©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NUR 236 exam 4 Practice Questions and
Answers
what are the three most common pregnancy complications in the first trimester? - Ans:✔✔-ectopic
pregnancy, gestational trophoblastic disease, and spontaneous abortion (miscarriage)
true or false: all bleeding in early pregnancy indicates a complication - Ans:✔✔-false
fertilized egg implants outside the uterine cavity - Ans:✔✔-ectopic pregnancy
where can an ectopic pregnancy implant? - Ans:✔✔-fallopian tube, on the ovary, on the cervix, on the
outside of the fallopian tube, on the abdominal wall, bowel
what is the hallmark sign of ectopic pregnancy - Ans:✔✔-unilateral stabbing pain in the lower quadrant
what are signs and symptoms of ectopic pregnancy - Ans:✔✔-unilateral abdominal pain, vaginal
bleeding, a missed period, abdominal tenderness
what puts you at risk of having an ectopic pregnancy? - Ans:✔✔-history of STIs
Page 1/36
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
prior ectopic pregnancy
previous tubal, pelvic, or abdominal surgery
endometriosis
current use of exogneous hormones
use of IUD
IVF
why is a ruptured ectopic pregnancy an emergency - Ans:✔✔-must be diagnosed before the onset of
hypotension, bleeding, pain, and overt rupture to prevent major morbidity and death
what labs need to be worked up for ectopic pregnancy - Ans:✔✔-beta-human chorionic gonadotropin
Page 2/36
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
blood type
Rh
CBC
complete metabolic panel
WBC
diagnostic tools used to assess an ectopic pregnancy - Ans:✔✔-transvaginal US
serial BhCG
pelvic exam
what is a salpingectomy - Ans:✔✔-removal of the rupture fallopian tube (done by lapartotomy)
what is salpingostomy - Ans:✔✔-incision into the fallopian tube to remove the pregnancy
Page 3/36
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
what medication is used for an ectopic pregnancy - Ans:✔✔-methotrexate
chemotherapeutic drug and folic acid inhibitor that stops all rapid cell production, inhibiting the growth
of the embryo and destroying remaining trophoblastic tissue. used in the management of ectopic
pregnancy - Ans:✔✔-methotrexate
when is someone considered eligible for methotrexate for ectopic pregnancy - Ans:✔✔-if the ectopic
mass is unruptured and measures 1.6 cm or less on an US exam
what pregnancy category is methotrexate - Ans:✔✔-category X and needs special handling (chemo
sharps)
what are educational points for patients on methotrexate? - Ans:✔✔-- side effects such as nausea and
vomiting
- discontinuation of prenatal vitamins and other folic acid supplements, which can act as antagonists
- the need for alcohol abstinence
- avoidance of NSAIDs
- the need for sunscreen and protective clothing to prevent photosensitivity
- required follow up lab work to monitor hCG levels and other side effects
Page 4/36
FIRST PUBLISH OCTOBER 2024
NUR 236 exam 4 Practice Questions and
Answers
what are the three most common pregnancy complications in the first trimester? - Ans:✔✔-ectopic
pregnancy, gestational trophoblastic disease, and spontaneous abortion (miscarriage)
true or false: all bleeding in early pregnancy indicates a complication - Ans:✔✔-false
fertilized egg implants outside the uterine cavity - Ans:✔✔-ectopic pregnancy
where can an ectopic pregnancy implant? - Ans:✔✔-fallopian tube, on the ovary, on the cervix, on the
outside of the fallopian tube, on the abdominal wall, bowel
what is the hallmark sign of ectopic pregnancy - Ans:✔✔-unilateral stabbing pain in the lower quadrant
what are signs and symptoms of ectopic pregnancy - Ans:✔✔-unilateral abdominal pain, vaginal
bleeding, a missed period, abdominal tenderness
what puts you at risk of having an ectopic pregnancy? - Ans:✔✔-history of STIs
Page 1/36
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
prior ectopic pregnancy
previous tubal, pelvic, or abdominal surgery
endometriosis
current use of exogneous hormones
use of IUD
IVF
why is a ruptured ectopic pregnancy an emergency - Ans:✔✔-must be diagnosed before the onset of
hypotension, bleeding, pain, and overt rupture to prevent major morbidity and death
what labs need to be worked up for ectopic pregnancy - Ans:✔✔-beta-human chorionic gonadotropin
Page 2/36
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
blood type
Rh
CBC
complete metabolic panel
WBC
diagnostic tools used to assess an ectopic pregnancy - Ans:✔✔-transvaginal US
serial BhCG
pelvic exam
what is a salpingectomy - Ans:✔✔-removal of the rupture fallopian tube (done by lapartotomy)
what is salpingostomy - Ans:✔✔-incision into the fallopian tube to remove the pregnancy
Page 3/36
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
what medication is used for an ectopic pregnancy - Ans:✔✔-methotrexate
chemotherapeutic drug and folic acid inhibitor that stops all rapid cell production, inhibiting the growth
of the embryo and destroying remaining trophoblastic tissue. used in the management of ectopic
pregnancy - Ans:✔✔-methotrexate
when is someone considered eligible for methotrexate for ectopic pregnancy - Ans:✔✔-if the ectopic
mass is unruptured and measures 1.6 cm or less on an US exam
what pregnancy category is methotrexate - Ans:✔✔-category X and needs special handling (chemo
sharps)
what are educational points for patients on methotrexate? - Ans:✔✔-- side effects such as nausea and
vomiting
- discontinuation of prenatal vitamins and other folic acid supplements, which can act as antagonists
- the need for alcohol abstinence
- avoidance of NSAIDs
- the need for sunscreen and protective clothing to prevent photosensitivity
- required follow up lab work to monitor hCG levels and other side effects
Page 4/36
