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Emergency Nursing Orientation 3.0_ Obstetric Trauma (ENA-ENO-C09).
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Emergency Nursing Orientation 3.0_ Obstetric Trauma (ENA-ENO-C09).
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Emergency Nursing Orientation 3.0:Obstetric Trauma (ENA-ENO-C09)
When caring for an unresponsive pregnant trauma patient, which assessment is the
priority? - ANS-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? - ANS-The fetus's carboxyhemoglobin level is higher than the mother's.
The fundus reaches the umbilicus at approximately how many weeks' gestation? -
ANS-20 weeks
Most neonates who survive perimortem cesarean section are delivered within how long
after maternal arrest? - ANS-5 mins
Which assessment provides the best information about possible fetal distress? -
ANS-Inspecting for fetal movement
When caring for a pregnant trauma patient, which assessment takes priority? -
ANS-Assess the level of consciousness.
Which fetal heart rate indicates fetal distress in a term fetus? - ANS-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? -
ANS-A fern pattern appears on the slide sample.
Which laboratory test is used to detect the mixing of fetal blood in the maternal
circulation? - ANS-Kleihauer-Betke test
Which condition should prompt the emergency nurse to observe for signs and
symptoms of disseminated intravascular coagulation? - ANS-Abruptio placentae
Which cardiotocographic findings indicate fetal distress? - ANS-A fetal heart rate of less
than 100 beats per minute and decreased variability in the fetal heart rate
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