Ectopic Pregnancy || A+ Guaranteed.
A 25 year old female presents to the ED with "serious pain" in her lower right abdomen
accompanied by nausea and vomiting. Her vitals are: 98.4 F, 80 P, 20 RR, 126/68 BP, pain 9/10.
Her last menstrual cycle was "about one month ago". Palpation of lower abdomen elicits
complains of pain in right lower quadrant. Which tests does the nurse anticipate that the HCP
will order? (select all)
a. UA
b. Pregnancy test
c. CBC
d. McBurney's point
e. X-ray
f. hCG correct answers a, b, c, d, and f (UA reveals UTI, kidney infection or dehydration. Urine
pregnancy test and serum human chorionic gonadotropin hCG will indicate pregnancy or not.
CBC will indicate infection if present. McBurney's point is located midway between the anterior
iliac crest and the umbilicus in RLQ and is the classic area for localized tenderness during late
stages of appendicitis. X-ray will not reveal anything about the appendix or uterus, which are the
suspected areas of concern at this point)
A 25 year old female presents to the ED with "serious pain" in her lower right abdomen
accompanied by nausea and vomiting. Her vitals are: 98.4 F, 80 P, 20 RR, 126/68 BP, pain 9/10.
Her last menstrual cycle was "about one month ago". Her hCG level is 2550 and her urine
pregnancy test is positive. Her UA is negative with normal specific gravity and pH. Her CBC
results are normal. Based on these results, what can the nurse infer?
a. She has a UTI and is pregnant
b. She has appendicitis
c. She is pregnant with no UTI
d. She has a UTI correct answers c
What is the function of hCG?
a. it is produced during pregnant and supports production of testosterone, which helps prepare
the lining of the uterus for implantation
b. it inhibits uterine activity and diminishes the strength of contractions
c. it serves as an insulin antagonist and reduces the amount of glucose needed by the mother so
that more glucose is available for fetal growth
d. it is produced during pregnancy and supports production of progesterone, which helps prepare
the lining of the uterus for implantation correct answers d (hCG is produced by the trophoblast
during pregnancy and simulated production of progesterone to maintain the pregnancy until the
placenta is developed. It does not inhibit glucose metabolism. Relaxin inhibits uterine activity
and diminishes the strength of contractions, not hCG.)
25 year old female presents to the ED with "serious pain" in her lower right abdomen
accompanied by nausea and vomiting. Her vitals are: 98.4 F, 80 P, 20 RR, 126/68 BP, pain 9/10.
, Her last menstrual cycle was "about one month ago". Her hCG level is 2550 and her urine
pregnancy test is positive. Her UA is negative with normal specific gravity and pH. Her CBC
results are normal. The HCP discusses the results with the patient and she says, "That can't be. I
have been having my period. How can I be pregnant?" How should the nurse respond?
a. It is not uncommon for spotting or light bleeding to occur, especially in early phases of
pregnancy
b. oh you are correct. there must be a mistake in the lab work. lets send them a fresh specimen
c. well, you have had nausea too, so you must be pregnant
d. that is true. the hCG must be a result of a pituitary gland program an MRI of your brain correct
answers a
25 year old female presents to the ED with "serious pain" in her lower right abdomen
accompanied by nausea and vomiting. Her vitals are: 98.4 F, 80 P, 20 RR, 126/68 BP, pain 9/10.
Her last menstrual cycle was "about one month ago". Her hCG level is 2550 and her urine
pregnancy test is positive. Her UA is negative with normal specific gravity and pH. Her CBC
results are normal. the nurse asks when the last menstrual cycle was, if she smokes, and if she
has ever had an STI. Why does the nurse ask these questions?
a. the HCP wants to rule out hyperemesis gravidarum
b. the HCP wants to rule out ectopic pregnancy
c. the HCP wants to rule out mutliple gestation because of high hCG
d. the HCP wants to rule out pregnancy because people with an STI cannot be pregnant correct
answers b (LMP is used to estimate gestational age and compare with normal hCG levels for the
gestational age. A hx of smoking and STIs increases the risk of ectopic pregnancy as well as
other abnormalities.)
25 year old female presents to the ED. Her hCG level is 2550 and her urine pregnancy test is
positive. Her last menstrual cycle was 12/8. Using Nagele's rule, what is her estimated due date?
a. 9/15
b. 10/14
c. 9/11
d. 10/20 correct answers a (Nagele's rule: LMP - 3 months + 7 days = EDD)
How should the nurse explain ectopic pregnancy to a patient?
a. It is fertalization of the ovum in the vagina
b. it is cancerous and is a fertilized ovum in either fallopian tube
c. it is fertilized ovum outside of the uterus that cannot be transfered to the uterus
d. you do not need major treatment and can be delivered vaginally correct answers c
A 25 year old patient is diagnosed with low-risk ectopic pregnancy with no cardiac activity. The
father is eager to be a parent and asks if this ruins their chances of getting pregnant again. Which
is the best response?
A 25 year old female presents to the ED with "serious pain" in her lower right abdomen
accompanied by nausea and vomiting. Her vitals are: 98.4 F, 80 P, 20 RR, 126/68 BP, pain 9/10.
Her last menstrual cycle was "about one month ago". Palpation of lower abdomen elicits
complains of pain in right lower quadrant. Which tests does the nurse anticipate that the HCP
will order? (select all)
a. UA
b. Pregnancy test
c. CBC
d. McBurney's point
e. X-ray
f. hCG correct answers a, b, c, d, and f (UA reveals UTI, kidney infection or dehydration. Urine
pregnancy test and serum human chorionic gonadotropin hCG will indicate pregnancy or not.
CBC will indicate infection if present. McBurney's point is located midway between the anterior
iliac crest and the umbilicus in RLQ and is the classic area for localized tenderness during late
stages of appendicitis. X-ray will not reveal anything about the appendix or uterus, which are the
suspected areas of concern at this point)
A 25 year old female presents to the ED with "serious pain" in her lower right abdomen
accompanied by nausea and vomiting. Her vitals are: 98.4 F, 80 P, 20 RR, 126/68 BP, pain 9/10.
Her last menstrual cycle was "about one month ago". Her hCG level is 2550 and her urine
pregnancy test is positive. Her UA is negative with normal specific gravity and pH. Her CBC
results are normal. Based on these results, what can the nurse infer?
a. She has a UTI and is pregnant
b. She has appendicitis
c. She is pregnant with no UTI
d. She has a UTI correct answers c
What is the function of hCG?
a. it is produced during pregnant and supports production of testosterone, which helps prepare
the lining of the uterus for implantation
b. it inhibits uterine activity and diminishes the strength of contractions
c. it serves as an insulin antagonist and reduces the amount of glucose needed by the mother so
that more glucose is available for fetal growth
d. it is produced during pregnancy and supports production of progesterone, which helps prepare
the lining of the uterus for implantation correct answers d (hCG is produced by the trophoblast
during pregnancy and simulated production of progesterone to maintain the pregnancy until the
placenta is developed. It does not inhibit glucose metabolism. Relaxin inhibits uterine activity
and diminishes the strength of contractions, not hCG.)
25 year old female presents to the ED with "serious pain" in her lower right abdomen
accompanied by nausea and vomiting. Her vitals are: 98.4 F, 80 P, 20 RR, 126/68 BP, pain 9/10.
, Her last menstrual cycle was "about one month ago". Her hCG level is 2550 and her urine
pregnancy test is positive. Her UA is negative with normal specific gravity and pH. Her CBC
results are normal. The HCP discusses the results with the patient and she says, "That can't be. I
have been having my period. How can I be pregnant?" How should the nurse respond?
a. It is not uncommon for spotting or light bleeding to occur, especially in early phases of
pregnancy
b. oh you are correct. there must be a mistake in the lab work. lets send them a fresh specimen
c. well, you have had nausea too, so you must be pregnant
d. that is true. the hCG must be a result of a pituitary gland program an MRI of your brain correct
answers a
25 year old female presents to the ED with "serious pain" in her lower right abdomen
accompanied by nausea and vomiting. Her vitals are: 98.4 F, 80 P, 20 RR, 126/68 BP, pain 9/10.
Her last menstrual cycle was "about one month ago". Her hCG level is 2550 and her urine
pregnancy test is positive. Her UA is negative with normal specific gravity and pH. Her CBC
results are normal. the nurse asks when the last menstrual cycle was, if she smokes, and if she
has ever had an STI. Why does the nurse ask these questions?
a. the HCP wants to rule out hyperemesis gravidarum
b. the HCP wants to rule out ectopic pregnancy
c. the HCP wants to rule out mutliple gestation because of high hCG
d. the HCP wants to rule out pregnancy because people with an STI cannot be pregnant correct
answers b (LMP is used to estimate gestational age and compare with normal hCG levels for the
gestational age. A hx of smoking and STIs increases the risk of ectopic pregnancy as well as
other abnormalities.)
25 year old female presents to the ED. Her hCG level is 2550 and her urine pregnancy test is
positive. Her last menstrual cycle was 12/8. Using Nagele's rule, what is her estimated due date?
a. 9/15
b. 10/14
c. 9/11
d. 10/20 correct answers a (Nagele's rule: LMP - 3 months + 7 days = EDD)
How should the nurse explain ectopic pregnancy to a patient?
a. It is fertalization of the ovum in the vagina
b. it is cancerous and is a fertilized ovum in either fallopian tube
c. it is fertilized ovum outside of the uterus that cannot be transfered to the uterus
d. you do not need major treatment and can be delivered vaginally correct answers c
A 25 year old patient is diagnosed with low-risk ectopic pregnancy with no cardiac activity. The
father is eager to be a parent and asks if this ruins their chances of getting pregnant again. Which
is the best response?
