Abnormal Early Pregnancy / Failed Pregnancy - Ob/GYN Class

Implantation of the fertilized ovum that occurs anywhere other than the endometrial lining is referred to as ______________  ______________.

Choose all the appropriate causes for ectopic pregnancy.

List the classic triad of presenting symptoms of ectopic pregnancy.***(In alphabetical order)

In a normal pregnancy __________ levels double every ____(#) days.

With an ectopic pregnancy, HcG levels will platau, then increase rapidly, and decrease rapidly.

The "most" frequent site for implantation of an ectopic pregnancy is in the _____________ portion of the tube.

The "second" most common site for ectopic implantation takes place in the _____________ region of the fallopian tube.

Which region of the fallopian tube is "very rare" for ectopic implantation?

Name four "rare" sites for ectopic implantation.***(In alphabetical order)

An echogenic ring-like structure associated with ectopic pregnancy and displays color flow around it is referred to as the "__________  __________  __________".

A patient that presents with an ectopic pregnancy may have a collection of fluid in the ___________ (anterior or posterior?) cul-de-sac.  If it ruptures there would also be fluid in ___________  ___________.

When ectopic pregnancy may be suspected and the patient is presenting with a small collection of fluid within the endometrium, it is referred to as a ______________ sac.

Diagnosis:Ectopic pregnancy should be considered if there is no evidence of normal _________ in the presence of _________ level of 800-1000 mlU/ml (2nd IS) or 1000-2000 mlU/ml (IRP).

A type of failed pregnancy in which the fetus fails to develop is referred to as a ____________  ____________, aka ____________ pregnancy.

In the case of a blighted ovum, there will be no identifiable embryo or yolk sac.

The gestational sac in a blighted ovum may appear too _________ (large, small or both?) for the gestational age and unusual in __________.

If no yolk sac is visualized with a MSD of 10mm (TV), pregnancy should be scanned again in ____(#) to ____(#) days to rule out blighted ovum.

Lab Values:With a blighted ovum, serum ____________ levels may fall or be subnormal. HcG levels may rise ____________ (quickly or slowly?) --not at the proper rate--then begin to ____________.

There are several different forms of abortion.  An elective termination is referred to as a ___________ abortion.

If a pregnant patient presents with bloody vaginal discharge, bleeding, and cramping at <20 weeks gestation, what type of abortion would be presumed?

A(n) ___________ abortion (aka ___________ abortion) is signaled by the ruture of membrances in the presence of cervical dilation.

Oligohydramnios and cervical funneling may be seen sonographically with ___________ abortion.

Retention of parts of conception is referred to as a(n) ____________ abortion.

In a spontaneous loss of pregnancy where all the products of conception evacuate, it is referred to as a(n) ____________ abortion of ____________ abortion.

If a patient has a spontaneous abortion, there will be a __________ (rapid or slow?) decline in HcG levels, vaginal bleeding with the presence of tissue/clots, cramping, and the disappearance of pregnancy symptoms.