Ectopic pregnancy

Question 2

What is hCG an important biochemical marker for?

Answer 2

Pregnancy

hCG is used as the basis for many pregnancy tests.

Question 3

Which statement regarding hCG is true?

Answer 3

Higher-than-normal levels of hCG may indicate an ectopic pregnancy or Down syndrome.

Question 4

Methotrexate is most often used for which obstetric complication?

Answer 4

Unruptured ectopic pregnancy

Question 5

What symptoms did the woman present with that indicate a possible ectopic pregnancy?

Answer 5

Missed period, adnexal fullness, tenderness, dark red vaginal bleeding

Question 6

What does the presence of ecchymotic blueness around the umbilicus indicate?

Answer 6

Cullen sign associated with a ruptured ectopic pregnancy

Question 7

What is the primary concern for a nurse caring for a client with ectopic pregnancy?

Answer 7

Hemorrhage

Question 8

What has caused the reported incidence of ectopic pregnancy to rise over the past 2 decades?

Answer 8

Increase in sexually transmitted infections (STIs) and tubal infection and damage

Question 9

Which contraceptive device has increased the risk for ectopic pregnancy?

Answer 9

IUD

Question 10

What signs or symptoms should a nurse observe for in a client with suspected early signs of ectopic pregnancy? (Select all that apply)

Answer 10

• Pelvic pain
• Abdominal pain
• Vaginal spotting or light bleeding
• Missed period