You are working in an OB outpatient client. A patient who is 10 weeks pregnant has come in with the following symptoms: abdominal pain, shoulder pain, vaginal bleeding. You promptly notify the physician of her symptoms because you know what she is experiencing could be a medical emergency. What diagnosis do you anticipate the physician making?


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- Ectopic pregnancy

- Miscarriage

- Disseminating intravascular coagulation DIC)

- Premature rupture of membranes (PROM)


Abdominal pain, shoulder pain, and vaginal bleeding are classic signs of ectoopic pregnancy. Shoulder pain is referred pain caused by blood in the abdomen, indicating a rupture has occured. Abdominal pain and vaginal bleeding is consistent with a miscarriage, but the shoulder pain should be your indicator for ectopic pregnancy. These are not symptoms specific to DIC or PROM.

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Question Information

Nursing Category

OB / Peds

Question Difficulty
Total - 95
Correct - 58
Percent Right - 61.0526315789
User Feedback


Question ID - 368517

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