Emergency Nursing Orientation 3.0:
Obstetric Emergencies - ENA-ENO-C24
questions and answers
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.
Obstetric Emergencies - ENA-ENO-C24
questions and answers
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.
