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SICK OF MATERNAL > Ectopic > Flashcards

Ectopic Flashcards

1
Q

Types of Ectopic Pregnancy

A

Tubal
Ovarian
Abdominal
Cervical
Heterotopic
Tubo-uterine
Tubo-abdominal

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2
Q

Most common site (95%) of implantation of ectopic pregnancy

A

Tubal

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3
Q

Pregnancy occurs when a fertilized egg implants on the surface of the
ovary.

A

Ovarian

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4
Q

Extremely rare type (1/15,000);

A

Abdominal

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5
Q

Present with vaginal bleeding, which can be profuse and is often
painless.

A

Cervical

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6
Q

Existence of two simultaneous pregnancies with separate implantation
sites.

A

Heterotopic

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7
Q

Results from the gradual extension into the uterine cavity of products of
conception that originally implanted in the interstitial portion

A

Tubo-uterine

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8
Q

A zygote that is originally implanted at the end of the fallopian tube
gradually extends into the peritoneal cavity.

A

Tubo-abdominal

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9
Q

A zygote that is partly implanted in the tube & partly in the ovary

A

Tubo-ovarian

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10
Q

Diagnosis & Tests for ectopic

A

TVUS

Serial HCG

Determination
Pregnancy Test

Serum
Progesterone
Levels

Colpotomy

Culdocentesis

CBC

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11
Q

Reveals extrauterine pregnancy

A

TVUS

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12
Q

Direct visualization of the oviducts & ovaries.

A

Colpotomy

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13
Q

Extraction of fluid from the rectouterine pouch posterior to the
vagina through a needle.

Diagnose the presence of ruptured ectopic pregnancy

A

Culdocentesis

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14
Q

For unruptured EP what is performed

A

therapeutic abortion

Methotrexate (chemotherapy agent; immune suppressant)

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15
Q

Methotrexate has been associated with

A

stomatitis,
gastritis, hepatic enzyme elevation, pneumonitis, &
hematologic toxicity

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16
Q

given on alternate days to decrease the hematologic toxicity of Methotrexate.

A

IM leucovorin (like folic acid)

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17
Q

Management of Ectopic Pregnancy

For ruptured EP

A

Salpingectomy
Hysterectomy
Oophorectomy

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18
Q

Management for uncontrollable hemorrhage & severely damaged tube ; removal of one or both fallopian tubes

A

Salpingectomy

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19
Q

Management for often for ruptured interstitial or cervical
pregnancy

A

Hysterectomy

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20
Q

A benign disorder of the placenta characterized by
degeneration of the chorion & death of the embryo.

A

Hydatidiform Mole

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21
Q

Types of Molar Pregnancy

A

Complete Molar
Partial Molar

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22
Q

Embryo can’t grow
Sperm fertilizes an empty egg
The tissue produces HCG, which gives a (+) pregnancy
test.

A

Complete Molar

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23
Q

An extra set of chromosomes
comes from the father (two
sperm fertilized one egg).

Mother’s 23 chromosomes
remain intact.

The embryo has 69 instead of
the normal 46 chromosomes.

Growing embryos start to
develop but can’t SURVIVE!

A

Partial Molar

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24
Q

Diagnosis and Tests for hmole

A

USS of the uterus
HCG levels in the blood

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25
Q

shows fluid-filled sacs instead of the placenta

A

USS of the uterus

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26
Q

Management & Treatment

A

D&C
Methotrexate for 1 year

27
Q

Characterized by persistent trophoblastic proliferation after
H-mole evacuations

A

GESTATIONAL TROPHOBLASTIC TUMORS

28
Q

GESTATIONAL TROPHOBLASTIC TUMORS 3 KINDS

A

Choriocarcinoma

Invasive Mole

Placental Site Trophoblastic

29
Q

most severe malignant complication;
requires chemotherapy or radiation.

A

Choriocarcinoma

30
Q

locally invasive developing during the 1st
six months

A

Invasive Mole

31
Q

*Management of all trophoblastic tumors is

A

hysterectomy!

32
Q

Premature separation of normally transplanted placenta
after 20 weeks of gestation

A

Abruptio Placenta

33
Q

Abruptio Placenta occurs later in

A

3rd trimester, begins around
28 weeks & lasts until delivery.

34
Q

Placental abruption often happens suddenly. (T/F)

A

True

35
Q

Causes of abruptio placenta

A

Trauma to the uterus

Short umbilical cord

smoking

36
Q

Types Based on Placental Separation

A

Partial placental abruption

total placental abruption

37
Q

placenta does not completely detach from the uterine wall.

A

Partial placental abruption

38
Q

placenta completely detaches from the uterine
wall—more vaginal bleeding.

A

total placental abruption

39
Q

Types Based on the Presence of Vaginal Bleeding in abruptio placenta

A

Revealed abruption/Overt

Concealed abruption/Covert

40
Q

dissection occurs along the uterine wall & blood escapes
through the cervix

A

Revealed abruption/Overt

41
Q

blood is retained behind the placenta & does not communicate with cervix.

A

Concealed abruption/Covert

42
Q

Classifications Based on Signs & Symptoms of abruptio placenta

A

Grade 0
Grade 1
Grade 2
Grade 3

43
Q

some external bleeding, uterine tetany &
tenderness (may/may not be noted), absence of fetal
distress & shock (minimal separation).

A

Grade 1

44
Q

external bleeding, uterine tetany, uterine
tenderness, & fetal distress (moderate separation)

A

Grade 2

45
Q

internal & external bleeding (more than
1000cc), uterine tetany, maternal shock, probably
fetal death & DIC

A

Grade 3

46
Q

dark red vaginal bleeding in abruptio placenta

A

concealed AP

47
Q

bright red vaginal bleeding in abruptio placenta

A

revealed AP

48
Q

The MD will recommend treatment for placntal abruption based on:

A

severity of the abruption.

signs of distress from the fetus.

amount of blood you’ve lost.

49
Q

The two most important factors in determining treatment for abruptio placenta

A

abruption’s severity and the fetus’s gestational age.

50
Q

MD may give the patient ___ to help the fetus’s lungs mature.

A

Corticosteroids

51
Q

placenta completely
or partially covers the
uterus (cervix) opening in
the last months of
pregnancy.

A

Placenta Previa

52
Q

Placenta Previa is the most common bleeding
disorder during which trimester

A

3rd
trimester

53
Q

In early pregnancy, it’s common for the placenta to be
low in the uterus. (T/F)

A

True

54
Q

when should the placenta move to the top of your uterus.

A

3rd trimester (weeks 28 to 40),

55
Q

Types of Placenta Previa

A

Marginal placenta previa

Partial placenta previa

total placenta previa

56
Q

placenta is positioned at the edge of the
cervix.

A

Marginal placenta previa

57
Q

a placenta previa more likely to resolve on its own before your baby’s due date.

A

Marginal placenta previa

58
Q

a placenta previa that is less likely to correct itself.

A

Complete or total placenta previa

59
Q

in placental previa when does the most significant sign occur

A

(begins 24-30
weeks)

60
Q

the earliest & safest diagnostic
tool for PP.

A

*Ultrasound

61
Q

contraindicated in PP
risk of provoking life-threatening hemorrhage.

A

*Internal Examination (IE)

62
Q

placenta grows too deeply in the wall of your uterus,
causing severe bleeding after delivery.

A

Placenta accreta

63
Q

Goal of treatment in PP is to get the mother as close to the
due date as possible. (T/F)

A

True

64
Q

If the placenta is near or covering just part of the cervix and no bleeding, the MD may
recommend:

A

Reducing strenuous activities,

Bed rest at home.

No sexual intercourse,

SICK OF MATERNAL (4 decks)

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