ETOPIC PREGNANCY

Question 1

implantation of fertilized ovum in a site other than the endometrial lining of the uterus

•may occur on the surface of the ovary or in the cervix

~Most common site is in the fallopian tube-distal 3rd

Answer 1

Etopic Pregnancy

Question 2

Causative Factors

Answer 2

•tubal damage – PID
•previous tubal surgery
•congenital anomalies of the tube
•Endometriosis
•previous ectopic pregnancy
•presence of an IUD
•exposure to diethylstilbestrol (DES)

Question 3

Clinical Manifestations

Answer 3

~Missed menstrual period
~ Abdominal pain
~ Vaginal spotting
~ Amenorrhea
~ (+) pregnancy test
~ Sharp, stabbing pain in her lower abdomen quadrants at the time

Question 4

If internal bleeding progresses to acute hemorrhage, a woman may experience…

Answer 4

~ Light headedness
~ Rapid Pulse
~ Signs of shock
~ Leukocytosis from trauma

Question 5

Demonstrates the ruptured tube and blood collecting in the peritoneum

Answer 5

Transvaginal Sonogram

Question 6

1.) Suggests that the pregnancy has ended

2.) Can be used to visualize the fallopian tube

Answer 6

1.) A falling hCG or serum progesterone level

2.) A laparoscopy or culdoscopy

Question 7

If a woman waits before seeing help…

Answer 7

~ Abdomen is rigid

~ Cullen’s sign (Superficial edema and bruising in the subcutaneous fatty tissue around umbilicus)

~ Extensive or dull vaginal or abdominal pain

Question 8

If the woman is receiving treatment using methotrexate, the nurse advises the woman to avoid____

Answer 8

Sun exposure

Question 9

If an ectopic pregnancy can be diagnosed by a sonogram before the tube has ruptured, it can be treated medically by the oral administration of ________ followed by ________.

Answer 9

1.) Methotrexate
2.) Leucovorin

Question 10

1.) performed after the chemotherapy to assess whether the tube is fully patent.

2.) For Sloughing of the tubal implantation site

Answer 10

1.) Hysterosalpingogram or Sonogram

2.) Mifepristone

Question 11

1.) As with miscarriage, women with Rh-negative blood should receive ___________ after an ectopic pregnancy for isoimmunization protection in future childbearing.

2.) The therapy for a ruptured ectopic pregnancy is _______ to ligate the bleeding vessels and to remove or repair the damaged fallopian tube.

Answer 11

1.) Rh (D) Immune globulin (RhIG)

2.) Laparoscopy

Question 12

Women are treated until a negative ________ is achieved.

Answer 12

1.) hCG titer

Question 13

Superficial edema and bruising in the subcutaneous fatty tissue around umbilicus

Answer 13

Cullen’s sign