Spontaneous Abortion and Molar Pregnancy Practice Flashcards

Vocabulary practice flashcards covering spontaneous abortion (miscarriage), molar pregnancy, nursing priorities, and treatments based on lecture notes.

Expectant Management

A treatment approach where the patient waits for pregnancy tissue to pass naturally.

Misoprostol

A type of medication used for the treatment of miscarriage.

Dilation and Curettage (D&C)

A procedure used to treat miscarriage by dilating the cervix and removing uterine contents.

Suction curettage

A procedural treatment option for miscarriage.

Rh-Negative Clients

A patient demographic that may require Rho(D) Immune Globulin (RhoGAM) following a miscarriage.

Rho(D) Immune Globulin (RhoGAM)

An injection given to Rh-Negative clients to prevent future pregnancy complications.

BIP

An acronym representing the nursing priorities for miscarriage: Bleeding, Infection, and Pain.

B in BIP

Stands for Bleeding, which is a primary nursing priority.

I in BIP

Stands for Infection, which is a primary nursing priority.

P in BIP

Stands for Pain, which is a primary nursing priority.

Vital signs

Clinical measurements that the nurse must monitor for clients experiencing a miscarriage.

Bleeding monitoring

A nursing priority focused on assessing the amount of blood loss.

Hemoglobin/Hematocrit

Lab values that nurses monitor to assess blood loss and anemia status.

Rh status

A patient characteristic that must be monitored to determine the need for RhoGAM.

CABS

A memory trick representing the signs and symptoms of miscarriage: Cramping, Abdominal pain, Bleeding, and Passing tissue.

C in CABS

Stands for Cramping, a common sign of miscarriage.

A in CABS

Stands for Abdominal pain, a common sign of miscarriage.

B in CABS

Stands for Bleeding, a common sign of miscarriage.

S in CABS

Stands for Passing tissue, a common sign of miscarriage.

Fever

A common sign and symptom specifically associated with a septic miscarriage.

Foul-smelling discharge

A specific symptom indicating the development of a septic miscarriage.

Fast heart rate

A physiological sign associated with a septic miscarriage.

Spontaneous Abortion

The clinical term for a miscarriage.

Miscarriage

A pregnancy that ends before $20$ weeks.

$20$ weeks

The gestational age before which the loss of a pregnancy is defined as a miscarriage.

Threatened Miscarriage

A type of miscarriage where bleeding occurs but the cervix remains closed.

Threatened Miscarriage (Cervix)

The cervix is closed and the baby may still be okay.

Inevitable Miscarriage

A type of miscarriage where the cervix is open and the pregnancy loss cannot be stopped.

Incomplete Miscarriage

A condition where some pregnancy tissue remains inside the uterus after the loss began.

Complete Miscarriage

A condition where all pregnancy tissue has passed from the uterus.

Missed Miscarriage

A scenario where the baby has died but the tissue remains inside the uterus.

Septic Miscarriage

A type of miscarriage in which an infection develops.

Molar Pregnancy

A condition that happens when a fertilized egg grows abnormally into abnormal tissue instead of a baby.

MOLE

The memory trick for molar pregnancy: Many Odd-Looking Enlargements.

M in MOLE

Stands for Many.

O in MOLE

Stands for Odd.

L in MOLE

Stands for Looking.

E in MOLE

Stands for Enlargements.

High hCG

A characteristic lab finding in molar pregnancy that causes severe nausea and vomiting.

Enlarged uterus

A physical finding in molar pregnancy where the uterus size is greater than expected for the gestational age.

Grape-like tissue

The characteristic description of tissue found in a molar pregnancy.

Uterine evacuation

The primary treatment procedure for a molar pregnancy.

hCG level follow-up

Critical post-treatment monitoring for molar pregnancy patients.

Avoiding pregnancy

An instruction for molar pregnancy patients to follow until a provider says it is safe.

Previous molar pregnancy

A major risk factor for developing a subsequent molar pregnancy.

Gestational trophoblastic neoplasia

A major complication that can arise from a molar pregnancy.

hCG levels (Nursing Monitor)

Specific hormone levels the nurse monitors in molar pregnancy cases.

Support and grief counseling

The primary emotional needs identified for clients experiencing pregnancy loss or molar pregnancy.

Hypovolemia

A condition that can be caused by excessive bleeding during a miscarriage.

Cancer risk

The reason why long-term follow-up is necessary after a molar pregnancy.

High BP before $20$ weeks

A physical assessment finding that may indicate a molar pregnancy.

Ultrasound

A tool that helps with the diagnosis of molar pregnancy.

CBC (Complete Blood Count)

A lab test used to check for anemia in patients with bleeding.

Anemia

A condition the nurse checks for using a CBC in cases of pregnancy-related bleeding.

Fluid balance

The clinical reason why a nurse monitors I&O (Intake and Output).

Recurrence risk

The likelihood of having another molar pregnancy in the future.

Reliable contraception

An essential part of patient education following a molar pregnancy to ensure safe recovery timing.

Goal outcome (Molar)

Stable hCG levels and a full recovery for the patient.

Uterus (Molar)

In a molar pregnancy, this organ is often enlarged beyond normal dates.

Bleeding (Priority)

The priority nursing concern when a patient presents with a miscarriage or molar pregnancy.

Odd-Looking Enlargements

The description used in the MOLE acronym to characterize abnormal molar tissue.

Infection monitoring

Part of the BIP nursing priorities; involves checking for signs like fever or foul discharge.

Pain management

The 'P' in BIP; refers to addressing patient discomfort during miscarriage.

Tissue passing

The 'S' in the CABS memory trick; refers to products of conception leaving the body.

Abdominal pain

The 'A' in the CABS memory trick for miscarriage signs.

Cramping

The 'C' in the CABS memory trick for miscarriage signs.

Cervix status (Inevitable)

In this type of miscarriage, the cervix is open.

Missed miscarriage (Tissue)

In this type of miscarriage, tissue remains inside the uterus though the baby has died.

Septic miscarriage (Heart rate)

This condition is marked by a fast heart rate.

Gestational threshold

A miscarriage is defined as occurring before $20$ weeks.

Fertilized egg

The starting point of a molar pregnancy that grows abnormally.

Abnormal tissue

What grows instead of a normal baby in a molar pregnancy.

hCG (Nausea)

Very high levels of this hormone cause severe nausea and vomiting in molar pregnancies.

Misoprostol usage

This drug is categorized under 'Medication' treatments for miscarriage.

RhoGAM usage

This is given specifically to Rh-Negative clients to prevent sensitization.

D&C procedure

Treats miscarriage via dilation and curettage.

Suction technique

A manual or mechanical method used in suction curettage for miscarriage treatment.

BP indicator

High blood pressure before $20$ weeks specifically points toward molar pregnancy.

I&O (Intake and Output)

A nursing task used to track fluid balance in patients experiencing complications.

Contraceptive education

Necessary because patients must avoid pregnancy until cleared by a provider post-molar pregnancy.

Hgb/Hct monitoring

Nursing priority involves checking these to assess for anemia and blood loss.

Bleeding (CABS)

The 'B' in the CABS acronym for signs of miscarriage.

Bleeding (BIP)

The 'B' in the BIP nursing priorities acronym.

Pregnancy end

Occurs before $20$ weeks in a spontaneous abortion.

Foul discharge

A hallmark sign of infection in a septic miscarriage.

Stable hCG

The desired clinical end state and goal for a patient recovering from a molar pregnancy.

Grief counseling

A key intervention to meet the emotional needs of the patient.

Trophoblastic neoplasia

The specific type of neoplasia that is a major complication of molar pregnancy.

Bleeding (Molar)

Vaginal bleeding is a primary sign and symptom of a molar pregnancy.

Miscarriage sign (Pain)

Abdominal pain is a core component of the CABS clinical presentation.

Miscarriage sign (Cramping)

Cramping is represented by the 'C' in CABS.

Tissue passage (Naturally)

The defining characteristic of expectant management.

Tissue remains (Uterus)

The status of the uterus in an incomplete miscarriage.

Closed cervix (Miscarriage)

A diagnostic sign that a miscarriage is currently considered 'Threatened'.

Open cervix (Miscarriage)

A diagnostic sign that a miscarriage is 'Inevitable'.

Abnormal growth

The process where a fertilized egg develops into a molar pregnancy.

Odd-Looking

Terminology from the MOLE acronym describing the appearance of abnormal pregnancy tissue.

Many

The 'M' in the MOLE acronym for molar pregnancy tissue.

Follow-up (Cancer)

Essential monitoring after molar pregnancy due to the risk of gestational trophoblastic neoplasia.

Vomiting (Severe)

Along with nausea, this is caused by high hCG in molar pregnancy patients.