Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Module 5 - Ectopic P
Ectopic Pregnancy
| Question | Answer |
|---|---|
| Ectopic Pregnancy Definition | Implantation of the ovum in any other site other than endometrial lining of the uterus. May be seen OP, might need IP treatment, emotional support |
| Most common site is________ , hence often called_______, , but it can occur in__________ . | fallopian tube, tubal pregnancy, a variety of locations |
| Risk factors | PID (causes tubal damage) * previous tubal surgery * endometriosis * DES exposure * presence of IUD |
| May show normal pregnancy signs initially and_______ | hCG is present. |
| Signs/symptoms: | Sharp one sided pain, referred shoulder pain, lower abdominal pain, adexal tenderness (area of abdomen over each ovary and fallopian tube) |
| Signs/Symptoms: | pregnancy may be palpable, may progress to rigid abdomen, internal bleeding if there is a rupture. |
| Labs | hCG may be present but does not rise as it would in a normal pregnancy (doubling every 48-72 hours) Serum progesterone levels – less than 5ng/ml (25 ng/ml or higher is normal) |
| Labs Progesterone level <5 ng/mL indicates_____ | a dead fetus |
| Teatment for ectopic pregnancy can be either______ or ________ | medical or surgical |
| Medical treatment for a woman who desires futures pregnancy is________ | methotrexate given IM |
| Methotrexate causes _________ and the patient must avoid_____ _____________ | photosensitivity, sun exposure |
| Methotrexate is a_____________ | folic acid antagonist that interferes with DNA synthesis |
| Surgical treatment for a woman who desires futures pregnancy is________ | salpingostomy via a laparoscope |
| If the tube is ruptured or future childbearing is not an issue, then ___________ is performed, leaving the ______if it is not damaged. | salpingectomy (removal of the tube), ovary |
| With both medical and surgical therapies for ectopic pregnancy, the __________________woman is given RhoGAM to prevent sensitization | Rh-nonsensitized |
| Assessment | amount of vaginal bleeding, VS for developing shock |
| Possible nursing diagnoses? | Fear, Pain, Anticipatory grieving |
| Evaluation | Woman can explain ectopic pregnancy, treatment options, grieving process |
| Following evacuation of the mole, the nurse must monitor____ and _____ for evidence of a ______ | VS, bleeding, hemorrhage |
| ________ is administered keep uterus contracted and to prevent hemorrhage | Oxytocin |
| The nurse must emphasize the importance of _______ _________ | follow-up care |
Created by:
CCBCMDNursing218
Popular Nursing sets