Ectopic Pregnacy exam 2

Question 1

•Zygote implants outside of the uterine cavity, usually in ampulla of the fallopian
tube
•Results from abnormalities that slow or prevent the passage of the fertilized ovum through the fallopian tube
•1 out of 100 pregnancies, ¾ dx in 1st
trimester

Answer 1

Ectopic pregnancy

Question 2

•Ampulla 
•Isthmus 
•Interstitium 
•Fimbria 
•Tuboovarianligament 
•Ovary 
•Abdominal cavity 
•Cervix
-externalos

Answer 2

Implantation sites

Question 3

• Adhesions from pelvic inflammatory disease (PID)
• Inflammation: STD
• Infection: yeast, UTI
• Hormonal abnormalities: cystic fibrosis
• endometriosis: leading cause of ectopic

Answer 3

Risk factors

Question 4

• Abdominal pain: R/L fallopian tube
• Light vaginal bleeding
• Referred shoulder pain: internal bleeding
• Signs of shock: low BP and temp, high heart and respiratory rate, tinnitus and dizziness

Answer 4

Signs and symptoms

Question 5

•Diagnosis by ultrasound
•Control of hemorrhage
•Laparotomy/laparascopy
to remove ectopic pregnancy, attempt to save
tube
•Emotional support–loss of pregnancy
•Recurs in 10% of women, 50% or >have normal pregnancy following

Answer 5

Medical managment