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(a) Question : A 26-year-old female presents with heavy
vaginal bleeding. She is conscious, but restless. Her blood
pressure is 84/54 mm Hg, her pulse is 120 beats/min and
weak, and her respirations are 22 breaths/min with adequate
depth. She tells you that she inserted a tampon about 2 hours
ago. You should:
A. administer high-flow oxygen, perform a detailed
assessment of her vaginal area for signs of trauma, place her
on her side, and transport.
B. administer high-flow oxygen, ask her to remove the
tampon, perform a detailed secondary assessment, and
transport promptly.
C. administer high-flow oxygen, place a sterile pad over her
vagina, keep her warm, elevate her lower extremities, and
transport without delay.
D. assist her ventilations with a bag-valve mask, place one
sterile dressing into her vagina, perform a rapid secondary
assessment, and transport.
Correct answer: C. administer high-flow oxygen, place a
sterile pad over her vagina, keep her warm, elevate her lower
extremities, and transport without delay.
(b) Question : A patient with pelvic inflammatory disease
will typically complain of _________.
A. aches and fever associated with urination
B. bleeding associated with stress
C. nausea and vomiting associated with intercourse
D. abdominal pain associated with menstruation
Correct answer: D. abdominal pain associated with
menstruation
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