Module 8 (Exam 3) Abortion Flashcards Preview

Semester Three - Half Two - Nursing 212 > Module 8 (Exam 3) Abortion > Flashcards

Flashcards in Module 8 (Exam 3) Abortion Deck (12):
1

What are the most common causes of hemorrhage in early pregnancy?

  1. Abortion (spontaneous)
  2. Ectopic Pregnancy
  3. Gestational trophoblastic disease (GTD)

2

Spontaneous Abortion

Occurs in about 15-20% of diagnosed pregnancies. Unintended loss of pregnancy before the fetus is viable or capable of living outside the uterus:

  1. Prior to 20 weeks gestation
  2. Less than 500g

 

3

Therapeutic Abortion

 

Medically-induced termination of pregnancy

4

Causes of Spontaneous Abortion

  1. Most common cause: severe chromosomal abnormalities
  2. Other causes: maternal infection, endocrine disorders, anatomical defects (example: incompetent cervix)

5

Signs and Symptoms of Spontaneous Abortion

 

  1. Vaginal bleeding or "spotting"
  2. Uterine cramping, persistent backache, or pelvic pressure
  3. Leaking fluid

6

Therapeutic Management of Spontaneous Abortion

 

  1. Confirm pregnancy by ultrasound and hcg levels
  2. Wait and see what happens
  3. Monitor bleeding
  4. Vacuum extraction or dilation and curettage if needed
  5. Follow up:
    1. Rhogam
    2. Counseling
    3. Cerclage

7

Cerclage

 

8

Incompetent Cervix

 

Painless cervical effacement and dilation resulting in spontaneous abortion or preterm birth

9

Dilation and curettage (D&C)

10

Define spontaneous abortion

Unintended pregnancy loss prior to 20 weeks' gestation

11

Define Therapeutic (elective) abortion

Medically induced termination of pregnancy

12

Define incompentent cervix

Painless cervical effacement and dilation resulting in spontaneous abortion or preterm birth

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