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

Manual elevation of the presenting fetal part immediately relieves pressure on the prolapsed cord, maintaining fetal circulation until emergency delivery can be performed.

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

Preeclampsia without severe features is characterized by BP ≥140/90 with proteinuria but without severe-range blood pressures or end-organ damage.

Question 3

HELLP syndrome is characterized by which triad of findings?

Accepted Answer

Hemolysis, elevated liver enzymes, and low platelets

Answer

HELLP syndrome stands for Hemolysis, Elevated Liver enzymes, and Low Platelets, representing a severe variant of preeclampsia with significant maternal morbidity.

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

Pelvic inflammatory disease presents with the classic triad of cervical motion tenderness, mucopurulent discharge, and fever due to ascending infection of the upper reproductive tract.

Question 5

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

Accepted Answer

Threatened miscarriage

Answer

Threatened miscarriage is the most common cause of first-trimester vaginal bleeding, occurring when the cervix remains closed but uterine bleeding is present.

(BCEN) Board of Certification of Emergency Nursing Practice Test

(BCEN) Board of Certification of Emergency Nursing Practice Test

BCEN Obstetric and Gynecological Emergencies 2