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

Concepts Covered:

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

Study Plan Lessons

Abortion in Nursing: Spontaneous, Induced, and Missed
Abruptio Placentae (Placental abruption)
Abruptio Placenta for Certified Emergency Nursing (CEN)
Alpha-fetoprotein (AFP) Lab Values
Antepartum Testing
Anemia in Pregnancy
Antepartum Testing Case Study (45 min)
Babies by Term
Breastfeeding
Cardiac (Heart) Disease in Pregnancy
Butorphanol (Stadol) Nursing Considerations
Causes of Labor Dystocia Nursing Mnemonic (Having Extremely Frustrating Labor)
Causes of Chorioamnionitis Nursing Mnemonic (Pregnancies Are Very Interesting)
Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)
Chorioamnionitis
Clindamycin (Cleocin) Nursing Considerations
Congestive Heart Failure (CHF) Labs
Day in the Life of a Labor Nurse
Day in the Life of a Postpartum Nurse
Dexamethasone (Decadron) Nursing Considerations
Direct Bilirubin (Conjugated) Lab Values
Discomforts of Pregnancy
Disseminated Intravascular Coagulation (DIC)
Dystocia
Ectopic Pregnancy
Ectopic Pregnancy Case Study (30 min)
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
Family Planning & Contraception
Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)
Family Planning & Signs of Pregnancy – Live Tutoring Archive
Fertilization and Implantation
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)
Glucose Tolerance Test (GTT) Lab Values
Glucagon Lab Values
Gravidity and Parity (G&Ps, GTPAL)
HELLP Syndrome
HELLP Syndrome – Signs and Symptoms Nursing Mnemonic (HELLP)
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Hemodynamics
Gestational Diabetes (GDM)
Infections in Pregnancy
Labor Progression Case Study (45 min)
Nursing Care Plan (NCP) for Incompetent Cervix
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
OB Course Introduction
Obstetrical Procedures
Postpartum Discomforts
Postpartum Interventions
Rh Immune Globulin (Rhogam)
Rh Immune Globulin in Pregnancy
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Newborn of HIV+ Mother