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Flashcards in Bleeding During Pregnancy Deck (67)
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Cause of Early bleeding (before 12 weeks)

Abortions

1

What is usually the cause of bleeding the 12th week?

Ectopic pregnancy - tubal

2

What is usually the cause of bleeding 2nd trimester?

Hydatidiform mole, incompetent cervix

3

What is usually the causes of bleeding 3rd trimester?

Placenta previa, abruptio placenta

4

What us the definition of abortion?

Loss of baby before 20 weeks

5

What is the definition of threatened abortion?

Has not lost the baby
The cervix is CLOSED

6

What are the signs of a threatened abortion?

Bleeding or spotting
Cramps

7

What percent of women go on to have a normal baby at term?

85%

8

What is the definition Inevitable abortion?

Loss will occur
*cervix is OPEN and dilating

9

What are the signs of inevitable abortion?

Cramping, heaving bleeding, membranes may rupture, products of concepts not expelled, fluid in the cvx

10

What is the definition of incomplete abortion?

Parts of conceptus are expelled + parts retained

11

What are the signs of an incomplete abortion?

Cramping + bleeding
Open cervical os
*Bleeds until all parts expelled*

12

What is the definition of a complete abortion?

All the products of conception are passed

13

What is the definition of a missed abortion?

Fetus dies in the uterus but is not expelled

14

What may client complain of when they have a missed abortion?

Malaise
Headache
Anorexia

15

What takes place after abortion?

Uterine growth ceases
Negative pregnancy test
Ultrasound confirmation

16

What may prolonged retention of fetus result in?

Dissemination intra-vascular coagulation (abnormal clots throughout body)

17

When is the definition of Habitual abortion?

Incompetent cervical os
NO pain, no warning

18

What is usually the cause of a habitual abortion?

Thyroid disorder
Faulty uterine environment

19

What is the treatment of a habitual abortion?

Cerclage - stitch to close cervix

20

What is the definition of therapeutic abortion?

Instrumental termination of pregnancy by physician because of grave maternal disease of fetal defect

21

What does ETOP stand for?

Elective termination of pregnancy

22

What is blighted ovum

Nature's abortion

23

What is the treatment of slight vaginal bleeding without pain?

Bed-rest
Avoid coitus
Count pads
Avoid straining - use stool softener

24

What needs to be counseled when women have slight vaginal bleeding without pain?

That 85% will have normal babies at term

25

What is the treatment when there is bleeding with pain?

"empty the uterus & make it contract"
Ultrasound
Asses coping ability

26

What kind of pregnancy is any gestation in which implantation of the blastocyst occurs outside the uterine cavity?

Ectopic pregnancy

27

What are the symptoms of ectopic pregnancy?

Menstrual abnormality
Lower abdominal pain
Symptoms of pregnancy

28

What is the fold standard for diagnosis for ectopic pregnancy?

Laproscopy

29

What are the laboratory tests results of an ectopic pregnancy?

Low levels of hCG, Beta subunit radioassay