Gestational Abnormalities

Question 1

Ectopic Pregnancy

Answer 1

fertilized ovum implants in a site other than the endometrial lining

Question 2

Is HCG produced in ectopic pregnancy?

Answer 2

yes, but will not double every 48 hours, lower than expected

Question 3

Is there bleeding during an ectopic pregnancy?

Answer 3

Yes, spotting

Question 4

S+S of Ectopic Pregnancy

Answer 4

spotting, R shoulder pain in 50% of people

Question 5

How do you treat an Ectopic Pregnancy?

Answer 5

Methotrexate: reabsorption
Surgical management

Question 6

Threatened Abortion

Answer 6

vaginal bleeding/spotting, back ache, Closed cervical os, present fetal HR,

Question 7

Threatened Abortion Management:

Answer 7

bed rest, hydration, monitoring, Fetal monitor.
may resolve or terminate

Question 8

Imminent Spontaneous abortion

Answer 8

dilated cervical os, bleeding, fetal HR may or may not be present, increased cramping,

Question 9

Imminent Spontaneous Abortion management

Answer 9

confirm w/ ultrasound, may wait for fetus to pass, suction curettage, prevent hemorrhage, possible Rhogam, pain and emotional management

Question 10

Incomplete Abortion

Answer 10

vaginal bleeding, increased cramping, dilated cervical os, fetal demise, placenta remains

Question 11

incomplete Abortion management

Answer 11

confirm w/ ultrasound, prevent hemorrhage, suction curettage, pain and emotional management

Question 12

Complete abortions

Answer 12

fetus and all conception products passed, vaginal bleeding, cramping that may resolve, dilated cervix

Question 13

complete abortion management

Answer 13

ultrasound, prevent hemorrhage, emotional and pain support, possible Rhogam

Question 14

Missed Abortion

Answer 14

fetus remains in utero, cervix closed, fetal demise, HCG sympt. decrease

Question 15

Missed Abortion Management

Answer 15

ultrasound, suction curettage, prevent hemorrhage, pain and emotion management, Rhogam

Question 16

What is a Hydatiform Mole?

Answer 16

abnormal growth in the uterus

Question 17

Symptoms of a hydatiform mole:

Answer 17

uterine enlargement, high HCG, prune juice bleeding, no FHR, no fetus on ultrasound

Question 18

Hydatiform mole Management:

Answer 18

suction curettage, pain and emotional support, monitor HCG,

Question 19

How long after a Hydatiform Mole should a mother wait to get pregnant again?

Answer 19

1 year

Question 20

Placenta Abruptio

Answer 20

premature separation of the placenta from the uterine wall

Question 21

Placenta Previa

Answer 21

placenta grows in the lowest part of the uterus covering all or most of the cervix