Ectopic Pregnancy for Certified Emergency Nursing (CEN)
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Included In This Lesson
Study Tools For Ectopic Pregnancy for Certified Emergency Nursing (CEN)
Example Care Plan_Ectopic Pregnancy (Cheatsheet)
Ectopic Pregnancy Pathochart (Cheatsheet)
Ectopic Pregnancy Laparascopic View (Image)
Ectopic Pregnancy (Image)
OB, Ectopic Pregnancy, Ectopic, Pregnancy Complications (Image)
Ectopic Pregnancy (Picmonic)
Outline
Ectopic Pregnancy
Definition/Etiology:
- Embryo implants at a site other than endometrium of uterus
- Typically, in fallopian tube, will eventually rupture
- Usually appears in 6th week of gestation
- 2% of all pregnancies in the U.S.
Clinical Presentation:
- Late or irregular period; abnormal vaginal bleeding
- Sudden onset of severe, unilateral pelvic pain
- Abdominal tenderness, guarding
- Palpable pelvic mass
- Positive pregnancy test
- Nausea, vomiting
- Rupture – Shoulder pain (Kehr sign), signs of shock, decreasing level of consciousness
Collaborative Management:
Assessment-
- hCG positive
- Progesterone level above 25 ng/mL
- CBC, Type and crossmatch with Rh
- transabdominal or transvaginal ultrasound
Interventions-
- IV fluids
- RhoGAM if Rh negative
- Prepare for surgery if suspected rupture
- Methotrexate (IM)
Evaluation | Patient Monitoring | Education:
Methotrexate (IM)-
- Must be stable with no signs of bleeding
- Must be reliable, compliant, able to return for follow-up
- Methotrexate is cytotoxic and should not be handled by pregnant nurses or those of childbearing age
- Personal protective equipment, including chemotherapy gloves, are worn by anyone handling methotrexate
- Methotrexate interferes with DNA synthesis and disrupts cell multiplication
Transcript
For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/
References:
- Emergency Nurses Association. (2017) Emergency Nursing Core Curriculum, 7th Edition. PA: Saunders
- Savone, D. (2017). Genitourinary, Gynecology, and Obstetrical Emergencies. In CEN Online Review. Emergency Nurses Association.
Adaptive Brain SIMCLEX Study Plan – 20 Sep 2025
Concepts Covered:
- Labor and Delivery
- Cardiac Disorders
- Emergency Care of the Cardiac Patient
- Immunological Disorders
- Intraoperative Nursing
- Cognitive Disorders
- Personality Disorders
- Shock
- Hematologic Disorders
- Urinary System
- Psychological Emergencies
- Multisystem
- Fetal Development
- Pregnancy Risks
- Anxiety Disorders
- Trauma-Stress Disorders
Study Plan Lessons
Fetal Heart Monitoring Like A Pro 2 – Live Tutoring Archive
Nursing Care Plan (NCP) for Process of Labor
Ventricular Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Anaphylaxis Nursing Interventions for Certified Perioperative Nurse (CNOR)
Disruptive Behaviors, Aggression, Violence for Progressive Care Certified Nurse (PCCN)
Shock States (Anaphylactic, Hypovolemic) For PCCN for Progressive Care Certified Nurse (PCCN)
Anemia for Progressive Care Certified Nurse (PCCN)
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)
Homicidal and Suicidal Ideation for Certified Emergency Nursing (CEN)
Allergic Reactions and Anaphylaxis for Certified Emergency Nursing (CEN)
Envenomation Emergencies for Certified Emergency Nursing (CEN)
Ectopic Pregnancy for Certified Emergency Nursing (CEN)
Anxiety Disorders (PTSD, Anxiety, Panic Attack) for Certified Emergency Nursing (CEN)