BCEN Obstetric and Gynecological Emergencies 2

Question 1

A laboring patient develops variable decelerations and a loop of umbilical cord is visible at the vaginal opening. What is the PRIORITY nursing intervention?

Accepted Answer

Manually elevate the presenting fetal part to relieve cord compression

Answer

Administer oxygen by non-rebreather mask

Answer

Prepare the OR for emergency cesarean section

Answer

Place the patient in Trendelenburg position

Question 2

A patient at 36 weeks has BP of 145/95 mmHg, +2 proteinuria, and mild pedal edema, but no neurological symptoms or severe-range BP readings. This presentation is consistent with:

Accepted Answer

Preeclampsia without severe features

Answer

Severe preeclampsia

Answer

HELLP syndrome

Answer

Gestational hypertension

Question 3

HELLP syndrome is characterized by which triad of findings?

Accepted Answer

Hemolysis, elevated liver enzymes, and low platelets

Answer

Hypertension, edema, and proteinuria

Answer

Headache, epigastric pain, and leg swelling

Answer

Hypoglycemia, elevated creatinine, and leukocytosis

Question 4

A patient presents with pelvic pain, fever of 38.8°C, purulent cervical discharge, and cervical motion tenderness. Which condition is most likely?

Accepted Answer

Pelvic inflammatory disease (PID)

Answer

Ovarian torsion

Answer

Ectopic pregnancy

Answer

Ruptured ovarian cyst

Question 5

Which of the following is the most common cause of first-trimester vaginal bleeding?

Accepted Answer

Threatened miscarriage

Answer

Placenta previa

Answer

Ectopic pregnancy

Answer

Cervical polyp

Question 6

A patient at 10 weeks gestation presents with heavy vaginal bleeding, passage of tissue, and a dilated cervical os. This presentation is consistent with which type of abortion?

Accepted Answer

Inevitable abortion

Answer

Threatened abortion

Answer

Complete abortion

Answer

Missed abortion

Question 7

A pregnant patient at 34 weeks develops sudden severe chest pain and dyspnea following a 6-hour car ride. Which condition should the nurse suspect?

Accepted Answer

Pulmonary embolism

Answer

Placental abruption

Answer

Peripartum cardiomyopathy

Answer

Preterm labor