Throughout the world the rate of ectopic pregnancy has increased ...

[dejastew]

Throughout the world the rate of ectopic pregnancy has increased dramatically over the past 20 years. This is believed to be due primarily to scarring of the fallopian tubes as a result of pelvic infection, inflammation, or surgery.
 
  The nurse who suspects that a patient has early signs of ectopic pregnancy should be observing her for symptoms such as (select all that apply) a. Pelvic pain
  b. Abdominal pain
  c. Unanticipated heavy bleeding
  d. Vaginal spotting or light bleeding
  e. Missed period

Question 2

Which action by the nurse is appropriate when preparing a child for a procedure?
 
  a. Discourage the child from crying during the procedure.
  b. Use professional terms so the child will understand what is happening.
  c. Give the child choices whenever possible.
  d. Discourage the parents from staying in the room during the procedure.

[GCabra]

Answer to Question 1

A, B, D, E
Feedback
Correct A missed period or spotting can easily be mistaken by the patient as early
signs of pregnancy. More subtle signs depend on exactly where the
implantation occurs. The nurse must be thorough in her assessment
because pain is not a normal symptom of early pregnancy.
Incorrect As the fallopian tube tears open and the embryo is expelled, the patient
often exhibits severe pain accompanied by intraabdominal hemorrhage.
This may progress to hypovolemic shock with minimal or even no external
bleeding. In about half of women, shoulder and neck pain occurs due to
irritation of the diaphragm from the hemorrhage.

Answer to Question 2

C
Feedback
A Children (and adults) should be given permission to cry.
B Age-appropriate language should always be used.
C Allowing children to make choices gives them a sense of control.
D Parents should be encouraged to stay in the room and give support to the child.