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 – 26 Jan 2026
Concepts Covered:
- Peripheral Nervous System Disorders
- Postoperative Nursing
- Fundamentals of Emergency Nursing
- Integumentary Disorders
- Integumentary Disorders
- Fetal Development
- Pregnancy Risks
- Terminology
- Endocrine and Metabolic Disorders
- Urinary System
- Prenatal Concepts
- Medication Administration
- Circulatory System
Study Plan Lessons
Nursing Care Plan (NCP) for Guillain-Barre
Postoperative Follow-up for Certified Perioperative Nurse (CNOR)
Discharge Planning for Certified Emergency Nursing (CEN)
Burns for Certified Emergency Nursing (CEN)
Ectopic Pregnancy for Certified Emergency Nursing (CEN)
Alpha-fetoprotein (AFP) Lab Values
Nursing Care Plan (NCP) for Fluid Volume Deficit
Antepartum Testing Case Study (45 min)
Insulin Drips
Patient Controlled Analgesia (PCA)
What the Heck is Antepartum Testing? – Live Tutoring Archive
Top 5 Misunderstood OB Concepts – Live Tutoring Archive
IV Insertion Angle
How to Secure an IV (chevron, transparent dressing)
Drawing Blood from the IV