[NSG 3010- Abortion]
NSG 3010- Abortion
Study online at https://quizlet.com/_ezsw7e
1. Emergency con- - Levonorgestrel (Plan B)- taken within 72 hours of sexual activity (up to 120 hours)
traception - Copper T IDU (Paragard)- inserted within 72 hours of sexual activity (up to 120
hours)
2. Plan B (lev- - emergency contraceptive
onorgestrel) - should be taken within 72 hours of sexual activity (up to 120 hours)
- works by delaying ovulation and making uterine lining unfavorable for implanta-
tion if ovulation has already occurred
3. Copper T IUD - emergency contraceptive
(paragard) - should be taken within 72 hours of sexual activity (up to 120 hours)
- works by immobilizing or killing sperm and making uterine lining unfavorable for
implantation
4. Mifepristone - form of early medical abortion
(RU486) - approved for use up to 10 weeks GA
- prohibits the synthesis and functionality of progesterone resulting in:
1. uterine contractions
2. endometrium unfavorable for implantation
3. softening of the cervix, allowing for expulsion of baby and placenta
- combined with Misoprostol (Cytotec) which is a prostaglandin analog to make it
more effective
- developed in the early 1980's but not approved till 2001
5. Mifepristone procedure:
(RU486) - initially required 3 visits:
1. obtain consent, GA determined by U/S, mifepristone taken orally
2. 24-48 hours later, misoprostol (Cytotec) (prostaglandin analog) is taken at clinic
3. two weeks later, U/S is performed and if mom is still pregnant, surgical abortion
(vacuum aspiration abortion) is scheduled
- recently, medical abortions are performed through telehealth, increasing the risks
to the mother
4/16/2026, 4:58:38 PM 4/16/2026,1 /4:58:36
5
PM 4/16/2026, 4:58:34 PM
, [NSG 3010- Abortion]
NSG 3010- Abortion
Study online at https://quizlet.com/_ezsw7e
6. D&C with vacuum - surgical abortion performed up to 12 weeks gestation (1st trimester only)
aspiration - dilation, suction, curettage
- most common abortion procedure in the world
7. D&C with vacuum procedure:
aspiration - anesthesia
- cervix manually dilated
- speculum inserted to visualize cervix
- cannula inserted
- cannula attached to suction
- developing baby and placenta aspirated by suction
- 50% of MDs use curette to scrape uterus for remaining contents
8. Dilation and - surgical abortion performed during 2nd trimester
evacuation (D&E) - only 8% of abortions occur after 13 weeks GA
- 2/3 major complications and 1/2 of abortion related maternal deaths are caused
by abortions after first trimester
9. Dilation and procedure:
evacuation (D&E) - cervix manually dilated (may take 1-2 days)
- some degree of sedation/anesthesia may be used
- speculum inserted to visualize cervix
- forceps inserted through dilated cervix to grasp baby
- baby and placenta forcibly removed by forceps, which dismembers the baby
- fetal parts are examined to estimate GA
- postop observations lasts for an hour or more for bleeding, pain that may signal
uterine atony, DIC, or uterine perforation
10. Dilation and ex- - variant of D&E where the baby is delivered intact instead of in pieces
traction (D&X) - banned in 2003 in the U.S.
(partial birth - after body is delivered breached, the skull is cut and the brain is aspirated
abortion)
4/16/2026, 4:58:38 PM 4/16/2026,2 /4:58:36
5
PM 4/16/2026, 4:58:34 PM
NSG 3010- Abortion
Study online at https://quizlet.com/_ezsw7e
1. Emergency con- - Levonorgestrel (Plan B)- taken within 72 hours of sexual activity (up to 120 hours)
traception - Copper T IDU (Paragard)- inserted within 72 hours of sexual activity (up to 120
hours)
2. Plan B (lev- - emergency contraceptive
onorgestrel) - should be taken within 72 hours of sexual activity (up to 120 hours)
- works by delaying ovulation and making uterine lining unfavorable for implanta-
tion if ovulation has already occurred
3. Copper T IUD - emergency contraceptive
(paragard) - should be taken within 72 hours of sexual activity (up to 120 hours)
- works by immobilizing or killing sperm and making uterine lining unfavorable for
implantation
4. Mifepristone - form of early medical abortion
(RU486) - approved for use up to 10 weeks GA
- prohibits the synthesis and functionality of progesterone resulting in:
1. uterine contractions
2. endometrium unfavorable for implantation
3. softening of the cervix, allowing for expulsion of baby and placenta
- combined with Misoprostol (Cytotec) which is a prostaglandin analog to make it
more effective
- developed in the early 1980's but not approved till 2001
5. Mifepristone procedure:
(RU486) - initially required 3 visits:
1. obtain consent, GA determined by U/S, mifepristone taken orally
2. 24-48 hours later, misoprostol (Cytotec) (prostaglandin analog) is taken at clinic
3. two weeks later, U/S is performed and if mom is still pregnant, surgical abortion
(vacuum aspiration abortion) is scheduled
- recently, medical abortions are performed through telehealth, increasing the risks
to the mother
4/16/2026, 4:58:38 PM 4/16/2026,1 /4:58:36
5
PM 4/16/2026, 4:58:34 PM
, [NSG 3010- Abortion]
NSG 3010- Abortion
Study online at https://quizlet.com/_ezsw7e
6. D&C with vacuum - surgical abortion performed up to 12 weeks gestation (1st trimester only)
aspiration - dilation, suction, curettage
- most common abortion procedure in the world
7. D&C with vacuum procedure:
aspiration - anesthesia
- cervix manually dilated
- speculum inserted to visualize cervix
- cannula inserted
- cannula attached to suction
- developing baby and placenta aspirated by suction
- 50% of MDs use curette to scrape uterus for remaining contents
8. Dilation and - surgical abortion performed during 2nd trimester
evacuation (D&E) - only 8% of abortions occur after 13 weeks GA
- 2/3 major complications and 1/2 of abortion related maternal deaths are caused
by abortions after first trimester
9. Dilation and procedure:
evacuation (D&E) - cervix manually dilated (may take 1-2 days)
- some degree of sedation/anesthesia may be used
- speculum inserted to visualize cervix
- forceps inserted through dilated cervix to grasp baby
- baby and placenta forcibly removed by forceps, which dismembers the baby
- fetal parts are examined to estimate GA
- postop observations lasts for an hour or more for bleeding, pain that may signal
uterine atony, DIC, or uterine perforation
10. Dilation and ex- - variant of D&E where the baby is delivered intact instead of in pieces
traction (D&X) - banned in 2003 in the U.S.
(partial birth - after body is delivered breached, the skull is cut and the brain is aspirated
abortion)
4/16/2026, 4:58:38 PM 4/16/2026,2 /4:58:36
5
PM 4/16/2026, 4:58:34 PM
