Author Question: Mary, a G3 TPAL 0020 woman at 20 weeks' gestation, has had a transvaginal ultrasound. Mary has ... (Read 46 times)

jace · **on:** Jun 28, 2018

Mary, a G3 TPAL 0020 woman at 20 weeks' gestation, has had a transvaginal ultrasound.

Mary has been informed that she has cervical incompetence. The perinatal nurse explains that this diagnosis means that her cervix has __________ without __________ contractions.
Fill in the blank with the appropriate word.

Question 2

The perinatal nurse knows that an early pregnancy loss occurs before __________ weeks, and a late pregnancy loss is one that occurs between 12 and __________ weeks.

Fill in the blank with the appropriate word.

xiaomengxian · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: dilated; regular
Patients with cervical incompetence usually present with painless dilation and effacement of the cervix, often during the second trimester of pregnancy. The patient frequently gives a history of repeated second trimester losses with no apparent etiology. Incompetent cervix is estimated to cause approximately 15 of all second trimester losses.

Answer to Question 2

ANS: 12; 20
Not all conceptions result in a live-born infant. Of all clinically recognized pregnancies, 10 to 20 are lost, and approximately 22 of pregnancies detected on the basis of hCG assays are lost before the appearance of any clinical signs or symptoms. By definition, an early pregnancy loss occurs before 12 weeks of gestation; a late pregnancy loss is one that occurs between 12 and 20 weeks of gestation.