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what is an abortion? - 🧠 ANSWER ✔✔loss of fetus before viability or
capable of living outside of the uterus
what is considered a nonviable fetus? - 🧠 ANSWER ✔✔fetus <20 weeks or
<500 grams
,what are the different types of abortions? - 🧠 ANSWER ✔✔1.
*spontaneous*: loss of a woman's pregnancy before the 20th week of
pregnancy
2. *threatened*: symptoms are present that indicate a miscarriage is
possible
3. *inevitable*: vaginal bleeding with progressive dilation of the cervix, but
no expulsion of conception products
4. *incomplete*: partial loss of the products of conception within the first 20
weeks
5. *missed*: unrecognized intrauterine death of an embryo without
expulsion of the products of conception
about __% of spontaneous abortions are related to vaginal bleeding in the
__trimester - 🧠 ANSWER ✔✔50%; 1st
what is the 1st signs of a threatened abortion? - 🧠 ANSWER ✔✔vaginal
bleeding
what is done to determine if fetus/embryo is present and alive? - 🧠
ANSWER ✔✔US or quantitative beta-hCG test
,What device is used to clear the uterus if the natural process is ineffective
or incomplete in expulsion of uterine contents? - 🧠 ANSWER ✔✔vacuum
curettage
if the pregnancy is more advanced or if bleeding is excessive, a ____ and
____ may be needed - 🧠 ANSWER ✔✔dilation and curettage (D&C)
what interventions are needed for an incomplete abortion? - 🧠 ANSWER
✔✔-stabilizing woman's CV state
-Fluid replacement & drug administration of Pitocin
-Dilation & evacuation
what is a recurrent spontaneous abortion? - 🧠 ANSWER ✔✔3 or more
consecutive spontaneous abortions
thought to be genetic/chromosomal anomalies, such as incompetent uterus
or bicornuate uterus (has 2 horns)
What is an ectopic pregnancy? - 🧠 ANSWER ✔✔Tubal pregnancy, when a
fertilized egg develops outside the uterus *(usually in the fallopian tube)*.
High risk for rupture/hemorrhage and death.
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, what causes ectopic pregnancies - 🧠 ANSWER ✔✔1. pelvic
infection/inflammation/surgery
2.delayed or premature ovulation
3.Multiple induced abortions
What are clinical manifestations of ectopic pregnancies? - 🧠 ANSWER
✔✔1. missed menstrual period
2. positive pregnancy test
3. UNILATERAL Abdominal pain
4. vaginal "spotting"
T or F. If the implantation of an ectopic pregnancy occurs in the proximal
end of the tube, rupture of the tube may occur w/in 2-3 weeks of the missed
period. - 🧠 ANSWER ✔✔true
T or F If the implantation occurs in the distal end of the fallopian tube, the
woman will not exhibit any usual signs of early pregnancy. - 🧠 ANSWER
✔✔false; she will exhibit signs of pregnancy but will notice intermittent
abdominal pain/vaginal spotting