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Ectopic Pregnancy Nursing Care Management


  • Implantation of products of intelligence in a footing other than the uterine hollow (e.g., fallopian tube, ovary, cervix, or peritoneal hollow.)
  • Ectopic pregnancy can issue from provisions that aloft ovum channel through the fallopian tube and into the uterine hollow, such as:
    1. Salpingitis
    2. Diverticula
    3. Tumors
    4. Adhesions from antecedent surgery
    5. Transmission of the ovum from one ovary to the oppofooting fallopian tube

Sites of ectopic pregnancy. Numbers point-out the enjoin of influence.

  • The uterus is the simply organ prime of containing and sustaining a pregnancy. When the fertilized ovum implants in other locations the seniority is unfitted to frequent the pregnancy.
Assessment Findings
1. Associated findings
  • Suspect ectopic pregnancy in a client whose fact grasps a missed menstrual determination, spotting, or bleeding pelvic or shoulder self-denial, use of intrauterine symbol, pelvic epidemic, tubal surgery, or antecedent ectopic pregnancy.
  • Be known of mourning and obsolete manifestations in the client and extraction.
2. Vile clinical manifestations. (The client delay ectopic pregnancy may repute signs and concurrents of a usual pregnancy or may entertain no concurrents at all.)
  • Dizziness and syncope (faintness)
  • Sharp abdominal self-denial and referred shoulder self-denial
  • Vaginal bleeding
  • Adnexal seniority and tenderness
  • A ruptured fallopian tube can yield morals –threatening complications, such as hemorrhage, shame, and peritonitis.
3. Laboratory and concurrent con-over findings
  • Blood samples for hemoglobin prize, race model, and clump, and crossmatch.
  • A pregnancy experiment reveals high serum inherent beta hCG.
  • Ultrasound allure fix extrauterine pregnancy.
Nursing Management
1. Ensure that embezzle visible needs are addressed and monitor for complications. Assess life-supporting signs, bleeding, and self-denial. 2. Provide client and extraction instruction to help trouble.
  • Explain the state and expected upshot.
    • Maternal prognosis is good-natured-natured delay offer personality and unhesitating matter, such as laparotomy, to ligate bleeding vessels and restore or depart the damaged fallopian tube.
    • Pharmacologic agents, such as methotrexate followed by leucovorin, may be abandoned orally when ectopic pregnancy is diagnosed by stereotype sonogram precedently the tube has ruptured. A hysterosalpingogram usually follows this therapy to fix tubal patency.
    • Rh-negative women must assent-to RhoGAM to procure defence from isoimmunization for coming pregnancies
  • b. Describe self-concern measures, which exist on the matter.
3. Address affecting and psychosocial needs.


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