How does methotrexate treat an ectopic pregnancy?
Doctors may use methotrexate injections to treat an ectopic pregnancy because they interrupt the growth and division of a fertilized egg. Specifically, methotrexate interrupts the supply of a hormone called human chorionic gonadotropin (hCG) to the fertilized egg. Without hCG, the egg cannot grow.
Is methotrexate effective in the treatment of missed abortions?
B Methotrexate is not indicated or recommended as a treatment option for missed abortions. C Methotrexate is an effective, nonsurgical treatment option for a hemodynamically stable woman whose ectopic pregnancy is unruptured and less than 4 cm in diameter. D Methotrexate is not indicated or recommended as a treatment option for abruptio placentae.
Can I take methotrexate if I am pregnant or breastfeeding?
Women who become pregnant while taking methotrexate should stop taking methotrexate and contact a doctor as soon as possible. Partners should stop taking methotrexate at least 3 months before getting pregnant. People using methotrexate who are planning on becoming pregnant should speak with their doctor first.
Can methotrexate be used to treat hydatidiform moles?
a. Complete hydatidiform mole b. Missed abortion d. Abruptio placentae A Methotrexate is not indicated or recommended as a treatment option for a complete hydatidiform mole. B Methotrexate is not indicated or recommended as a treatment option for missed abortions.
Which condition necessitates delivery by cesarean birth?
Women may deliver via cesarean if they live with certain chronic health conditions like heart disease, high blood pressure, or gestational diabetes. Vaginal delivery with one of these conditions may be dangerous for mom.
Which is the priority nursing action for the client with an ectopic pregnancy?
Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy? Question 7 Explanation: For the client with an ectopic pregnancy, lower abdominal pain, usually unilateral, is the primary symptom. Thus, pain is the priority.
What condition indicates concealed hemorrhage in an Abruptio Placentae?
Evaluation of vital signs to detect tachycardia or hypotension, which may be indicators of a concealed hemorrhage are taken. Blood specimens such as a complete blood count (CBC), fibrinogen, clotting profile, and type and RH may be collected.
Which of the following predisposes the pregnant woman to DIC?
The most prominent obstetrical pathologies associated with the development of DIC are post-partum hemorrhage, placental abruption, HELLP syndrome, preeclampsia, retained dead fetus, acute fatty liver, and septic abortion [42]–[50].
What are the complications of ectopic pregnancy?
An ectopic pregnancy can cause your fallopian tube to burst open. Without treatment, the ruptured tube can lead to life-threatening bleeding.
What happens after methotrexate for ectopic pregnancy?
After treatment, you may have mild abdominal pain or cramping. Some women also have nausea and vomiting, diarrhea, or fatigue. There are some cases when you can't use methotrexate.
Which of the following complications is associated with Abruptio placenta?
For the mother, placental abruption can lead to: Shock due to blood loss. Blood clotting problems. The need for a blood transfusion.
What are the complications of placenta previa?
Some of the complications of placenta previa include: Major haemorrhage (bleeding) for the mother. Shock from loss of blood. Fetal distress from lack of oxygen.
What causes placenta previa?
KEY POINTS. Placenta previa happens when the placenta lies low in the uterus and covers all or part of the opening to the vagina. If you develop the condition early in your pregnancy, it usually isn't a problem since the placenta grows upward with the uterus during pregnancy.
What is the treatment for gestational hypertension?
If you have mild hypertension and your baby is not fully developed, your doctor will probably recommend the following: Rest, lying on your left side to take the weight of the baby off your major blood vessels. Increase prenatal checkups. Consume less salt.
What is DIC in obstetrics?
Obstetrical disseminated intravascular coagulation (DIC) is usually a very acute, serious complication of pregnancy. The obstetrical DIC score helps with making a prompt diagnosis and starting treatment early.
What are the complications of eclampsia?
Complications of EclampsiaPermanent neurologic damage from recurrent seizures or intracranial bleeding.Renal insufficiency and acute renal failure.Fetal changes – IUGR, abruptio placentae, oligohydramnios.Hepatic damage and rarely hepatic rupture.Hematologic compromise and DIC.More items...•
Which form of birth control prevents a recurrence of a molar pregnancy?
d. "Oral contraceptives are the only form of birth control that will prevent a recurrence of a molar pregnancy."
What is the most common ectopic pregnancy?
C The most common ectopic pregnancy is a tubal pregnancy, which is usually detected and treated in the first trimester.
How long does it take for a beta hCG to be drawn?
Beta-hCG levels will be drawn for 1 year to ensure that the mole is completely gone. There is an increased chance of developing choriocarcinoma after the development of a hydatidiform mole. The goal is to achieve a "zero" hCG level.
What is discharge instructions for perinatal nurse?
1. The perinatal nurse is giving discharge instructions to a woman, status post suction and curettage secondary to a hydatidiform mole. The woman asks why she must take oral contraceptives for the next 12 months. The best response from the nurse is
Is methotrexate used for abortions?
B Methotrexate is not indicated or recommended as a treatment option for missed abortions. C Methotrexate is an effective, nonsurgical treatment option for a hemodynamically stable woman whose ectopic pregnancy is unruptured and less than 4 cm in diameter.
Is D edema a diagnosis of preeclampsia?
D Edema occurs in many normal pregnancies as well as in women with preeclampsia . Therefore, the presence of edema is no longer considered diagnostic of preeclampsia. 16. A patient with pregnancy-induced hypertension is admitted complaining of pounding headache, visual changes, and epigastric pain.
What is the treatment for preeclampsia?
A woman with severe preeclampsia is being treated with bed rest and intravenous magnesium sulfate. The drug classification of this medication is
Which form of birth control prevents a recurrence of a molar pregnancy?
d. "Oral contraceptives are the only form of birth control that will prevent a recurrence of a molar pregnancy."
What is perinatal nursing?
The perinatal nurse is giving discharge instructions to a woman, status post suction and curettage secondary to a hydatidiform mole. The woman asks why she must take oral contraceptives for the next 12 months. The best response from the nurse is.
What chapter is the child with an alteration in tissue?
Chapter 49: The Child with an Alteration in Tissue…
What does "palpate" mean in a woman's body?
a. Palpate the woman's abdomen for tenderness.
How successful is methotrexate in treating ectopic pregnancies?
According to a 2014 retrospective study, methotrexate had an 87% success rate in treating ectopic pregnancies.
What are some examples of birth defects that methotrexate can cause?
Examples of birth abnormalities that methotrexate may cause include: Neural tube defects that affect the brain, spine, or spinal cord. These include spina bifida and encephalocele, a protrusion at the base of the skull. A cleft palate.
Does methotrexate cause RA?
Rheumatoid arthritis (RA) is a chronic autoimmune disease that causes inflammation of the joints. It is 2–3 times more common. in females than in males. Methotrexate can help people manage their RA symptoms, but it can also cause severe toxicity.
Can methotrexate cause ectopic pregnancy?
Ectopic pregnancy. What to do. Summary. Methotrexate is a first-line treatment for rheumatoid arthritis. If a person takes this drug during pregnancy, it can cause birth abnormalities. Both partners should avoid methotrexate when planning to become pregnant and during pregnancy.
Can methotrexate cause birth defects?
Methotrexate, a common treatment for RA, can cause birth abnormalities if either partner takes the drug during conception or pregnancy. Women who become pregnant while taking methotrexate should stop taking methotrexate and contact a doctor as soon as possible.
Can you stop taking methotrexate if you are pregnant?
If a woman who is taking methotrexate suspects that she is pregnant, she should take a pregnancy test as soon as possible. If the test is positive , she should stop taking methotrexate and see a doctor straight away.
Can a father take methotrexate?
Effects of the father taking methotrexate. Methotrexate can affect the fetus if either parent has been taking it. Males should not take methotrexate when trying for a baby. People can avoid unplanned pregnancies by using an effective form of birth control.
What is the name of the IV oxytocin given to a woman with severe preeclamps?
A woman with severe preeclampsia at 30 weeks gestation is being induced with IV oxytocin (Pitocin). Which of the following would warrant the nurse to stop the infusion?
What is the treatment for preeclampsia?
A woman with severe pre-eclampsia is being treated with bed rest and intravenous magnesium sulfate. The drug classification of this medication is:
How many breaths does a woman take with magnesium sulfate?
A woman taking magnesium sulfate has a respiratory of 10 breaths/minute. In addition to discontinuing the medication, the nurse should:
What is IV therapy?
a. IV therapy to correct fluids and electrolyte imbalances
What is the major risk to you after a molar pregnancy?
b. "the major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only by measuring the same hormone that your body produces during pregnancy. If you were to get pregnant, it would make the diagnosis of this cancer more difficult."
What is the platelet count of a pregnant woman with preeclampsia?
Before initiating the Pitocin infusion, the nurse reviews the woman’s latest laboratory test findings, which reveal a platelet count of 90,000 , an elevated aspartate transaminase (AST) level, and a falling hematocrit. The nurse notifies the physician because the lab results are indicative of:
Why is a pregnant woman being discharged from the hospital after placement of cerclage?
A pregnant woman is being discharged from the hospital after placement of cerclage because of a history of recurrent pregnancy loss secondary to an incompetent cervix. Discharge teaching should emphasize that: