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Emergency Nursing Orientation 3.0: Obstetric Emergencies - ENA-ENO-C24 | Q’s With A’s - Verified
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Emergency Nursing Orientation 3.0: Obstetric Emergencies - ENA-ENO-C24 | Q’s With A’s - Verified
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Emergency Nursing Orientation 3.0: ObstetricEmergencies - ENA-ENO-C24 | Q’s With A’s - Verified
Which finding is characteristic of preeclampsia? Right Ans - Proteinuria
In a pregnant patient, which assessment finding may signal the onset of
preeclampsia? Right Ans - A systolic blood pressure greater than 140 mm
Hg
Which of these is a common cause of postpartum hemorrhage? Right Ans -
Uterine atony
Your patient with preeclampsia is receiving magnesium sulfate while waiting
to be transferred out of the emergency department. While the patient is in
your care, you should monitor her closely for which finding? Right Ans -
Absence of deep tendon reflexes
For a patient with an obstetric emergency, what are the priorities during the
initial assessment? Right Ans - Airway, breathing, and circulation
A patient reports that she had a positive pregnancy test 1 week ago and now
has left lower quadrant pain, which was severe and then seemed to get better.
On assessment, you note that she has a weak radial pulse, tachycardia, and
pallor. Which intervention should you anticipate as the priority? Right Ans
- Establish vascular access.
A woman, 34 weeks pregnant, presents with acute respiratory distress,
hypotension, and tachycardia. She complains of a headache and right upper
quadrant abdominal pain. You should suspect which disorder? Right Ans -
HELLP syndrome
Our patient is 37 weeks pregnant and reports some vaginal bleeding. She
denies pain and trauma. On assessment, you detect a fetal heart rate of 140
beats per minute. Which disorder should you suspect? Right Ans - Placenta
previa
A patient presents to triage and says she may be pregnant because she missed
her last menstrual period. She reports pelvic pain, left shoulder pain, and
, dizziness. She denies trauma and has tachycardia. Which disorder should the
nurse suspect? Right Ans - Ectopic pregnancy
You are discharging a woman who was diagnosed with a threatened abortion.
Which patient instruction is appropriate? Right Ans - "Return to the
emergency department or call your primary caregiver if the bleeding
increases."
When assessing a patient with vaginal bleeding and suspected abruptio
placentae, the emergency nurse is likely to note which finding? Right Ans -
Severe abdominal pain
Which term refers to how many pregnancies the patient has had?
A. Confinement
B. Parity
C. Gravidity
D. Gestation Right Ans - Gravidity
A molar pregnancy is characterized by which pathophysiology?
A. Placental dysfunction (hypoperfusion and vasospasm) leads to the release
of systemic vasoactive compounds.
B. A fertilized ovum implants anywhere other than in the endometrium, such
as in the fallopian tube, ovary, or abdominal cavity.
C. The chorionic villi around the aborting embryo degenerate to form clusters
of fluid-filled vesicles.
D. The placenta implants and develops in the lower uterine segment rather
than in the upper uterine wall as in a normal pregnancy. Right Ans - The
chorionic villi around the aborting embryo degenerate to form clusters of
fluid-filled vesicles.
For a patient with preeclampsia, what is the priority treatment? Right Ans -
Administer oxygen.
Which disorder places a pregnant woman at a higher risk of an amniotic fluid
embolism? Right Ans - Abruptio placentae
Which intervention is the first step in resuscitating a neonate? Right Ans -
Warming
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