Ob/gyn Ch 48 - 1St Trimester Complications

Front 1

Approximately ______ % of clinically recognized pregnancies spontaneously miscarry.

Back 1

15

Front 2

If ______ is accompanied by severe pain, uterine contractions, or dilates cervix, pregnancy is unlikely to progress.

Back 2

bleeding

Front 3

Most common occurrence of bleeding in the first trimester is from __________.

Back 3

subchorionic hemorrhage

Front 4

If patient presents with positive pregnancy test, uterus appears normal and endometrial complex shows no sign of gestational sac, differential diagnosis would include:
early ________ pregnancy, ______ pregnancy, or possible ______ pregnancy.

Back 4

intrauterine, nondeveloping, ectopic

Front 5

Characteristics for diagnosis of ________ consist of:
empty uterus with no evidence of endometrial fluid collection, absence of adnexal masses or free fluid and positive beta hCG levels.

Back 5

absent intrauterine sac

Front 6

Intrauterine sac grows approximately ______ mm/day in the first trimester.
Normal embryo grows at rate of _____ mm/day.

Back 6

1, 1

Front 7

Yolk sac should be visualized transvaginally when gestational sac reaches ____ mm.
Embryo should be visualized when mean sac diameter is > ____ mm TV and ____ mm TA.

Back 7

8, 16, 25

Front 8

__________ may show several sonographic findings, ranging from intact gestational sac with nonviable embryo to collapsed gestational sac grossly misshapen

Back 8

incomplete spontaneous abortion

Front 9

Classifications of early pregnancy failure:
________ abortion, _______ abortion, ________ abortion, _______ abortion, ________ abortion, & _______ abortion.

Back 9

complete, incomplete, missed, inevitable, threatening, septic

Front 10

Gestational sac without embryo or yolk sac may represent:
normal ________ intrauterine pregnancy.
abdominal _________ pregnancy
____________ sac in patient with _______ pregnancy.

Back 10

early
intrauterine
pseudogestational , ectopic

Front 11

Embryo can be expected to be seen at _____ weeks.

Back 11

6.4

Front 12

When a gestational sac in which embryo fails to develop or stops developing at such an early stage that it is imperceptible by ultrasound is called an ________ or an ______ pregnancy.

Back 12

blighted ovum, anembryonic

Front 13

Has a characteristic "snowstorm" appearance of hydatidiform mole includes moderately echogenic soft tissue mass filling uterine cavity marked with small cystic spaces representing hydropic chorionic villi.

Back 13

gestational trophoblastic disease

Front 14

symptoms of gestational trophoblastic disease:
_______ bleeding
beta hCG dramatically _______
symptoms of ________ or _________
maternal serum alpha fetoprotein levels will be ______

Back 14

vaginal
elevated
hypermedia gravidarum or preeclapsia
notably low

Front 15

In gestational trophoblastic disease a complete hydatidiform mole _______ uterus and a hydatidiform partial mole ______.

Back 15

takes up complete
is a mole along with a viable fetus

Front 16

Embryonic cardiac rates of < 90 bpm is ___________.

Back 16

bradycardia

Front 17

Fetus with heart rate > 170 BPM show signs of ________.

Back 17

tachycardia

Front 18

The side by side appearance of amnion and yolk sac is visualized by transvaginal sonography between _____ and _____ is seen as a ________.

Back 18

5th & 7th, double bleb sign

Front 19

_____ is one of the most emergent diagnoses made with sonography.

Back 19

ectopic pregnancy

Front 20

Ectopic pregnancy located in the ______ presents increased risk for massive hemorrhage.

Back 20

interstial portion of fallopean tube near the cornu

Front 21

Sites of ectopic pregnancy are: (4)

Back 21

adnexal, uterine, cervical, abdomen

Front 22

________ pregnancy or _______ pregnancy is potentially most life threatening.

Back 22

interstitial, cornual

Front 23

The _______ sign, curved appearance of the cerebellum, is a sign of spina bifida

Back 23

banana

Front 24

A _____ sign, scalloping of frontal bone, is a sign of spina bifida

Back 24

lemon

Front 25

One of the most common abnormalities seen sonographically in the 1st trimester and has a high association with chromosomal abnormalities.

Back 25

cystic hygroma

Front 26

Uterine ________ or _______ are common masses found throughtout pregnancy.

Back 26

leiomyomas, fibroids