Ectopic pregnancy
Ectopic pregnancy ( 15 Questions)
Which statement by the nurse is accurate regarding the surgical options?
"Laparoscopic salpingostomy preserves the fallopian tube and removes the ectopic pregnancy" is an accurate statement regarding surgical options for ectopic pregnancy. Laparoscopic salpingostomy is a minimally invasive surgical procedure that aims to remove the ectopic pregnancy while preserving the fallopian tube whenever possible. This option allows for the potential for future fertility.
"Surgical management is not necessary for larger ectopic pregnancies" is an incorrect statement. Surgical management may be necessary for larger ectopic pregnancies, especially if there is a risk of rupture or if the medical management with methotrexate is not appropriate.
"Ruptured ectopic pregnancies are typically treated with methotrexate" is an incorrect statement. Ruptured ectopic pregnancies are medical emergencies that often require immediate surgical intervention to stop internal bleeding and remove the ectopic pregnancy. Methotrexate is usually reserved for non-ruptured cases.
"You will need to have both fallopian tubes removed during surgery" is an inaccurate statement. Surgeons aim to preserve the fallopian tube whenever possible, and removal of both fallopian tubes is not the standard approach for ectopic pregnancy management. The goal is to save the tube whenever feasible to preserve fertility.
Choice A rationale:
"Laparoscopic salpingostomy preserves the fallopian tube and removes the ectopic pregnancy" is an accurate statement regarding surgical options for ectopic pregnancy.
Laparoscopic salpingostomy is a minimally invasive surgical procedure that aims to remove the ectopic pregnancy while preserving the fallopian tube whenever possible.
This option allows for the potential for future fertility.
Choice B rationale:
"Surgical management is not necessary for larger ectopic pregnancies" is an incorrect statement.
Surgical management may be necessary for larger ectopic pregnancies, especially if there is a risk of rupture or if the medical management with methotrexate is not appropriate.
Choice C rationale:
"Ruptured ectopic pregnancies are typically treated with methotrexate" is an incorrect statement.
Ruptured ectopic pregnancies are medical emergencies that often require immediate surgical intervention to stop internal bleeding and remove the ectopic pregnancy.
Methotrexate is usually reserved for non-ruptured cases.
Choice D rationale:
"You will need to have both fallopian tubes removed during surgery" is an inaccurate statement.
Surgeons aim to preserve the fallopian tube whenever possible, and removal of both fallopian tubes is not the standard approach for ectopic pregnancy management.
The goal is to save the tube whenever feasible to preserve fertility.