Module 8 (Exam 3) Ectopic Pregnancy

Question 1

Ectopic Pregnancy

Answer 1

Implantation of a fetilizied ovum outside the uterine cavity. 98% occur in the fallopian tube (most commonly in the ampulla of the tube)

Question 2

Cause of Ectopic Pregnancy

Answer 2

Most common cause is scarred fallopian tubes

Question 3

Signs and Symptoms of Ectopic Pregnancy

Answer 3

1. Missed menstrual period
2. Positive Pregnancy Test
3. Abdominal PAIN
4. Vaginal “spotting”

Question 4

Therapeutic Management of Ectopic Pregnancy

Answer 4

1. Confirm ectopic pregnancy by ultrasound and hcg levels
2. Monitor bleeding
3. If tube is intact: methotrexate (chemotherapy drug, interrupts cellular division therefore stopping the growth of the fetus and saving the tube), salpingostomy
4. If tube has ruptured: salpingectomy
5. Follow up: rhogam, counseling

Question 5

Most common location of ectopic pregnancy

Answer 5

ampulla of the tube

Question 6

Define ectopic pregnancy

Answer 6

Implantation of a fertilized ovum outside the uterus