Other Pregnancy complications

Question 1

one in which implantation occurs outside the uterine cavity

Answer 1

Ectopic Pregnancy

Question 2

one in which implantation occurs outside the uterine cavity

Answer 2

Ectopic Pregnancy

Question 3

fallopian tube sites

Answer 3

• ampullar portion 80%
• isthmus 12%
• interstitial or fimbrial 8%

Question 4

if a woman waits for a time before seeking help the following may occur:

Answer 4

abdomen gradually becomes rigid from peritoneal irritation
- umbilicus may develop a bluish-tinged hue (Cullen sign)
- extensive or dull vaginal and abdominal pain
- the movement of the cervix on pelvic examination can cause excruciating pain
- she may feel pain in her shoulders as blood in the peritoneal cavity cause irritation to the phrenic nerve
- tender mass is usually palpable in Douglas cul-de-sac on vaginal examination

Question 5

the umbilicus may develop a bluish-tinged hue

Answer 5

Cullen Sign

Question 6

is a hemorrhagic discoloration of the umbilical area due to intraperitoneal hemorrhage from any cause?

Answer 6

Cullen Sign

Question 7

oral administration of _______________ the tube is left intact, with no surgical scarring that could cause a second ectopic implantation

Answer 7

methotrexate

Question 8

is usually performed after therapy to assess pregnancy is no longer present

Answer 8

Hysterosalpingogram or UTZ

Question 9

for ruptured ectopic pregnancy, ___________ was used to ligate the bleeding vessels and to remove or repair the damaged fallopian tube. if a tube is removed the woman is theoretically only 50% fertile because sperm could not reach the ova on that site

Answer 9

laparoscopy

Question 10

very rarely after an ectopic pregnancy ruptures the products of conception are expelled into the pelvic
the embryo or fetus is growing and developing outside the womb in the abdomen, but not in the Fallopian tube, ovary or broad ligament
the placenta may escape into the pelvic cavity and implant on an organ such as an intestine and the fetus will grow in the pelvic cavity.

Answer 10

Abdominal Pregnancy

Question 11

How dangerous is Abdominal Pregnancy?

Answer 11

the placenta could infiltrate and erode a major blood vessel in the abdomen which could lead to hemorrhage
if implanted in the intestine, it may cause perforation which could lead to peritonitis

Question 12

Probability of Survival of the fetus

Answer 12

60% of fetuses in abdominal pregnancy come to term

without a good uterine blood supply, nutrients may not reach the fetus in adequate amounts leading to the threat of fetal deformity or growth restrictions

Question 13

What will happen if the fetus comes to term? at term, the infant must be born through _______?

Answer 13

LAPAROTOMY

Question 14

the placenta is often difficult to remove after birth especially if it is implanted onto abdominal organ, it is then left in place and allowed to be absorbed spontaneously in ____ months

Answer 14

2-3 months

if not, treatment of METHOTREXATE to help the placenta absorb