Questions and Answers 2026
Abortion -
correct answer ✅- any interruption of a pregnancy before the age
of viability
Ectopic pregnancy -
correct answer ✅- an implantation that occurs outside the uterine
cavity
Miscarriage -
correct answer ✅- interruption in pregnancy that occurs
spontaneously
Ectopic pregnancy -
correct answer ✅It is the second most leading cause of bleeding
early in pregnancy. The most common site is on the ampulla of the
fallopian tube. It starts as a normal pregnancy, with fertilization
occurring in the distal third of the fallopian tube. Because of an
obstruction, however, the zygote cannot travel the length of the
tube for proper implantation in the uterus.
1. Factors that cause obstruction:
✔ Adhesions from previous infection such as salpingitis or pelvic
inflammatory disease)
,MCN at risk Lec Module 2 Exam Actual
Questions and Answers 2026
✔ History of congenital malformations (webbing/ fibrous bands)
✔ Scars from tubal surgery
✔ Uterine tumor
2. Smoking
3. Previous use of IUD
4. In vitro fertilization
5. Previous history of ectopic pregnancy -
correct answer ✅Risk factors of ectopic pregnancy:
*no unusual symptoms at the time of implantation (symptoms
similar to a normal pregnancy)
✔ no menstrual flow
✔ nausea and vomiting of early pregnancy
✔ pregnancy test for hCG will be positive -
correct answer ✅Signs and Symptoms of ectopic pregnancy:
1. Bleeding - Growth of the zygote ruptures the fallopian tubes -
Extent depends on the number and size of ruptured vessels
✔ Interstitial portion (junction where tube joins the uterus) - severe
intraperitoneal bleeding
✔ Ampulla (distal third)
, MCN at risk Lec Module 2 Exam Actual
Questions and Answers 2026
- less likely to be profuse
- Continued bleeding (even if scant amount) result in large amount
of blood loss
- Ruptured ectopic pregnancy is SERIOUS regardless of the site of
implantation
2. Sharp, stabbing pain in one of the lower abdominal quadrants
3. Scant vaginal spotting
4. Lightheadedness and rapid pulse (beginning shock)
5. Severe shock
✔ Rapid, thready pulse
✔ Rapid respirations
✔ Falling BP
6. Leukocytosis - From trauma -
correct answer ✅*weeks 6-12 of pregnancy (possible rupture of
fallopian tube) symptoms of ectopic pregnancy:
1. Abdominal rigidity from peritoneal irritation
2. Dull vaginal and abdominal pain
3. Pain in the shoulders from irritation of the phrenic nerve due to
blood collecting in the peritoneal cavity