Name the type of pregnancy where implantation of the fetus is in the fallopian tube, and produces pain with acute dilation of the tube.

Appeared in: DSSSB - 29 August 2019 (Shift-2)

Explanation

Ectopic pregnancy is defined as the implantation of a fertilized egg outside the uterine cavity.
The fallopian tube is the most common site for an ectopic pregnancy, occurring in approximately 95% of cases.
The pain described in the question is caused by the stretching and acute dilation of the fallopian tube as the embryo grows in a location not designed to expand.
The classic triad of symptoms for ectopic pregnancy includes a missed period (amenorrhea), lower abdominal pain, and vaginal bleeding.

Option B: This term refers to having more than one fetus (twins, triplets, etc.) within the uterus. It does not relate to the location of implantation.
Option C: This term describes the death of a fetus after 20 weeks of gestation, before or during delivery. It is about the viability and outcome of the pregnancy, not the implantation site.
Option D: A molar pregnancy (hydatidiform mole) is an abnormality of the placenta, caused by a problem when the egg and sperm join together at fertilization. It results in the growth of abnormal tissue within the uterus, not a viable fetus in the fallopian tube.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Definition and characteristics of ectopic pregnancy as background academic context rather than a clinical decision trigger.
Early diagnosis of ectopic pregnancy is critical for nurses to recognize, as a ruptured fallopian tube is a life-threatening medical emergency that can lead to severe internal bleeding (hemorrhagic shock).
Nurses should be vigilant for the classic triad of symptoms: amenorrhea, unilateral lower abdominal pain, and vaginal spotting in any woman of reproductive age.
What if? If a patient with a suspected ectopic pregnancy suddenly develops severe, sharp pain, dizziness, and shoulder tip pain, the nurse must suspect a rupture. This is a surgical emergency requiring immediate notification of the provider, establishment of large-bore IV access, and preparation for surgery.

How to Approach the Question

First, analyze the question to identify the key defining features. The keywords are 'implantation... in the fallopian tube' and 'pain with acute dilation'.
Next, evaluate each option based on its medical definition.
Option A, 'Ectopic Pregnancy', directly matches the definition of implantation outside the uterus, with the fallopian tube being the most common site.
Option B, 'Multiple Pregnancy', refers to the number of fetuses, which is irrelevant to the implantation site.
Option C, 'Still birth', refers to the outcome of a pregnancy (fetal death), not its location.
Option D, 'Molar Pregnancy', describes abnormal placental development within the uterus, not implantation in the fallopian tube.

Concept Tested & Keywords

Qtl8vuEXddpqqS6gnMkNYo

E6 Obstetrics Williams p. 18-33

E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 11-16

E6 Medicine Harrison 22e Part 2 p. 1040-1042

Practise the full DSSSB - 29 August 2019 (Shift-2)

Attempt every question from this paper in a timed mock, then review the full solution for each one.