OB CH.19 PREGNANCY AT RISK | GUARANTEED SUCCESS
STARTS HERE! LEARN, PRACTICE & EXCEL!
Discuss the impact of pregnancy on Women over 35 years of age: Answer: Chronic health
issues
Increased risk of
o Spontaneous abortion
o Gestational diabetes,
o Chronic hypertension
o Preeclampsia
o Preterm labor
o Multifetal pregnancy
o Genetic & chromosomal disorders
o Surgical birth
o Low Apgar scores
Causes of vaginal bleeding in pregnancy (6) Answer: Spontaneous abortion
Ectopicpregnancy (egg attaches outside uterus)
Gestational trophoblastic disease (hydatidiform mole, molar pregnancy)
Cervical insufficiency
Placenta previa: (abnormal implantation of placenta in lower uterine segment)
Abruptio placentae: (Partial or complete premature detachment of the placenta from its
site of implantation in the uterus)
What are the 5 categories of spontaneous abortion Answer: Threatened
Inevitable
Incomplete
Complete
Missed
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, Categories of Misscarriage/ spontaneous abortion: Describe Threatened Answer: Spotting
without cervical changes
Mild abdominal cramping
Tx: bed rest 24-48 hours; no sexual intercourse for 2 weeks
Categories of Misscarriage/ spontaneous abortion: Describe Inevitable (3) Answer: cervix
has dilated,
membranes ruptured,
bleeding
strong abdominal cramping
Categories of Misscarriage/ spontaneous abortion: Describe Incomplete Answer: some
products of conception
have passed
Heavy vaginal bleeding
Intense abdominal cramping
Categories of Misscarriage/ spontaneous abortion: Describe complete Answer: all
products of conception have
passed; cervix closed
History of vaginal bleeding & abdominal pain
Passage of tissue with subsequent decrease in pain and significant decrease in vaginal
bleeding
Tx: no need for treatment
Categories of Misscarriage/ spontaneous abortion: Describe missed (3) Answer: fetus is
not viable (dead),
has not delivered (placenta atrophied but passage of products of conception has not
occurred)
Absent uterine contractions
Irregular spotting
Possible progression to inevitable abortion
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
STARTS HERE! LEARN, PRACTICE & EXCEL!
Discuss the impact of pregnancy on Women over 35 years of age: Answer: Chronic health
issues
Increased risk of
o Spontaneous abortion
o Gestational diabetes,
o Chronic hypertension
o Preeclampsia
o Preterm labor
o Multifetal pregnancy
o Genetic & chromosomal disorders
o Surgical birth
o Low Apgar scores
Causes of vaginal bleeding in pregnancy (6) Answer: Spontaneous abortion
Ectopicpregnancy (egg attaches outside uterus)
Gestational trophoblastic disease (hydatidiform mole, molar pregnancy)
Cervical insufficiency
Placenta previa: (abnormal implantation of placenta in lower uterine segment)
Abruptio placentae: (Partial or complete premature detachment of the placenta from its
site of implantation in the uterus)
What are the 5 categories of spontaneous abortion Answer: Threatened
Inevitable
Incomplete
Complete
Missed
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, Categories of Misscarriage/ spontaneous abortion: Describe Threatened Answer: Spotting
without cervical changes
Mild abdominal cramping
Tx: bed rest 24-48 hours; no sexual intercourse for 2 weeks
Categories of Misscarriage/ spontaneous abortion: Describe Inevitable (3) Answer: cervix
has dilated,
membranes ruptured,
bleeding
strong abdominal cramping
Categories of Misscarriage/ spontaneous abortion: Describe Incomplete Answer: some
products of conception
have passed
Heavy vaginal bleeding
Intense abdominal cramping
Categories of Misscarriage/ spontaneous abortion: Describe complete Answer: all
products of conception have
passed; cervix closed
History of vaginal bleeding & abdominal pain
Passage of tissue with subsequent decrease in pain and significant decrease in vaginal
bleeding
Tx: no need for treatment
Categories of Misscarriage/ spontaneous abortion: Describe missed (3) Answer: fetus is
not viable (dead),
has not delivered (placenta atrophied but passage of products of conception has not
occurred)
Absent uterine contractions
Irregular spotting
Possible progression to inevitable abortion
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
