Ectopic pregnancy Flashcards

1
Q

what is an ectopic pregnancy?

A

a gestation outside of the uterus

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2
Q

where does it usually occur?

A

the fallopian tubes

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3
Q

how is it confirmed?

A

with an ultrasound

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4
Q

what is the first sign of an ectopic pregnancy?

A

pain

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5
Q

T or F?

this patient will not exhibit the usual signs of pregnancy.

A

F!

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6
Q

what causes this patient pain?

A

they may be bleeding or spotting into the peritoneum (blood may come out too)

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7
Q

T OR F?

if a patient has had an ectopic pregnancy, it is unlikely she will have another.

A

F! she has increased risk for having another

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8
Q

why would methotrexate be given to mommy?

A

to stop the growth of the embryo to save the tube

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9
Q

what will be done if the methotrexate doesn’t work?

A

a laparoscopy may be done.

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10
Q

what is a laparoscopy?

A

when the doc makes a small incision in the fallopian tube and manually remove the embryo in order to save the tube.

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11
Q

can the entire tube be removed?

A

yes

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12
Q

what is a laparotomy? why would it need to be done?

A

laparotomy AKA abdominal exploration

  • if the tube has ruptured, or this patient has an advanced ectopic pregnancy.
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13
Q

what could happen if the fallopian tube ruptures?

A
  • hemorrhage and may need a blood transfusion
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