BCEN Obstetric and Gynecological Emergencies 3

Question 1

A patient presents with sudden, severe left lower quadrant pain, nausea, vomiting, and an ultrasound showing an enlarged, edematous ovary. Which diagnosis is most likely?

Accepted Answer

Ovarian torsion

Answer

Ectopic pregnancy

Answer

Appendicitis

Answer

Pelvic inflammatory disease

Question 2

Which medication is the antidote for magnesium sulfate toxicity?

Accepted Answer

Calcium gluconate

Answer

Naloxone

Answer

Flumazenil

Answer

Protamine sulfate

Question 3

After delivery of the infant, the placenta does not deliver within 30 minutes and significant hemorrhage begins. This is consistent with:

Accepted Answer

Retained placenta

Answer

Uterine inversion

Answer

Placenta accreta

Answer

Subinvolution of the uterus

Question 4

A patient at 35 weeks presents with painless, heavy vaginal bleeding and stable vital signs. Before performing any vaginal examination, the nurse MUST first:

Accepted Answer

Confirm placenta location via ultrasound to rule out placenta previa

Answer

Obtain a stat CBC and coagulation studies

Answer

Confirm fetal presentation via bedside ultrasound

Answer

Apply continuous external fetal monitoring

Question 5

Which finding is most characteristic of uterine rupture during labor?

Accepted Answer

Sudden cessation of contractions followed by severe abdominal pain and fetal distress

Answer

Gradual onset of increasingly frequent contractions

Answer

Increased fetal movement detected by the patient

Answer

Painless bright red vaginal bleeding with a soft uterus

Question 6

An 18-year-old female presents with bilateral lower abdominal pain, fever, and vaginal discharge and reports multiple sexual partners. Which STI screening should be prioritized?

Accepted Answer

Gonorrhea, chlamydia, HIV, and syphilis

Answer

HIV and syphilis only

Answer

Herpes simplex virus and HPV

Answer

Trichomonas only

Question 7

A patient at 12 weeks gestation presents in shock with heavy vaginal bleeding and a dilated cervical os. What is the most critical nursing priority?

Accepted Answer

Establish large-bore IV access and initiate fluid resuscitation

Answer

Administer Rh immune globulin if the patient is Rh-negative

Answer

Prepare the patient for dilation and curettage

Answer

Obtain a quantitative beta-hCG level