RIMS Nursing Officer - 2022
Obstetrics & Gynaecology
Easy

Recurrent miscarriage is also known as:

Appeared in: RIMS Nursing Officer - 2022

Explanation

  • Recurrent miscarriage is medically defined as the loss of two or more pregnancies, though historically it was defined as three or more.
  • The term 'Habitual Abortion' is a recognized synonym for this condition, describing a pattern of repeated or 'habitual' pregnancy loss.
  • This term distinguishes a recurring problem from a single, isolated miscarriage event.

Why Other Options Were Wrong

  • Option A: This is not a standard medical term. 'Preterm birth' refers to a live birth that occurs between 20 and 37 weeks of gestation. Miscarriage or abortion refers to pregnancy loss before 20 weeks.
  • Option C: This term describes the outcome of a single miscarriage event where all fetal and placental tissue has been expelled from the uterus. It does not describe a pattern of multiple losses.
  • Option D: This describes a single miscarriage event where some fetal or placental tissue remains in the uterus, often requiring medical or surgical intervention. It is not a synonym for recurrent loss.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Terminology for Recurrent Pregnancy Loss as background academic context rather than a clinical decision trigger.
  • Nurses play a crucial role in providing emotional support and counseling to couples experiencing recurrent pregnancy loss, as it can be a significant source of grief and stress.
  • Patient education is key. Nurses should explain the potential causes (genetic, uterine, endocrine, autoimmune) and the typical diagnostic workup (e.g., karyotyping, hysteroscopy, thyroid function tests).
  • What if? If a patient presents with vaginal bleeding and an open cervix at 10 weeks gestation, the immediate diagnosis would be an 'inevitable' or 'incomplete' abortion, not habitual abortion. The focus would be on managing the acute event, whereas 'habitual abortion' is a diagnosis based on historical data.
How to Approach the Question
  • This is a factual recall question based on medical terminology.
  • First, analyze the term in the question stem: 'Recurrent miscarriage' implies multiple, repeated events.
  • Next, evaluate each option's definition.
  • 'Preterm' relates to gestational age (typically after 20 weeks), not the number of losses.
  • 'Complete' and 'Incomplete' describe the outcome of a single abortion event.
  • 'Habitual' means repeated or customary, which directly aligns with the concept of 'recurrent'.
Concept Tested & Keywords
  • Concept Tested: Terminology for Recurrent Pregnancy Loss
  • Stem keywords: Recurrent miscarriage
  • Lead-in keywords: also known as

Question ID

Qtr2LwsZ5VjcyuoShB6J63

Reference Book

E6 Gynecology Williams p. 154-182

E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 8397-8399

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