Ectopic Pregnancy for Certified Emergency Nursing (CEN)

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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)
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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

 

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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.

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Maternal Fetal Medicine

Concepts Covered:

  • Labor Complications
  • Pregnancy Risks
  • Newborn Care
  • Postpartum Care
  • Postpartum Complications
  • Prenatal Concepts
  • Fetal Development
  • Newborn Complications
  • Labor and Delivery
  • Studying
  • Medication Administration

Study Plan Lessons

Abruptio Placenta for Certified Emergency Nursing (CEN)
Abruptio Placentae (Placental abruption)
Anemia in Pregnancy
Antepartum Testing
Babies by Term
Betamethasone and Dexamethasone
Betamethasone and Dexamethasone in Pregnancy
Breastfeeding
Cardiac (Heart) Disease in Pregnancy
Causes of Chorioamnionitis Nursing Mnemonic (Pregnancies Are Very Interesting)
Causes of Labor Dystocia Nursing Mnemonic (Having Extremely Frustrating Labor)
Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)
Certified Nurse Midwife
Day in the Life of a Labor Nurse
Day in the Life of a Postpartum Nurse
Discomforts of Pregnancy
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Ectopic Pregnancy
Ectopic Pregnancy for Certified Emergency Nursing (CEN)
Emergent Delivery (OB) (30 min)
Emergent Delivery for Certified Emergency Nursing (CEN)
Epidural
Episiotomy – Evaluation of Healing Nursing Mnemonic (REEDA)
Erythroblastosis Fetalis
Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)
Fertilization and Implantation
Fetal Alcohol Syndrome (FAS)
Fetal Development
Fetal Heart Monitoring (FHM)
Fetal Heart Monitoring Like A Pro – Live Tutoring Archive
Fetal Heart Monitoring Like A Pro 2 – Live Tutoring Archive
Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)
Fundal Height Assessment for Nurses
Gestation & Nägele’s Rule: Estimating Due Dates
Gestational Diabetes (GDM)
Gestational Diabetes and Why YOU Should Know About It – Live Tutoring Archive
Gestational HTN (Hypertension)
Gravidity and Parity (G&Ps, GTPAL)
Glucose Tolerance Test (GTT) Lab Values
Hemorrhage (Postpartum Bleeding) for Certified Emergency Nursing (CEN)
Infections in Pregnancy
Incompetent Cervix
Initial Care of the Newborn (APGAR)
Labor Progression Case Study (45 min)
Magnesium Sulfate in Pregnancy
Mastitis
Maternal Risk Factors
Mechanisms of Labor
Meconium Aspiration
Meds for Postpartum Hemorrhage (PPH)
Meds for PPH (postpartum hemorrhage)
Menstrual Cycle
Newborn of HIV+ Mother
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Process of Labor
Oxytocin (Pitocin) Nursing Considerations
Placenta Previa
Placenta Previa for Certified Emergency Nursing (CEN)
Postpartum Discomforts
Postpartum Hemorrhage (PPH)
Postpartum Interventions
Postpartum Thrombophlebitis
Preeclampsia (45 min)
Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Pregnancy Labs
Premature Rupture of the Membranes (PROM)
Preterm Labor
Preterm Labor for Certified Emergency Nursing (CEN)
Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)
Prostaglandins in Pregnancy
Rh Immune Globulin (Rhogam)
Rh Immune Globulin in Pregnancy
Threatened/Spontaneous Abortion for Certified Emergency Nursing (CEN)