Risk Pregnancies Overview
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Questions and Answers

What is a possible complication of PID?

  • Uterine bleeding (correct)
  • Closed cervix
  • Chromiorhitis
  • Cullen's sign

    • Which condition is indicated by a tinge of blush in the umbilicus?

  • Cullen's sign (correct)
  • Threatened abortion
  • Chronic hypertension
  • Closed cervix

    • What is a characteristic symptom of PID?

  • Sudden, severe abdominal pain
  • Fever (correct)
  • Emotional support
  • Closed cervix

    • What is the primary treatment approach for a ruptured ectopic pregnancy?

    <p>Surgical intervention</p> Signup and view all the answers

    Which of the following is NOT a type of abortion?

    <p>Cullen's sign</p> Signup and view all the answers

    What is the recommended duration for using a reliable contraceptive before engaging in pregnancy planning?

    <p>6 months</p> Signup and view all the answers

    Which of the following symptoms is associated with high levels of HCG during early pregnancy?

    <p>Rapid development of the uterus</p> Signup and view all the answers

    What is a potential complication associated with vaginal bleeding during pregnancy?

    <p>Choriocarcinoma</p> Signup and view all the answers

    What is the recommended treatment of choice (DOC) for choriocarcinoma?

    <p>Methotrexate</p> Signup and view all the answers

    What is considered a normal Beta HCG level in a healthy pregnancy?

    <p>400,000 IU</p> Signup and view all the answers

    What is the primary purpose of misoprostol in early pregnancy management?

    <p>To induce uterine contractions</p> Signup and view all the answers

    What characterizes an elective abortion?

    <p>It is performed at the request of the client.</p> Signup and view all the answers

    What is typically expected during the first trimester after taking misoprostol?

    <p>Heavy vaginal discharge with possible cramping.</p> Signup and view all the answers

    In therapeutic management of early pregnancy failure, what is a possible approach if the fetus is non-viable?

    <p>Waiting for spontaneous abortion.</p> Signup and view all the answers

    What best describes a habitual abortion?

    <p>Two or more consecutive pregnancy losses.</p> Signup and view all the answers

    What does a high level of HCG titers suggest in the context of gestational trophoblastic disease?

    <p>Malignant transformation</p> Signup and view all the answers

    How often should serum HCG tests be conducted after a diagnosis of gestational trophoblastic disease?

    <p>Every 2 to 4 weeks for 6 months</p> Signup and view all the answers

    What guideline should women with a history of a hydatidiform mole follow regarding future pregnancies?

    <p>They should wait for at least 1 year</p> Signup and view all the answers

    What is the significance of low HCG titers in the context of gestational trophoblastic disease?

    <p>Suggests no complications</p> Signup and view all the answers

    From which developmental stage does the trophoblast originate?

    <p>Zygote</p> Signup and view all the answers

    Study Notes

    Risk Pregnancies

    • First Trimester Bleeding
      • Abortion: Vaginal bleeding before 20 weeks gestation. Can be medical (abortion pills) or spontaneous.
      • Complete Abortion: All products of conception expelled.
      • Incomplete Abortion: Some products of conception remain. Requires dilation and curettage (D&C) for management.
      • Threatened Abortion: Bleeding with closed cervix; may resolve. Requires monitoring, rest, and potentially progesterone treatment.
      • Missed Abortion: Fetus dies in utero but is not expelled.
      • Ectopic Pregnancy: Fertilized ovum implants outside uterus, usually fallopian tube.
      • Early Pregnancy Failure: Fetus dies before 20 weeks, not usually expelled.
      • Habitual Abortion: 3 or more consecutive spontaneous abortions.
    • Second Trimester Bleeding
      • Gestational Trophoblastic Disease (Hydatidiform Mole): Abnormal placental growth with vesicles, no viable fetus.
      • Abruptio Placenta: Premature separation of placenta from uterine wall. Painful vaginal bleeding.
      • Placenta Previa: Placenta implants low in uterus, partially or fully covering the cervical opening.
    • Third Trimester Bleeding
      • Placenta Previa: Low implantation of the placenta. Bleeding may or may not start till labor.
      • Marginal: Edge of placenta approaches cervical opening
      • Partial: Part of the cervical opening is covered.
      • Total: Entire cervical opening is covered.
      • Abruptio Placenta: Premature separation of the placenta from uterine wall.

    Management

    • Treatment: Varies by condition. Medical management or surgical intervention may be required.
    • Nursing Responsibilities: Assess bleeding, vital signs, and observe for complications.

    Pregnancy Induced Hypertension (PIH)/Preeclampsia/Eclampsia

    • Classification:
      • Mild Pre-eclampsia: BP ≥ 140/90 mmHg, proteinuria.
      • Severe Pre-eclampsia: BP ≥ 160/110 mmHg, proteinuria, symptoms.
      • Eclampsia: Seizures.
    • Contributing Factors: Diet, genetics, multiple pregnancies
    • Signs and Symptoms: High blood pressure, protein in urine, edema, headaches, visual disturbances, abdominal pain
    • Management: Bed rest, medication (e.g., magnesium sulfate) to prevent seizures, monitoring fetal and maternal well-being.
    • Complications: Maternal and fetal morbidity and mortality.

    Birth

    • Indicators:
    • 24 weeks: Management focused on stabilization for survival
    • Vaginal delivery: Preferred method where feasible.
    • Cesarian Section (C-Section): If vaginal delivery is not possible or for fetal risks. More complications overall compared to vaginal delivery.
    • Post-partum Conditions: Post-partum hypertension can occur.

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    Risk Pregnancies PDF

    Description

    Explore key concepts related to risk pregnancies focusing on bleeding complications in the first and second trimesters. This quiz reviews medical terms and conditions such as abortion types, ectopic pregnancy, and gestational trophoblastic disease. Perfect for students and professionals in obstetrics and gynecology.

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