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Emergency Nursing Orientation 3.0: Obstetric Emergencies - ENA-ENO-C24 Exam/43 Q/A
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Emergency Nursing Orientation 3.0: Obstetric Emergencies - ENA-ENO-C24 Exam/43 Q/A
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Emergency Nursing Orientation 3.0: ObstetricEmergencies - ENA-ENO-C24 Exam/43 Q/A
Which finding is characteristic of preeclampsia? - -Proteinuria
-In a pregnant patient, which assessment finding may signal the onset of
preeclampsia? - -A systolic blood pressure greater than 140 mm Hg
-Which of these is a common cause of postpartum hemorrhage? - -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? - -
Absence of deep tendon reflexes
-For a patient with an obstetric emergency, what are the priorities during
the initial assessment? - -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? - -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? - -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? - -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? - -Ectopic pregnancy
-You are discharging a woman who was diagnosed with a threatened
abortion. Which patient instruction is appropriate? - -"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? - -Severe
abdominal pain
-Which term refers to how many pregnancies the patient has had?
A. Confinement
B. Parity
C. Gravidity
D. Gestation - -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. - -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? - -
Administer oxygen.
-Which disorder places a pregnant woman at a higher risk of an amniotic
fluid embolism? - -Abruptio placentae
-Which intervention is the first step in resuscitating a neonate? - -Warming
-Which sign is characteristic of eclampsia? - -Seizures
-Which area is the most common site for implantation of an ectopic
pregnancy? - -Ampulla
-For a patient with HELLP syndrome, which laboratory test results should
you expect to see? - -Decreased platelet level
-Apgar scoring is used to assess a neonate's condition based on which
parameters? - -Color, heart rate, reflex irritability, muscle tone, and
respiratory effort
-In a pregnant woman in the third trimester, the fetal heart rate is 90 beats
per minute. Which intervention is the priority at this time? - -Administer
high-flow oxygen.
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