MCN II Lecture: Ultimate Midterms Reviewer - Hydatidiform Mole and Pregnancy Complications

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Questions and Answers

What is the primary cause of hydatidiform mole?

  • Abnormal proliferation of trophoblast tissue
  • Fertilization of a defective egg
  • Sperm fertilizing an empty egg
  • All of the above (correct)

Which of the following is NOT a risk factor for hydatidiform mole?

  • High protein intake (correct)
  • Asian women
  • Women over 35 years of age
  • Women with blood type A married to men with blood type O

Which of the following is a typical sign or symptom of hydatidiform mole?

  • Vaginal bleeding
  • Elevated pregnancy hormones
  • Uterine swelling
  • All of the above (correct)

Which of the following procedures is NOT used for the management of hydatidiform mole?

<p>Chemotherapy (C)</p> Signup and view all the answers

Which of the following statements about hydatidiform mole is correct?

<p>It is often described as having a 'grape-like' appearance. (B)</p> Signup and view all the answers

What is a notable characteristic of hydatidiform mole?

<p>It is associated with typical signs of pregnancy, such as morning sickness and cravings. (D)</p> Signup and view all the answers

What is the main purpose of providing support to a patient with a suspected hydatidiform mole?

<p>To manage the patient's expectations about the pregnancy (B)</p> Signup and view all the answers

Which of the following is a common risk factor for ectopic pregnancy?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary purpose of using Methotrexate in the management of ectopic pregnancy?

<p>To destroy the developing zygote and trophoblastic cells (B)</p> Signup and view all the answers

What is the primary goal of using a cervical cerclage in the management of placenta previa?

<p>To close the cervix to a few millimeters in diameter (C)</p> Signup and view all the answers

Which of the following is a common sign or symptom of incompetent cervix?

<p>Premature dilation of the cervix (B)</p> Signup and view all the answers

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Study Notes

Hydatidiform Mole (H-Mole)

  • Also known as molar pregnancy, abnormal tissue grows in the uterus instead of a normal embryo
  • Risk factors: low protein intake, women >35 years of age, Asian women, blood type A married to blood type O
  • Primary cause: abnormal proliferation of trophoblast tissue due to fertilization of a division defect or sperm fertilizing an empty egg
  • Signs and symptoms: vaginal bleeding, high pregnancy hormones, swelling of the uterus, nausea and vomiting, no fetal heart tone (FHT), hypertension
  • Management: dilatation and evacuation, dilatation and curettage, hysterectomy, assess abdominal girth, provide support, prophylactic chemotherapy, oxytocin, and methotrexate
  • Diagnostics: pregnancy tests, urine test for HCG, ultrasound

Ectopic Pregnancy

  • Implantation of a fertilized egg outside the uterine cavity
  • Common sites: ovary, cervix, abdomen, fallopian tube (most common)
  • Risk factors: previous infection, congenital malformation, uterine tumors, use of Intrauterine device (IUD), smoking, previous In Vitro Fertilization (IVF), history of ectopic pregnancy
  • Signs and symptoms: vaginal bleeding, vaginal spotting, sharp, stabbing pain at the lower quadrant, sharp abdominal pain
  • Diagnostics: pelvic ultrasound, Magnetic Resonance Imaging (MRI)
  • Management: methotrexate, mifepristone, IV hydration, blood transfusion, laparoscopy, salpingectomy, flat on bed, monitor input and output, monitor vital signs

Incompetent Cervix

  • Definition: cervical insufficiency or premature dilation of the cervix
  • Risk factors: increased maternal age, congenital structural defects, trauma on cervix
  • Pathophysiology: cervix dilates prematurely and cannot retain the fetus until term
  • Emotional support, complete and total bedrest

Placenta Previa

  • Definition: high-risk complication affecting the positioning of the placenta in relation to the cervix
  • Signs and symptoms: pink tinged vaginal discharge, increased pelvic pressure, cervical dilatation
  • Management: McDonald's cervical cerclage, Shirodkar cervical cerclage
  • Risk factors: adhesions, multiple gestations, previous uterine surgery

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