Question

3. Identify the three courses of treatment when treating a patient with an ectopic pregnancy 4. Describe the manifestations of placenta previa. S. Summarize the care for the preanant woman with excessive bleeding. 6. What is isoimmunization?R nagahue hle tthe ba S POSst 7. Medical therapy during pregnancy for the patient with gestational diabetes mellitus should include what interventions? 8. Summarize the signs of congestive heart failure during pregnancy. 9. Explain the acronym TORCH for describing fetal or newborn infections.

Answer 1

3.In ectopic pregnancy the growth is somewhere in the abdomen or pelvic region but not inside the uterus.Immediately it need to be removed to avoid further complications,Removing it is the main course of treatment,It can removed by giving medication like ,methotrexate it stops the growth of cells , also removed laproscopically , in certain emergency conditions can be removed through the abdominal incision if needed salpingectomy is performed.

4.Placenta previa means the placenta which is anchored on the top of the uterus get teared from there and lies in the lower part of the uterus.It lies in front of the fetus.It usually occurs after 20 weeks of pregnancy.Painless bleeding is the important manifestation of placenta previa.The bleeding will be in bright red in color.Due to this other manifestations like anemia,pallor are present.

5.Provide complete bed rest.

Routinely check Hb and other hemotological parameters.

Provide iron supplements to avoid anemia.

Observe the women for symptoms of anemia.

Administer essential blood components if needed.

6.For mothers having negative blood group if have a baby with positive blood group then the mother's immune system consider fetus blood cells as antigen and develop antibody against it and destroy fetus RBC . To avoid this within 72 hours of birth the anti-D immunoglobulin is administered to avoid the antigen-antibody fighting mechanism.It is called isoimmunization.