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Emergency Nursing Orientation 3.0: Obstetric Trauma (ENA-ENO-C09)/28 Exam Q’s and A’s
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Emergency Nursing Orientation 3.0: Obstetric Trauma (ENA-ENO-C09)/28 Exam Q’s and A’s
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Emergency Nursing Orientation 3.0:Obstetric Trauma (ENA-ENO-C09)/28
Exam Q’s and A’s
When caring for an unresponsive pregnant trauma patient, which
assessment is the priority? - -Open the mouth to look for vomitus or blood
-A woman, 7 months pregnant, presents to the emergency department after
escaping from a house fire. Her carboxyhemoglobin level is elevated. Why is
this finding significant? - -The fetus's carboxyhemoglobin level is higher than
the mother's.
-The fundus reaches the umbilicus at approximately how many weeks'
gestation? - -20 weeks
-Most neonates who survive perimortem cesarean section are delivered
within how long after maternal arrest? - -5 mins
-Which assessment provides the best information about possible fetal
distress? - -Inspecting for fetal movement
-When caring for a pregnant trauma patient, which assessment takes
priority? - -Assess the level of consciousness.
-Which fetal heart rate indicates fetal distress in a term fetus? - -172 beats
per minute
-During the perineal assessment of a pregnant patient, the physician obtains
a sample of vaginal fluid for examination. Which finding indicates amniotic
fluid in the sample? - -A fern pattern appears on the slide sample.
-Which laboratory test is used to detect the mixing of fetal blood in the
maternal circulation? - -Kleihauer-Betke test
-Which condition should prompt the emergency nurse to observe for signs
and symptoms of disseminated intravascular coagulation? - -Abruptio
placentae
-Which cardiotocographic findings indicate fetal distress? - -A fetal heart
rate of less than 100 beats per minute and decreased variability in the fetal
heart rate
-Which description provides the best definition of tocolysis? - -
Pharmacologic suppression of contractions, usually to halt preterm labor
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