Author Question: A pregnant woman comes into the ED after receiving minor blunt trauma to her abdomen during a minor ... (Read 60 times)

burton19126 · **on:** Jun 27, 2018

A pregnant woman comes into the ED after receiving minor blunt trauma to her abdomen during a minor car accident. The nurse should carefully evaluate the woman for:

1. disseminated intravascular coagulation.
2. the ABCs of resuscitation.
3. abruptio placentae.
4. cervical funneling.

Question 2

Concerning physical trauma during pregnancy, nurses should be aware that:

1. pregnant women have fewer traumatic injuries because they are so careful of themselves and their families are so protective of them.
2. more cases of trauma are reported in the first trimester because that is when women are most normally active.
3. maternal death by trauma is most usually the result of penetrating abdominal trauma.
4. priorities of care after trauma must be to resuscitate the woman and stabilize her condition first and then consider fetal needs.

joewallace · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
1, 2, 4. Incorrect. All pregnant victims of even minor blunt trauma should be carefully evaluated for abruptio placentae. Nurses should look for uterine tenderness or pain, vaginal bleeding, leak-ing of amniotic fluid, and a change in fetal heart rate.
3. Correct. All pregnant victims of even minor blunt trauma should be carefully evaluated for abruptio placentae. Nurses should look for uterine tenderness or pain, vaginal bleeding, leaking of amniotic fluid, and a change in fetal heart rate.

Answer to Question 2

4
1. Incorrect. Pregnant women statistically are at the same risk as other women because a majority of pregnant women in the United States continue their usual activities.
2. Incorrect. Most cases of trauma are reported in the third trimester.
3. Incorrect. Maternal death caused by trauma is usually the result of head injury. Penetrat-ing abdominal trauma more likely will kill the fetus.
4. Correct. Most fetal deaths from trauma come with maternal deaths; treat the mother first.