Podcast
Questions and Answers
Which term best describes a woman who has experienced three or more consecutive spontaneous abortions?
Which term best describes a woman who has experienced three or more consecutive spontaneous abortions?
What is the recommended action if manual vacuum aspiration (MVA) is not available after 16 weeks of pregnancy?
What is the recommended action if manual vacuum aspiration (MVA) is not available after 16 weeks of pregnancy?
Which treatment is administered every 6 hours for up to 48 hours to manage a septic condition in a patient following an abortion?
Which treatment is administered every 6 hours for up to 48 hours to manage a septic condition in a patient following an abortion?
In the context of managing a patient after a failed pregnancy with retention of products of conception, which of the following is NOT a recommended action?
In the context of managing a patient after a failed pregnancy with retention of products of conception, which of the following is NOT a recommended action?
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What is the first course of action once a pregnancy is confirmed in a patient at risk for abortion?
What is the first course of action once a pregnancy is confirmed in a patient at risk for abortion?
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What is a characteristic symptom of a threatened abortion?
What is a characteristic symptom of a threatened abortion?
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Which stage of abortion is described by heavy bleeding and progressive cervical dilation?
Which stage of abortion is described by heavy bleeding and progressive cervical dilation?
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Which management step is NOT recommended for a threatened abortion?
Which management step is NOT recommended for a threatened abortion?
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What is typically performed if a pregnancy is less than 16 weeks in the case of an inevitable abortion?
What is typically performed if a pregnancy is less than 16 weeks in the case of an inevitable abortion?
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Which of the following conditions can develop from excessive blood loss during an abortion?
Which of the following conditions can develop from excessive blood loss during an abortion?
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What is the most common cause for spontaneous abortion?
What is the most common cause for spontaneous abortion?
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What classifies a late abortion?
What classifies a late abortion?
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During septic abortion, what type of vaginal discharge can be expected?
During septic abortion, what type of vaginal discharge can be expected?
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What is characterized as therapeutic abortion?
What is characterized as therapeutic abortion?
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Which of the following is NOT a reason for therapeutic abortion?
Which of the following is NOT a reason for therapeutic abortion?
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What is the primary risk factor associated with criminal abortions?
What is the primary risk factor associated with criminal abortions?
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What is septic abortion primarily a sequel of?
What is septic abortion primarily a sequel of?
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What would NOT be a common sign or symptom of septic abortion?
What would NOT be a common sign or symptom of septic abortion?
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Which medication is commonly used for managing septic abortion?
Which medication is commonly used for managing septic abortion?
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Which management step is suggested if MVA is not available after 16 weeks in septic abortion cases?
Which management step is suggested if MVA is not available after 16 weeks in septic abortion cases?
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Which statement about the classification of abortion is accurate?
Which statement about the classification of abortion is accurate?
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What is a major consequence of criminal or unsafe abortion in certain regions?
What is a major consequence of criminal or unsafe abortion in certain regions?
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Which characteristic distinguishes therapeutic abortion from criminal abortion?
Which characteristic distinguishes therapeutic abortion from criminal abortion?
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What is a common sign of complete abortion?
What is a common sign of complete abortion?
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Which management step is NOT appropriate for incomplete abortion if bleeding is heavy and pregnancy is less than 16 weeks?
Which management step is NOT appropriate for incomplete abortion if bleeding is heavy and pregnancy is less than 16 weeks?
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What distinguishes a missed abortion from an incomplete abortion?
What distinguishes a missed abortion from an incomplete abortion?
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What is the appropriate management option for heavy bleeding in a pregnancy greater than 16 weeks?
What is the appropriate management option for heavy bleeding in a pregnancy greater than 16 weeks?
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Which of the following is a sign of incomplete abortion?
Which of the following is a sign of incomplete abortion?
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In case of heavy bleeding and pregnancy less than 16 weeks, what should be done if MVA is not available?
In case of heavy bleeding and pregnancy less than 16 weeks, what should be done if MVA is not available?
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What is the most appropriate action if bleeding does not stop for a complete abortion?
What is the most appropriate action if bleeding does not stop for a complete abortion?
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Which medication is commonly administered for incomplete abortion management?
Which medication is commonly administered for incomplete abortion management?
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What vital sign should be routinely checked during the management of abortion?
What vital sign should be routinely checked during the management of abortion?
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What is a distinguishing feature of the signs and symptoms of a missed abortion?
What is a distinguishing feature of the signs and symptoms of a missed abortion?
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What is the most common cause of bleeding in early pregnancy?
What is the most common cause of bleeding in early pregnancy?
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What percentage of pregnancies worldwide are estimated to be unplanned?
What percentage of pregnancies worldwide are estimated to be unplanned?
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At what gestational age is pregnancy usually terminated?
At what gestational age is pregnancy usually terminated?
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Which maternal condition is NOT associated with abortion?
Which maternal condition is NOT associated with abortion?
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What is the primary symptom indicating the occurrence of an abortion?
What is the primary symptom indicating the occurrence of an abortion?
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Which of the following fetal conditions is a recognized cause of abortion?
Which of the following fetal conditions is a recognized cause of abortion?
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How much does abortion contribute to maternal mortality?
How much does abortion contribute to maternal mortality?
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Which of the following is considered a social condition leading to abortion?
Which of the following is considered a social condition leading to abortion?
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What role does quality post-abortion care play in maternal health?
What role does quality post-abortion care play in maternal health?
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What maternal health issue is related to exposure to teratogenic chemicals?
What maternal health issue is related to exposure to teratogenic chemicals?
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Flashcards
Threatened Abortion
Threatened Abortion
A type of miscarriage where bleeding and cramping occur, but the cervix is closed, and the uterus size matches the pregnancy's gestational age.
Inevitable Abortion
Inevitable Abortion
A type of miscarriage with heavy bleeding, cervical dilation, and a uterus size smaller than or corresponding to the pregnancy's gestational age. The pregnancy cannot be saved.
Spontaneous Abortion
Spontaneous Abortion
Loss of pregnancy occurring before 24 weeks of gestation, often referred to as a miscarriage, usually occurring without intervention.
Signs of Septic Abortion
Signs of Septic Abortion
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Manual Vacuum Aspiration (MVA)
Manual Vacuum Aspiration (MVA)
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Early Abortion
Early Abortion
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Late Abortion
Late Abortion
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Signs of Shock
Signs of Shock
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Induced Abortion
Induced Abortion
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Therapeutic Abortion
Therapeutic Abortion
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Criminal Abortion
Criminal Abortion
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Septic Abortion
Septic Abortion
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Management of Septic Abortion
Management of Septic Abortion
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Maternal Mortality in Nigeria
Maternal Mortality in Nigeria
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Gestational Age
Gestational Age
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Nursing Management of Abortion
Nursing Management of Abortion
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Reporting Vaginal Bleeding
Reporting Vaginal Bleeding
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What is Abortion?
What is Abortion?
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Commonest cause of bleeding in early pregnancy?
Commonest cause of bleeding in early pregnancy?
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Major cause of maternal deaths?
Major cause of maternal deaths?
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What is Maternal Ill-health?
What is Maternal Ill-health?
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What is Hormonal Imbalance?
What is Hormonal Imbalance?
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What are Uterine Malformations?
What are Uterine Malformations?
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What are Uterine Infections?
What are Uterine Infections?
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What is Cervical Incompetence?
What is Cervical Incompetence?
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What is the Cardinal Sign of Abortion?
What is the Cardinal Sign of Abortion?
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What are the Social Factors of Abortion?
What are the Social Factors of Abortion?
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Habitual abortion
Habitual abortion
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Shirôdkar stitches
Shirôdkar stitches
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Bed rest and observation
Bed rest and observation
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Incomplete Abortion
Incomplete Abortion
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Complete Abortion
Complete Abortion
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Missed Abortion
Missed Abortion
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What are the signs of an incomplete abortion?
What are the signs of an incomplete abortion?
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What is the management for heavy bleeding in an incomplete abortion within 16 weeks?
What is the management for heavy bleeding in an incomplete abortion within 16 weeks?
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What medications are given for incomplete abortion?
What medications are given for incomplete abortion?
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What is the management for heavy bleeding in an incomplete abortion beyond 16 weeks?
What is the management for heavy bleeding in an incomplete abortion beyond 16 weeks?
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What are the signs of a complete abortion?
What are the signs of a complete abortion?
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What is the management for a complete abortion?
What is the management for a complete abortion?
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What are the signs of a missed abortion?
What are the signs of a missed abortion?
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Study Notes
Abortion
- Abortion is the termination of a pregnancy before 24 weeks of gestation.
- It's a common cause of bleeding in early pregnancy and a significant contributor to maternal deaths worldwide.
- Globally, roughly 35 abortions per 1000 women of childbearing age occur annually. Rates vary greatly across countries, from as low as 10 per 1000 to as high as 80 per 1000.
- Approximately 38% of pregnancies worldwide are unplanned, and 22% result in abortions. In developing countries, including Nigeria, an estimated 36% of pregnancies are unplanned, leading to 20% ending in abortion.
- In Nigeria, about 40% of maternal deaths are attributed to complications from abortion.
- The proportion of pregnancies ended by abortion is highest at the start and end of a woman's childbearing years.
- Abortion contributes significantly to maternal mortality (29%) and morbidity (eg., reproductive health infections and infertility).
- Quality post-abortion care and counseling are crucial for reducing complications and improving outcomes.
Causes of Abortion (Maternal)
- Maternal illnesses (malaria, anemia, diarrhea, dysentery, tuberculosis, pyelonephritis, hepatitis, diabetes, etc.)
- Hormonal imbalances
- Uterine malformations (e.g., bicornuate uterus)
- Uterine infections (e.g., endometritis)
- Submucous fibroids
- Cervical incompetence
- Exposure to harmful chemicals
- Emotional distress or extremes of emotion
- Violence
- Physical exertion
Causes of Abortion (Fetal)
- Gross fetal malformation/maldevelopment
- Chromosomal abnormalities
- Teenage pregnancy or unwanted pregnancy
- Unmet family needs
- Rape
Signs and Symptoms of Abortion
- Missed periods, followed by vaginal bleeding (ranging from slight to profuse).
- Pain, particularly lower abdominal or back pain.
- Rupture of membranes with expulsion of products of conception.
Types of Abortion
- Threatened abortion: Bleeding and cramping, but the pregnancy may continue.
- Inevitable abortion: Heavy bleeding and/or cervical dilation; the pregnancy cannot be saved.
- Incomplete abortion: Products of conception are not fully expelled.
- Complete abortion: Products of conception are fully expelled.
- Missed abortion: The fetus dies, but the body does not expel it.
- Septic abortion: Infection is present, a serious complication.
Management of Abortion
- Management of threatened abortion: Advising the patient to avoid strenuous activity and refrain from intercourse. Monitoring for signs of progression.
- Management of inevitable abortion: Medical management (drugs to induce labor) or surgical intervention (e.g., D&C) depending on gestational age and other factors.
- Management of incomplete abortion: Surgical intervention (e.g., D&C) to remove the retained products of conception. Antibiotics may be necessary to treat infection
- Management of missed abortion: Surgical intervention to remove the retained products of conception.
- Management of induced abortion: Methods that intentionally terminate a pregnancy.
Nursing Management of a Patient with Abortion
- Thorough history-taking, including details of the last menstrual period.
- Assessing vital signs and the patient's overall condition.
- Providing emotional support and education.
- Monitoring for complications like excessive bleeding, pain, or infection.
- Providing appropriate and safe care for the patient, including antibiotics, fluids and other supportive care as needed
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Description
This quiz explores the critical aspects of abortion, including its definition, prevalence, and health implications. It highlights global statistics, particularly focusing on maternal mortality and morbidity associated with abortion. Understanding these dynamics is essential for comprehensive reproductive health education.