Gestational Trophoblastic Disease (GTD)—therapeutic management - correct answer -
Evacuation of uterine contents as soon as dx
- D&C empties uterus
- long-term follow-up to detect remaining trophoblastic tissue that may become
malignant.
- Tissue tested for choriocarcinoma.
- hCG levels detect residual tissue for 1 year.
- hCG levels won't regress if tissue remains.
True or False:
Having a molar pregnancy results in the loss of pregnancy and risk of developing
choriocarcinoma, a chorionic malignancy from the trophoblastic tissue. - correct
answer True
Usually asymptomatic, 1st symptoms of choriocarcinoma are shortness of breath from
metastasis to the _________. - correct answer Lungs
True or False
A woman dx with gestational trophoblastic disease can still maintain a viable pregnancy
- correct answer False
Cervical Insufficiency - correct answer - premature dilation of the cervix
- weak, structurally defective cervix dilates without contractions
- 2nd or early 3rd trimester
, - fetus dies unless dilation stops
Management of Cervical Insufficiency - correct answer - bed rest
- pelvic rest
- avoid heavy lifting
- progesterone for preterm risk
- cervical pessary (round silicone device at mouth of cervix
- cervical cerclage in 2nd trimester
cervical cerclage - correct answer Surgical procedure in which the cervix is sewn
closed with heavy purse -string sutures during pregnancy
- treats insufficient cervix & prevents preterm labor
placenta previa - correct answer implantation of the placenta over the cervical opening
or in the lower region of the uterus
Placenta previa - correct answer pic
Complete/Total placenta previa - correct answer cervical os is completely covered by
placenta
marginal placenta previa - correct answer placenta at the margin or edge 2cm from of
the internal os
low-lying placenta previa - correct answer placenta is implanted in lower uterine
segment and near the internal os but doesn't reach it
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