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11 Cards in this Set

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  • Back
Ectopic Pregnancy
Any pregnancy implanted outside of the endometrial lining
Ectopic Pregnancy
signs
addnexal mass, tenderness, or enlargement, pregnancy test with lower than normal hCG levels for gestational age, U/S to confirm diagnosis
Ectopic Pregnancy
Symptoms
abdominal pain, shoulder or back pain irregular bleeding, and amenorrhea,
Ectopic Pregnancy
Treatment
Methotrexate for medical AB, or surgical treatment will be neccesary
Ectopic Pregnancy
Emergent
Abdominal pain (may be one sided), tachycardia, pallor, fever, low B/P
possible burst tube, treat for shock and transport
Hydatidiform Mole
definition
a genetically abnormal pregnancy that manifests as a developmental anomaly of the placenta.
Hydatidiform Mole
Visually
Placental villi become grape like cysts.
Hydatidiform Mole
incidence
1.5 in 1000 pregnancies,
Increased risk in Asian women and in women over 45, hx of molar pregnancy
Hydatidiform Mole
symptoms
shortness of breath, persistent nausea, vomiting, uterine bleeding, no fetal movement
Hydatidiform mole
signs
enlarged uterus for dates, uterine bleeding, may be profuse, or redish brown, enlarged tener ovaries, no fetal heart tones, PIH or Preeclampsia
Hydatidiform mole
tests
serum hCG titer and sonogram, persistently high or rising hCG after 100 days gestation sign of abnormal trophoblastic growth and multiple gestation