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Pediatric and Obstetric Emergencies Flashcards

6 cards from real CEN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 Pediatric and Obstetric Emergencies flashcards as text

  1. A 5-year-old presents with fever, drooling, a toxic appearance, and refuses to swallow. The child prefers to sit upright leaning forward. Which diagnosis requires immediate airway management preparation?

    Answer: Epiglottitis

    The tripod position with drooling, toxic appearance, and dysphagia in a child are classic signs of epiglottitis, an airway emergency.

  2. During delivery, the umbilical cord prolapses through the cervix. What is the priority nursing action?

    Answer: Place the patient in knee-chest or Trendelenburg position and call for C-section

    Cord prolapse requires immediate knee-chest or Trendelenburg positioning to relieve pressure on the cord and emergent cesarean delivery.

  3. A 10-year-old with sickle cell disease presents with fever (38.6°C), chest pain, and hypoxia. CXR shows a new infiltrate. What is this complication called?

    Answer: Acute chest syndrome

    Acute chest syndrome in sickle cell disease presents with fever, respiratory symptoms, hypoxia, and a new pulmonary infiltrate and is a life-threatening complication.

  4. A 14-year-old female with a positive pregnancy test presents with lower abdominal pain and vaginal spotting. Pelvic exam reveals cervical motion tenderness and no adnexal mass. Quantitative hCG is 2,500 mIU/mL with no intrauterine pregnancy on transvaginal ultrasound. Which condition is most likely?

    Answer: Ectopic pregnancy

    A positive pregnancy test with no IUP on TVUS, hCG >1500–2000 mIU/mL, and pelvic pain indicates ectopic pregnancy until proven otherwise.

  5. An 18-month-old presents with multiple bruises in various stages of healing, bilateral retinal hemorrhages, and a tense fontanelle. The parents report the baby 'fell off the couch.' Which diagnosis should the nurse suspect?

    Answer: Non-accidental trauma (abusive head trauma)

    Bilateral retinal hemorrhages with unexplained intracranial injury and inconsistent history in a young child are highly specific for abusive head trauma.

  6. A neonate born to a GBS-positive mother who did not receive intrapartum prophylaxis develops respiratory distress, poor feeding, and temperature instability at 36 hours of life. What is the immediate management priority?

    Answer: Blood cultures and empiric IV antibiotics (ampicillin + gentamicin)

    Early-onset neonatal sepsis from GBS requires blood cultures followed immediately by empiric IV ampicillin and gentamicin.