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NUR 236 exam 4 Practice Questions and Answers $11.49   Add to cart

Exam (elaborations)

NUR 236 exam 4 Practice Questions and Answers

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  • NUR 2024/2025
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  • NUR 2024/2025

©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/36 prior ectopic pregnancy previous tubal, pelvic, or abdominal surgery endometriosis current use of exogneous hormones use of IUD IVF why is a ruptured ectopic pregnancy an emergency - Ans:-must b...

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  • October 24, 2024
  • 36
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 2024/2025
  • NUR 2024/2025
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GraceAmelia
©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




NUR 236 exam 4 Practice Questions and
Answers


what are the three most common pregnancy complications in the first trimester? - Ans:✔✔-ectopic

pregnancy, gestational trophoblastic disease, and spontaneous abortion (miscarriage)


true or false: all bleeding in early pregnancy indicates a complication - Ans:✔✔-false


fertilized egg implants outside the uterine cavity - Ans:✔✔-ectopic pregnancy


where can an ectopic pregnancy implant? - Ans:✔✔-fallopian tube, on the ovary, on the cervix, on the

outside of the fallopian tube, on the abdominal wall, bowel


what is the hallmark sign of ectopic pregnancy - Ans:✔✔-unilateral stabbing pain in the lower quadrant


what are signs and symptoms of ectopic pregnancy - Ans:✔✔-unilateral abdominal pain, vaginal

bleeding, a missed period, abdominal tenderness


what puts you at risk of having an ectopic pregnancy? - Ans:✔✔-history of STIs




Page 1/36

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




prior ectopic pregnancy




previous tubal, pelvic, or abdominal surgery




endometriosis




current use of exogneous hormones




use of IUD




IVF


why is a ruptured ectopic pregnancy an emergency - Ans:✔✔-must be diagnosed before the onset of

hypotension, bleeding, pain, and overt rupture to prevent major morbidity and death


what labs need to be worked up for ectopic pregnancy - Ans:✔✔-beta-human chorionic gonadotropin




Page 2/36

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




blood type




Rh




CBC




complete metabolic panel




WBC


diagnostic tools used to assess an ectopic pregnancy - Ans:✔✔-transvaginal US


serial BhCG


pelvic exam


what is a salpingectomy - Ans:✔✔-removal of the rupture fallopian tube (done by lapartotomy)


what is salpingostomy - Ans:✔✔-incision into the fallopian tube to remove the pregnancy




Page 3/36

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




what medication is used for an ectopic pregnancy - Ans:✔✔-methotrexate


chemotherapeutic drug and folic acid inhibitor that stops all rapid cell production, inhibiting the growth

of the embryo and destroying remaining trophoblastic tissue. used in the management of ectopic

pregnancy - Ans:✔✔-methotrexate


when is someone considered eligible for methotrexate for ectopic pregnancy - Ans:✔✔-if the ectopic

mass is unruptured and measures 1.6 cm or less on an US exam


what pregnancy category is methotrexate - Ans:✔✔-category X and needs special handling (chemo

sharps)


what are educational points for patients on methotrexate? - Ans:✔✔-- side effects such as nausea and

vomiting


- discontinuation of prenatal vitamins and other folic acid supplements, which can act as antagonists


- the need for alcohol abstinence


- avoidance of NSAIDs


- the need for sunscreen and protective clothing to prevent photosensitivity


- required follow up lab work to monitor hCG levels and other side effects




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