A woman with six weeks of amenorrhoea has severe one-sided lower abdominal pain, dizziness and shoulder-tip pain. Which nursing action is the priority?
Correct answer: A. Arrange urgent assessment for possible ruptured ectopic pregnancy
- A. Arrange urgent assessment for possible ruptured ectopic pregnancy
- B. Advise bed rest and repeat a pregnancy test next week
- C. Offer oral fluids and document the pain for routine review
- D. Teach her that mild discomfort is normal in early pregnancy
Explanation
The symptoms suggest internal bleeding from a possible ruptured ectopic pregnancy, so urgent assessment is required. Circulation and safety take priority because dizziness and shoulder-tip pain may indicate intra-abdominal bleeding; routine observation could delay lifesaving care.
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About Reproductive Anatomy and Conception
Female and male reproductive organs, pelvic anatomy, gametogenesis, the menstrual cycle and the hormonal control of ovulation lead into fertilisation, implantation and early embryonic development. Questions distinguish ovulation from menstruation, fertilisation from implantation, and the normal anatomical changes that allow conception and pregnancy to occur.
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