A woman with a positive pregnancy test develops sudden one-sided pelvic pain, shoulder-tip pain, dizziness and a weak rapid pulse. Which nursing action is the priority?
Correct answer: A. Place her supine, assess circulation and call for urgent help
- A. Place her supine, assess circulation and call for urgent help
- B. Offer oral fluids and ask her to walk slowly
- C. Apply a warm pack and reassess her after one hour
- D. Arrange a routine outpatient appointment for next week
Explanation
The symptoms suggest a ruptured ectopic pregnancy with internal bleeding. Circulation is threatened, so immediate assessment, urgent medical help and preparation for emergency treatment take priority over comfort measures or routine referral.
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About Gynaecological Nursing
Gynaecological nursing covers assessment and care for menstrual disorders, vaginal infections, pelvic inflammatory disease, infertility, endometriosis, fibroids, uterine prolapse and reproductive tract cancers. It includes pelvic examination, specimen collection, preoperative and postoperative care, medication support, privacy and counselling, and distinguishes gynaecological conditions from normal pregnancy-related changes.
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