Flashcards in Bleeding During Pregnancy Deck (67)
Cause of Early bleeding (before 12 weeks)
What is usually the cause of bleeding the 12th week?
Ectopic pregnancy - tubal
What is usually the cause of bleeding 2nd trimester?
Hydatidiform mole, incompetent cervix
What is usually the causes of bleeding 3rd trimester?
Placenta previa, abruptio placenta
What us the definition of abortion?
Loss of baby before 20 weeks
What is the definition of threatened abortion?
Has not lost the baby
The cervix is CLOSED
What are the signs of a threatened abortion?
Bleeding or spotting
What percent of women go on to have a normal baby at term?
What is the definition Inevitable abortion?
Loss will occur
*cervix is OPEN and dilating
What are the signs of inevitable abortion?
Cramping, heaving bleeding, membranes may rupture, products of concepts not expelled, fluid in the cvx
What is the definition of incomplete abortion?
Parts of conceptus are expelled + parts retained
What are the signs of an incomplete abortion?
Cramping + bleeding
Open cervical os
*Bleeds until all parts expelled*
What is the definition of a complete abortion?
All the products of conception are passed
What is the definition of a missed abortion?
Fetus dies in the uterus but is not expelled
What may client complain of when they have a missed abortion?
What takes place after abortion?
Uterine growth ceases
Negative pregnancy test
What may prolonged retention of fetus result in?
Dissemination intra-vascular coagulation (abnormal clots throughout body)
When is the definition of Habitual abortion?
Incompetent cervical os
NO pain, no warning
What is usually the cause of a habitual abortion?
Faulty uterine environment
What is the treatment of a habitual abortion?
Cerclage - stitch to close cervix
What is the definition of therapeutic abortion?
Instrumental termination of pregnancy by physician because of grave maternal disease of fetal defect
What does ETOP stand for?
Elective termination of pregnancy
What is blighted ovum
What is the treatment of slight vaginal bleeding without pain?
Avoid straining - use stool softener
What needs to be counseled when women have slight vaginal bleeding without pain?
That 85% will have normal babies at term
What is the treatment when there is bleeding with pain?
"empty the uterus & make it contract"
Asses coping ability
What kind of pregnancy is any gestation in which implantation of the blastocyst occurs outside the uterine cavity?
What are the symptoms of ectopic pregnancy?
Lower abdominal pain
Symptoms of pregnancy
What is the fold standard for diagnosis for ectopic pregnancy?