NCLEX 준비- Ruptured Ectopic pregnancy

안녕하세요 예비 미국 간호사 선생님들
이번에는 Ruptured Ectopic pregnancy에 대해 공부해봅시다.

Ruptured Ectopic pregnancy이란, 자궁 외 임신은 수정란이 정상적인 위치인 자궁몸통의 내강에 착상되지 않고 다른 곳, 즉 난소에서 나온 난자를 자궁까지 운반하는 난관, 난자를 생산하는 난소, 자궁을 지지하는 여러 인대, 복강, 자궁의 입구에 해당하는 자궁경부 등에 착상되는 임신을말한다.

 

** This is considered "Life threatening" and leads to "Hemorrhage".

 

 

Rule #1. Abdominal pain + Shoulder pain (Right side)

 

Rule #2. Hypovolemic shock due to bleeding

• Hypotension
• Increased pulse = Tachycardia
• Dizziness

Rule #3. Nitrazine pH test turns Blue

- Sexual intercourses with partner 1 hr before coming today

- Presence of blood or semen (정액) may result in false positive