (HYDATIDIFORM MOLE)
PREMATURE CERVICAL DILATATION
C: Abnormal proliferation
of trophoblasts cells;
fertilization or division
defect
Gestational
trophoblastic disease
(hydatidiform mole)
CAU: Retained trophoblasttissue may becomemalignant
(choriocarcinoma);
followup for extendedmonitoring withhCGtesting.
Gestational
trophoblastic disease
(hydatidiform mole)
A: Overgrowth of uterus;
highly positive human
chorionic
gonadotropin (hCG)
test; no fetus present
on ultrasound;
bleeding from vagina
of old or fresh blood
accompanied by cyst
formation
Gestational
trophoblastic disease
(hydatidiform mole)
C: Low implantation of
placenta possibly
because of uterine
abnormality
Placenta previa
Cervix begins to dilate
and pregnancy is lost
at about 20 weeks;
unknown cause but
cervical trauma from
prior cervical
procedures may be
associated.
Premature cervical
dilatation
A: Painless bleeding
leading to expulsion of
fetus
Placenta previa