Emergency Nursing Orientation 3.0:
Obstetric Emergencies - ENA-ENO-C24
Exam Questions With Solutions
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."
, Emergency Nursing Orientation 3.0:
Obstetric Emergencies - ENA-ENO-C24
Exam Questions With Solutions
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.
Obstetric Emergencies - ENA-ENO-C24
Exam Questions With Solutions
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."
, Emergency Nursing Orientation 3.0:
Obstetric Emergencies - ENA-ENO-C24
Exam Questions With Solutions
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.
