Emergency Nursing Orientation 3.0:
Obstetric Emergencies
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.
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."
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