A woman in the third trimester of pregnancy presents to the ...

[Medesa]

A woman in the third trimester of pregnancy presents to the emergency department with complaints of bright red vaginal bleeding. The nurse immediately suspects:
 
  a. Ectopic pregnancy
  b. Spontaneous abortion
  c. Placenta previa
  d. Hydatidiform mole

Question 2

Which statement is true of ectopic pregnancy?
 
  a. A woman who has had an ectopic pregnancy will not be able to conceive again.
  b. The ovum will not develop, so there is no risk to the woman.
  c. The fertilized ovum is implanted outside of the uterus.
  d. The main sign is heavy vaginal bleeding.

[ngr69]

Answer to Question 1

ANS: C
Because the placenta is implanted very low with placenta previa, bleeding is most likely to occur in the last trimester when the cervical os begins to open in preparation for childbirth. Ectopic pregnancy, spontaneous abortion, and hydatidiform mole are identified in early pregnancy (usually in the first trimester).

Answer to Question 2

ANS: C
With an ectopic pregnancy, the fertilized ovum implants in tissue outside of the uterus, usually the fallopian tube. The woman is at risk for hemorrhage, shock, and death. Vaginal bleeding is often minimal because the blood loss is inside of the abdominal cavity and has no way to exit the body. Every effort is made to preserve an affected fallopian tube, and future conception possible with one fallopian tube.

[Medesa]

Excellent

[Joy Chen]

TYSM