What procedure is a true obstetric-gynecologic emergency?
a. Cervical dysplasia
b. Ruptured ectopic pregnancy
c. Vaginal delivery
d. Planned C-section
ANS: B
A fertilized ovum that becomes implanted outside the uterine cavity is an ectopic pregnancy. It usually involves the fallopian tube. A ruptured ectopic pregnancy is an emergency because the patient has abdominal pain and bleeding. The affected tube is opened and the products of conception are removed. Hemostasis is attained and the pelvic cavity is irrigated.
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