Ectopic pregnancy
Ectopic pregnancy ( 15 Questions)
A nurse is assessing a patient with suspected ectopic pregnancy.
Which nursing interventions are appropriate during the assessment? Select all that apply.
Obtaining a thorough medical history, including previous pregnancies and gynecological surgeries, is essential when assessing a patient with suspected ectopic pregnancy. This information can help healthcare providers make an accurate diagnosis and determine the best course of treatment.
Performing a pelvic examination to check for adnexal masses or signs of peritoneal irritation is a crucial nursing intervention in the assessment of a patient with suspected ectopic pregnancy. Adnexal masses or peritoneal irritation can be indicative of an ectopic pregnancy or other gynecological issues.
Administering methotrexate immediately is not a standard nursing intervention during the assessment of a patient with suspected ectopic pregnancy. Methotrexate is a medication used for medical management of some ectopic pregnancies but should be prescribed by a physician after a confirmed diagnosis, not during the initial assessment.
Assessing the patient's vital signs, including blood pressure and heart rate, is vital during the assessment of a patient with suspected ectopic pregnancy. Ectopic pregnancy can lead to internal bleeding and shock, so monitoring vital signs can help identify potential complications.
Ordering a transvaginal ultrasound to confirm the diagnosis and evaluate the severity is an appropriate nursing intervention. Transvaginal ultrasound is a valuable tool for diagnosing ectopic pregnancy and determining its location and severity.
Choice A rationale:
Obtaining a thorough medical history, including previous pregnancies and gynecological surgeries, is essential when assessing a patient with suspected ectopic pregnancy.
This information can help healthcare providers make an accurate diagnosis and determine the best course of treatment.
Choice B rationale:
Performing a pelvic examination to check for adnexal masses or signs of peritoneal irritation is a crucial nursing intervention in the assessment of a patient with suspected ectopic pregnancy.
Adnexal masses or peritoneal irritation can be indicative of an ectopic pregnancy or other gynecological issues.
Choice C rationale:
Administering methotrexate immediately is not a standard nursing intervention during the assessment of a patient with suspected ectopic pregnancy.
Methotrexate is a medication used for medical management of some ectopic pregnancies but should be prescribed by a physician after a confirmed diagnosis, not during the initial assessment.
Choice D rationale:
Assessing the patient's vital signs, including blood pressure and heart rate, is vital during the assessment of a patient with suspected ectopic pregnancy.
Ectopic pregnancy can lead to internal bleeding and shock, so monitoring vital signs can help identify potential complications.
Choice E rationale:
Ordering a transvaginal ultrasound to confirm the diagnosis and evaluate the severity is an appropriate nursing intervention.
Transvaginal ultrasound is a valuable tool for diagnosing ectopic pregnancy and determining its location and severity.