Ectopic pregnancy

Question 1

It is the implantation of a fertilized ovum outside of
the uterus

Answer 1

ECTOPIC PREGNANCY

Question 2

most common sites in ectopic pregnancy

Answer 2

Sites:ovary, cervix, peritoneal cavity, fallopian tube

Question 3

Etiology

Answer 3

⚫ Salpingitis, tumors, adhesions, or scarring, IUD use,
narrowed oviducts

Question 4

Ectopic Pregnancy
Assessment give atleast 3

Answer 4

CULLEN’S SIGN
Missed period
referred shoulder pain(KEHR’S SIGN)

Question 5

referred shoulder pain
due to
blood in the peritoneum irritating the phrenic nerve

Answer 5

KEHR’S SIGN

Question 6

ecchymotic blueness around the
umbilicus indicating blood pooling in the peritoneum

Answer 6

CULLEN’S SIGN

Question 7

Ectopic Pregnancy
Complications

Answer 7

⚫ Hemorrhage,
⚫ shock,
⚫ peritonitis

Question 8

possible
signs of hypovolemic shock

Answer 8

Spotting, bleeding (dark red or brownish)

Question 9

Management
⚫ Before rupture, oral
administration of

Answer 9

METHOTREXATE

Question 10

(folic
acid antagonist which
destroys fast-growing
cells) followed by

Answer 10

LEUCOVORIN

Question 11

to
assess patency of the
tube

Answer 11

hysterosalpingogram

Question 12

kehr’s sign

Answer 12

• sever left shoulder pain
• splenic rupture
• ectopic pregnancy rupture

Question 13

start IV with

Answer 13

18-gauge needle

Question 14

to ligate
bleeding vessels & remove or repair damaged tubes

Answer 14

laparoscopy

Question 15

After rupture, ___ if needed

Answer 15

BT

Question 16

If at the FP, by 6 to 12 weeks AOG, _____
(due to rupture of FP), followed by bleeding,
abdominal rigidity

Answer 16

slowly increasing
or sudden sharp, stabbing pain in LLQ or RLQ