CHAP 21 - 109

Question 1

C: MOSOMAL OR UTERINE ABNORMALITIES

Answer 1

Threatened
spontaneous
miscarriage (eraly:
under 16 weeks; late:
16-24 weeks)

Question 2

FIRST AND SECOND TRIM

Answer 2

TIMICE
THREATENED SM
IMMINENT M
MISSED M
INCOMPLETE SPON MIS
COMPLETE SPON MIS
ECTOPIC PREGNANCY

Question 3

A: VAGINAL SPOTTING AND SLIGHT CRAMPING

Answer 3

Threatened
spontaneous
miscarriage (eraly:
under 16 weeks; late:
16-24 weeks)

Question 4

CAU: NOT USE TAMPONS TO HALT BLEEDING AS THIS CAN LEAD TO INFECTION

Answer 4

Threatened
spontaneous
miscarriage (eraly:
under 16 weeks; late:
16-24 weeks)

Question 5

C: POOR PLACENTAL ATTACHMENT

Answer 5

Imminent (inevitable)
miscarriage

Question 6

A: VAGINAL SPOTTING, CRAMPING, CERVICAL DILATION

Answer 6

Imminent (inevitable)
miscarriage

Question 7

MIC SAME CAUSE

Answer 7

chromosomal or
uterine abnormalities

Question 8

Vaginal soptting
perhaps slight
cramping; no
apparent loss of
pregnancy

Answer 8

Missed miscarriage

Question 9

CAU: Rarely, disseminatedintravascular
coagulationisassociatedwithmissedmiscarriage

Answer 9

MISSED MISCARRIAGE

Question 10

A: Vaginal spotting, cramping, cervical
dilatation, but
incomplete expulsion
of uterine contents

Answer 10

Incomplete
spontaenous
miscarriage

Question 11

CAU: High risk of uterineinfection and hemorrhage

Answer 11

INCOMPLETE SPON MIS

Question 12

A: Vaginal spotting, cramping cervical
dilatation, and
complete expulsion of
uterine contents

Answer 12

COMPLETE SPON MIS

Question 12

Implantation of zygote
at site other than in
uterus, associated with
tubal constrictures

Answer 12

ECTOPIC PREG

Question 13

Sudden unilateral
lower abdominal
quadrant pain;
minimal vaginal
bleeding, possible
signs of hypovolemic
shock or hemorrhage

Answer 13

ECTOPIC PREG

Question 14

May haverepaetectopic pregnancyinfuture if tubal scarringis bilateral

Answer 14

ECTOPIC PREGNANCY

Question 16

SECOND TRIM

Answer 16

GESTATIONAL TROPHOBLASTIC DISEASE (HYDATIDIFORM MOLE)

PREMATURE CERVICAL DILATATION

Question 16

C: Abnormal proliferation
of trophoblasts cells;
fertilization or division
defect

Answer 16

Gestational
trophoblastic disease
(hydatidiform mole)

Question 16

CAU: Retained trophoblasttissue may becomemalignant
(choriocarcinoma);
followup for extendedmonitoring withhCGtesting.

Answer 16

Gestational
trophoblastic disease
(hydatidiform mole)

Question 16

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

Answer 16

Gestational
trophoblastic disease
(hydatidiform mole)

Question 16

C: Low implantation of
placenta possibly
because of uterine
abnormality

Answer 16

Placenta previa

Question 16

Cervix begins to dilate
and pregnancy is lost
at about 20 weeks;
unknown cause but
cervical trauma from
prior cervical
procedures may be
associated.

Answer 16

Premature cervical
dilatation

Question 16

A: Painless bleeding
leading to expulsion of
fetus

Answer 16

Placenta previa

Question 16

Can have cervical
sutures placed subsequent pregnancy to help prevent recurrence

Answer 16

Premature cervical
dilatation

Question 17

Painless bleeding
leading to expulsion of
fetus

Answer 17

Premature cervical
dilatation

Question 17

CAU: Don’t allowavaginal
examinationtominimize placental
trauma

Answer 17

Placenta previa

Question 17

C: Unknown cause;
associated with
hypertension and
cocaine use; placenta
separates from uterus
before birth of fetus

Answer 17

ABRUPTIO PLACENTA

Question 17

Show (pink-stained)
vaginal discharge
accompanied by
uterine contractions
becoming regular and
effective

Answer 17

PRETERM LABOR

Question 17

CAU: Disseminated intravascular
coagulation Is associated with condition

Answer 17

ABRUPTIO PLACENTA

Question 17

Sharp abdominal pain
followed by uterine
tenderness; vaginal
bleeding; signs of
hypovolemic shock, fetal distress

Answer 17

ABRUPTIO PLACENTA

Question 17

Preterm labor may be halted
If the cervix is less than 4 cm dilated and the membranes are intact. Corticosteroids are administered to aid fetal lung maturity

Answer 17

PRETERM LABOR

Question 17

ASSESSING A PREGNANT PT WITH HYPOVOLEMIC SHOCK

Answer 17

 Confusion
 Pallor
 Tachypnea
 Increased pulse
 Decreased blood pressure
 Decreased cardic output
 Peripheral vasoconstriction (placenta reacts as a peripheral organ)
 Fetal bradycardia
 Decreased urinary output
 Cold extremities

Question 17

C: Many possible
etiologic factors such
as trauma, substance
use, hypertension of
pregnancy, or
cervicitis; increased
chane in multiple
gestation, illness
during pregnancy

Answer 17

PRETERM LABOR

Question 17

SIGNS AND SYMPTOMS OF HYPOVOLEMIC SHOCK

Answer 17

1. INCREASED PR
2. DECREASED BP
3. INCREASED RR
4. COLD, CLAMMY SKIN
5. DECREASED URINE OUTPUT
6. DIZINESS OR DECREASED LEVEL OF CONSCIOUSNESS
7. DECREASED CENTRAL VENOUS PRESSURE