GU/ OBGYN Tasks

Question 1

The emergency nurse is giving discharge instructions to a patient diagnosed with epididymitis. These instructions should include:

Answer 1

information about safe sex practices and use of condoms

Question 2

vital signs on the newborn RR

Answer 2

40-60

Question 3

The best way to obtain a urine specimen

from this female patient 2-year old

Answer 3

Bladder catheterization

Question 4

young adult female presents to triage complaining of right lower-quadrant pain. Which of the following conditions is MOST life threatening and should be ruled out first?

Answer 4

Ectopic Pregnancy ; the menses are usually

late or abnormal and not mid-cycle.

Question 5

The pain of ______often periumbilical

initially then localizes to the right lower quadrant.

Answer 5

appendicitis

Question 6

A female patient has right lower quadrant pain 8/10 (on the 0 to 10 pain scale), is afebrile, and her last menses was 2 weeks ago. The nurse would be concerned that this patient needs immediate intervention for:

Answer 6

Ovarian Cysts

Question 7

Which sexually transmitted disease often occurs concurrently with Neisseria gonorrhea?

Answer 7

Chlamydia trachomatis

Question 8

A woman presents to the ED in active labor at 38-weeks gestation. Exam shows a loop of umbilical cord protruding from the patient’s vagina. Along with administering 100% oxygen, the best position in which to place the patient is:

Answer 8

On her LEFT SIDE; relieves pressure on the abdominal aorta from the large gravid uterus.

Question 9

Pregnancy-induced hypertension (PIH) may be manifested by all of the following subjective
signs

Answer 9

visual changes, abdominal pain , headache; decrease urination

Question 10

An abnormal finding in a patient in the third trimester of pregnancy would be:

Answer 10

Hypertension

Question 11

Heart rate normally _______during pregnancy. Respiratory rate normally ________ during pregnancy, leading to________, which drives the ______down. ________develops because of increased iron requirements by mother and fetus, as well as
hemodilution from increased plasma volume

Answer 11

Increases; increases; hyperventilation; the PaCO2 ; Anemia

Question 12

Which of the following conditions should prompt the emergency nurse to observe for signs and symptoms of disseminated intravascular coagulation (DIC)?

Answer 12

Placenta abruption

Question 13

DIC is associated with various other complications of pregnancy as well

Answer 13

as sepsis, trauma (especially severe crush injuries, burns, and head injuries), and
malignancies.

Question 14

_________may be associated with severe eclampsia or hemolysis, elevated liver enzymes, low
platelets (HELLP) syndrome,

Answer 14

DIC