preg termination/ectopic

Question 1

what is an ectopic pregnancy

Answer 1

occurs outside the uterus–fetus cant survive

Question 2

what are sx of ectopic pregnancy

Answer 2

prego sx
sharp pain in abdomen
vaginal bleeding

Question 3

T/F ectopic pregnancy can be terminated surgically

Answer 3

true

Question 4

what can be used to avoid surgery

Answer 4

methotrexate (one dose IM)

Question 5

methotrexate is currently not used for what

Answer 5

medication abortion

Question 6

what is the 2 drug regimen for medication abortion

Answer 6

mifepristone followed by misoprostol

Question 7

is the 2 drug regimen FDA approved

Answer 7

yes

Question 8

there is a REMS requirement for what drug

Answer 8

mifepristone

Question 9

what is the CI to the 2 drug regimen

Answer 9

IUD
long term corticosteroid use
chronic adrenal failure
anticoag

Question 10

misoprostol causes what

Answer 10

uterine contractions

Question 11

pregnancy is usually expelled in how many hours with misoprostol

Answer 11

6-8 hours

Question 12

what are counseling points for medical abortion

Answer 12

bleeding/cramping
call if heavy bleeding
NSAIDs recommended
contraception can be initiated right away

Question 13

what is a miscarriage

Answer 13

spontaneous loss of a womens pregnancy before 20th wk

Question 14

what are the 3 choices women can pick when having a misscarriage

Answer 14

D and C (surgical)
expectant management (pass contents on own)
misoprostol