the abnormal implantation of the fertilized ovum outside of the
uterine cavity. The implantation is usually in the fallopian tube,
which can result in a tubal rupture causing a fatal hemorrhage.
Risk factors
Previous ectopic pregnancy
Inflammation or infection.
Fertility issues
Structural concerns
Contraceptive choice
Diagnostic and Therapeutic Procedures
Rapid surgical treatment
Linear salpingostomy
Laparoscopic salpingostomy
Methotrexate
Hormone levels of progesterone and hCG
WBC count
Transvaginal ultrasound
Nursing Considerations
Nursing assessment
Monitor for signs and symptoms
Scant, dark red, or brown vaginal spotting
Unilateral stabbing pain
One or two missed menses.
Referred shoulder pain
Nausea and vomiting
Symptoms of hemorrhage and shock
hypotension
tachycardia
pallor
Nursing Interventions
Prepare the client for surgery and
postoperative nursing care.
Provide client education and
psychological support.
Replacement of fluid loss and
maintenance of electrolyte balance.