Literally tried to delete this deck 12 times, ignore it

Question 1

Threatened Abortion

Answer 1

Bleeding w or w/o cramping. CERVIX IS CLOSED

Question 2

Inevitable Abortion

Answer 2

Bleeding w or w/o cramping. CERVIX IS DILATED. Abortion is inevitable, the POC are going to pass

Question 3

Complete Abortion

Answer 3

POC have been expelled

Question 4

Missed abortion

Answer 4

Embryo or fetus dies but the POC are retained. Needs a D&C

Question 5

Incomplete Abortion

Answer 5

Some portions of the POC remain in the uterus. Needs a D&C

Question 6

Habitual Abortion

Answer 6

3 or more Abs in succession (usually spontaneous)

Question 7

Spontaneous Abortion

Answer 7

Classic miscarriage. Pregnancy terminating before the 20th week

Question 8

What defines the type of spontaneous abortion

Answer 8

Whether or not any/all of the POC have passed and whether or not the cervix is dilated

Question 9

Abortus

Answer 9

Fetus lost before 20 weeks

Question 10

Diagnosing an abortion

Sx
PE
Labs
US

Answer 10

Sx: Bleeding, cramping, abd pain, dec pregnancy sx
PE: Vitals (RO shock), febrile, pelvic exam
Labs: HCG, CBC, type and screen
US: Fetal/placenta viability

Question 11

Abortion tx

Answer 11

Depends on diagnosis!

Stabilize if hypotensive
Monitor for bleeding/infection
Send tissue to patho to assess for POC
D&C if needed
Rhogam for Rh neg pts
Curetage