CMCP GESTATIONAL 2/4 PRACTICE QUESTIONS AND CORRECT ANSWERS

SPONTANEOUS ABORTION Also known as Miscarriage and Pregnancy Loss, is the natural death of an embryo or fetus before it reaches the Age of Viability, after which fetal death is known as a stillbirth. vaginal bleeding with or without pain The most common symptom of spontaneous abortion _________ Vaginal spotting, abdominal pain, cramping, and fluid, blood clots, and tissue passing from the vagina. Signs and Symptoms of SPONTANEOUS ABORTION 1. Trimesters 2. Age 3. Obesity, Eating Disorders, and Caffeine 4. Endocrine Disorders 5. Food poisoning 6. Amniocentesis and Chorionic Villus Sampling (CVS) 7. Surgery 8. Medications 9. Chemotherapy and Radiation Treatments for Cancer 10. Intercurrent Diseases 11. Anatomical defects and trauma 12. Smoking 13. Morning sickness 14. Others Risk Factors of SPONTANEOUS ABORTION Food poisoning Food contaminated with listeriosis, toxoplasmosis, and salmonella is associated with an increased risk of miscarriage. Amniocentesis A sample of amniotic fluid is obtained by the insertion of a needle through the abdomen and into the uterus. Chorionic Villus Sampling - A similar procedure with a sample of tissue removed rather than fluid. - These procedures are not associated with pregnancy loss during the 2nd trimester but they are associated with miscarriages and birth defects in the 1st trimester. - Miscarriage caused by invasive prenatal diagnosis (CVS and amniocentesis) is rare (about 1%). surgery The effects of _____ on pregnancy are not well-known including the effects of bariatric surgery. Abdominal and pelvic surgery are not risk factors in miscarriage. Medications • Immunizations have not been found to cause miscarriage. • There is no significant association between antidepressant medication and spontaneous abortion. Chemotherapy and Radiation Treatments for Cancer • Ionizing radiation levels given to a woman during cancer treatment cause miscarriage. Exposure can also impact fertility. • Use of chemotherapeutic drugs used to treat childhood cancer increases the risk of miscarriage.