Page 701 - Saunders Comprehensive Review For NCLEX-RN

Miscarriage: Pregnancy ends because of natural causes.
Induced: Therapeutic or elective reasons exist for terminating pregnancy.
Threatened: Spotting and cramping occur without cervical change.
Inevitable: Spotting and cramping occur and cervix begins to dilate and efface.
Incomplete: Loss of some of the products of conception occurs, with part of the
products retained (most often placenta is retained).
Complete: Loss of all products of conception.
Missed: Products of conception are retained in utero after fetal death.
Habitual: Miscarriages occur in 3 or more successive pregnancies.

Box 22-2

Maternal Cardiac Disease Risk Groups

Group I (Mortality Rate, 1%)

▪ Atrial septal defect
▪ Ventricular septal defect (uncomplicated)

▪ Patent ductus arteriosus
▪ Pulmonic and tricuspid disease
▪ Biosynthetic valve prosthesis (porcine and human allograft)
▪ Tetralogy of Fallot (corrected)
▪ Mitral stenosis (New York Heart Association [NYHA] class I and II) see
http://www.heart.org/HEARTORG/Conditions/HeartFailure/AboutHeartFailure/Classes-
of-Heart-Failure_UCM_306328_Article.jsp#.WyvejiAnY2w

Group II (Mortality Rate, 5% to 15%)

▪ Mitral stenosis NYHA class III and IV or with atrial fibrillation
▪ Aortic stenosis
▪ Coarctation of aorta (uncomplicated)
▪ Uncorrected tetralogy of Fallot
▪ Previous myocardial infarction
▪ Marfan syndrome with normal aorta
▪ Artificial heart valve

Group III (Mortality Rate, 25% to 50%)

▪ Pulmonary hypertension

▪ Coarctation of the aorta (complicated)
▪ Endocarditis
▪ Marfan syndrome with aortic involvement
▪ Eisenmenger syndrome

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