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 – 17 Sep 2025
Concepts Covered:
- Psychological Emergencies
- Trauma-Stress Disorders
- Oncology Disorders
- Musculoskeletal Trauma
- Developmental Considerations
- Respiratory Emergencies
- Central Nervous System Disorders – Brain
- Neurological Emergencies
- Noninfectious Respiratory Disorder
- Emergency Care of the Trauma Patient
- Disorders of the Adrenal Gland
- Disorders of the Thyroid & Parathyroid Glands
- Fetal Development
- Pregnancy Risks
- Emergency Care of the Neurological Patient
- Neurological
Study Plan Lessons
Grief and Loss
Nursing Care Plan (NCP) for Colorectal Cancer (Colon Cancer)
Nursing Care Plan for Fractures
Palliative Care for Progressive Care Certified Nurse (PCCN)
End of Life for Progressive Care Certified Nurse (PCCN)
Thoracic Surgery (Lobectomy, Pneumonectomy) for Progressive Care Certified Nurse (PCCN)
Seizure Disorder for Progressive Care Certified Nurse (PCCN)
Pleural Space Complications (Pneumothorax, Hemothorax, Pleural Effusion, Empyema, Chylothorax) for Progressive Care Certified Nurse (PCCN)
Minimally-Invasive Thoracic Surgery (VATS) for Progressive Care Certified Nurse (PCCN)
Fractures (Open, Closed, Fat Embolus) for Certified Emergency Nursing (CEN)
End-of-Life and Palliative Care (Organ and Tissue Donation, Advance Directives, Care Withholding, Family Presence) for Certified Emergency Nursing (CEN)
Respiratory Trauma for Certified Emergency Nursing (CEN)
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Ectopic Pregnancy for Certified Emergency Nursing (CEN)
Increased Intracranial Pressure (ICP) for Certified Emergency Nursing (CEN)