Nur166 Week 1 Pre-Class Assignment/Week 2 – Lecture Complications of Pregnancy – CH 5

ANSWERS FOR YOUR BOOK ARE IN BOLD! Bleeding Disorders of Early Pregnancy Abortion Abortion is the spontaneous (miscarriage) or intentional termination of a pregnancy before the age of viability (20 weeks gestation). Treatment: when a threatened abortion occurs, efforts are made to keep the fetus in utero until the age of viability.  Cerclage, or suturing an incompetent cervix that opens when the growing fetus presses against it is successful in most cases. If it is determined that the pregnancy has terminated spontaneously, a D&E (Dilation and evacuation) (also called D&C) is done to remove the POC (products of conception). Once the woman is discharged home, her discharge teaching should include the following:  Report increased bleeding o Do NOT use tampons, which may cause infection  Take temperature every 8 hours for 3 days o Report signs of infection  Temperature of 100.4°F or higher  Foul odor or brownish color of vaginal drainage  Take an oral iron supplement if prescribed  Resume sexual activity as recommended by the health care provider (usually after the bleeding has stopped)  Return to the health care provider at the recommended time for a check-up and contraception information  pregnancy can occur before the first menstrual period returns after the abortion procedure. Ectopic pregnancy Ectopic pregnancy occurs when the fertilized ovum (zygote) is implanted outside the uterine cavity Of all ectopic pregnancies, 95% occur in the fallopian tube (tubal pregnancy) Hydatiform mole (gestational trophoblastic disease) aka molar pregnancy Occurs when the chorionic villi (fringelike structures that form the placenta) increase abnormally and form vesicles (small sacs) that resemble tiny grapes. The mole may be complete