Hawa is a 26-year-old female patient with a history of infertility. She and her partner have been trying to conceive naturally for 2 years. Hawa started taking fertility medication 6 months ago to stimulate follicle development. At 21 years of age, she was diagnosed with pelvic inflammatory disease, which was treated with antibiotics. Her menstrual cycle has been unpredictable over the last 3 months, with sporadic light bleeding. During the last month, she has felt nauseous and experienced diarrhea. Yesterday, she had a sudden onset of abdominal and pelvic pain and heavy vaginal bleeding. She is concerned about the sudden change and sees her gynecologist the following day. 1. Hawa’s gynecologist is concerned she may be experiencing an ectopic pregnancy. Briefly describe what this means, in your own words. Selected Answer: Hawa's fertilized egg implants itself outside the uterus and grows. Most often this happens in the fallopian tubes. This means that both the child and mother's lives are at risk.
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2. There are many risk factors for ectopic pregnancies. Which risk factors does Hawa display? Selected Answer: Hawa has had previous pelvic inflammatory disease and is undergoing fertility medication for the past 6 months to stimulate follicle development. These raise her risk in ectopic pregnancies 3. Hawa’s physician explains that most ectopic pregnancies are “tubal pregnancies.” What does this mean? Selected Answer: Implantation occurred within the fallopian tube. 4. Why is it concerning for a fertilized egg to implant outside of the uterus?
Selected Answer: Anywhere other than the uterus is much like being where it does not belong and where it does not and will not be able to survive. When the fertilized egg develops outside the uterus, it will cause damage to that area and puts the mother in a life-threatening situation because as the fetus grows it will cause serious internal bleeding of the mother. 5. If Hawa takes a pregnancy test, it will be negative because ectopic pregnancies do not produce the human chorionic gonadotropin. Selected Answer: False
6. If Hawa’s pregnancy is allowed to continue, which of the following may occur? (Select all possibilities.)
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Selected Answers:
Permanent damage to her fallopian tube Life-threatening blood loss
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7. A transvaginal ultrasound is used to confirm Hawa’s tubal pregnancy. Which of the following statements is true? Selected Answer:
If Hawa’s pregnancy continues, her life could be at risk.
8. If Hawa’s pregnancy is determined to be only a few weeks along, which of these treatments would be her best option?
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