Exam 3 - Complications of Pregnancy Flashcards Preview

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Flashcards in Exam 3 - Complications of Pregnancy Deck (32)
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1

rare mass, or growth, that forms inside the womb (uterus) at the beginning of pregnancy

Hydatidiform Mole

2

2 types of Hydatidiform Moles

Complete/Classic - no identifiable fetal tissue
Partial - some recognizable fetal tissue

3

Risk Factors: Hydatidiform Mole

Teenagers
Women over 35
Previous miscarriage

4

Signs & Symptoms: Hydatidiform Mole

Vaginal Bleeding (97%)
Hyperemesis
Preeclampsia (27%) - atypical due to first tri
Hyperthyroidism

5

Signs & Symptoms: Incomplete Hydatidiform Mole

Vaginal bleeding
Absence of fetal heart tones

6

Dx: Hydatidiform mole

Ultrasound
"snowstorm" pattern
HCG levels will be elevated

7

Tx: Hydatidiform mole

Evacuation and curettage
OR
Hysterectomy

8

What percentage of Hydatidiform moles develop as a malignancy

20%

9

what should be tested monthly and for how long when performing Hydatidiform mole follow up?

bHCG levels for 6-12 months

10

how long should contraception be used during the entire follow-up period for Hydatidiform moles?

at least 1 year

11

any pregnancy that occurs outside of the uterine cavity

Ectopic pregnancy

12

what is the MC location of Ectopic Pregnancies?

Tubal (97%)

13

top 3 risk factors of Ectopic Pregnancy

previous tubal surgery
previous ectopic pregnancy
in utero DES exposure (used until 1971)

14

Clinical Presentation: Ectopic Pregnancy

women of reproductive age
abdominal pain
vaginal bleeding (~7 weeks after amenorrhea)

15

Exam Findings: Ectopic Pregnancy

normal/slightly enlarged uterus
vaginal bleeding
pelvic pain with manipulation of cervix
palpable adnexal mass

16

suspect ectopic pregnancy rupture if...

significant abdominal tenderness

especially if accompanied by:
hypotension, abdominal guarding, rebound tenderness

17

test of choice for Ectopic pregnancy dx

Ultrasound

18

which folic acid antagonist is used as a medical tx for ectopic pregnancy?

Methotrexate

19

approximately what % of women have difficulty conceiving after an ectopic pregnancy?

30%

20

spontaneous abortion (SA) is classified as pregnancy loss at

21

a pregnancy complicated by BLEEDING before 20 weeks gestation

"Threatened abortion"

22

the CERVIX HAS DILATED, but the products of conception have not been expelled

"Inevitable abortion"

23

ALL PRODUCTS of conception have been passed w/o need for surgical or medical intervention

"Complete abortion"

24

some, BUT NOT ALL, of the products of conception have been passed; retained products may be part of the fetus, placenta, or membranes

"Incomplete abortion"

25

a pregnancy in which there is a fetal demise (usually for a number of weeks) but NO UTERINE ACTIVITY to expel the products of conception

"Missed abortion"

26

a spontaneous abortion that is complicated by intrauterine INFECTION

"Septic abortion"

27

Three (3) of more consecutive pregnancy losses

"Recurrent spontaneous abortion"

28

what percentage of pregnancies complicated with bleeding before 20 weeks gestation end in spontaneous abortion?

50%

29

SA occurs in what % of recognized pregnancies?

20%

30

what type of abnormality accounts for 49% of SAs

chromosomal abnormality