Emergency Nursing Orientation 3.0:
Obstetric Emergencies - ENA-ENO-C24.
Exam 2025 Questions and Answers
Which finding is characteristic of preeclampsia? - ANS Proteinuria
In a pregnant patient, which assessment finding may signal the onset of preeclampsia? -
ANS A systolic blood pressure greater than 140 mm Hg
Which of these is a common cause of postpartum hemorrhage? - ANS 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? - ANS Absence of deep tendon reflexes
For a patient with an obstetric emergency, what are the priorities during the initial assessment?
- ANS 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? - ANS Establish vascular access.
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, 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? - ANS 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? - ANS 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? - ANS Ectopic pregnancy
You are discharging a woman who was diagnosed with a threatened abortion. Which patient
instruction is appropriate? - ANS "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? - ANS Severe abdominal pain
Which term refers to how many pregnancies the patient has had?
A. Confinement
B. Parity
C. Gravidity
D. Gestation - ANS 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.
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
Obstetric Emergencies - ENA-ENO-C24.
Exam 2025 Questions and Answers
Which finding is characteristic of preeclampsia? - ANS Proteinuria
In a pregnant patient, which assessment finding may signal the onset of preeclampsia? -
ANS A systolic blood pressure greater than 140 mm Hg
Which of these is a common cause of postpartum hemorrhage? - ANS 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? - ANS Absence of deep tendon reflexes
For a patient with an obstetric emergency, what are the priorities during the initial assessment?
- ANS 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? - ANS Establish vascular access.
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, 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? - ANS 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? - ANS 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? - ANS Ectopic pregnancy
You are discharging a woman who was diagnosed with a threatened abortion. Which patient
instruction is appropriate? - ANS "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? - ANS Severe abdominal pain
Which term refers to how many pregnancies the patient has had?
A. Confinement
B. Parity
C. Gravidity
D. Gestation - ANS 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.
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
