Author Question: A pregnant patient is brought to the emergency department after a roll-over motor vehicle crash. ... (Read 78 times)

Jramos095 · **on:** Jun 28, 2018

A pregnant patient is brought to the emergency department after a roll-over motor vehicle crash. After assessing and stabilizing the patient's airway, breathing, and circulation, which of the following actions should the nurse perform next?

A.
Assess the woman for further injuries.
B.
Attach continuous fetal monitoring leads.
C.
Determine the date of the patient's last tetanus booster.
D.
Prepare to transfer the woman to the delivery suite.

Question 2

A new nurse is caring for a woman previously diagnosed with preeclampsia who was admitted to the high-risk OB unit after suffering a seizure in the perinatal clinic.

The new nurse is preparing to administer a dose of magnesium sulfate (Sulfamag). Which action by the nurse warrants intervention by the unit manager?
A.
Explains to the patient that her vital signs and EKG will be monitored frequently
B.
Piggybacks the Sulfamag into a main line using an infusion pump
C.
Places 10 calcium gluconate in a secure location in the patient's room
D.
Runs the Sulfamag as the main IV line through an infusion pump

chereeb · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
Maternal trauma accounts for about 50 of fetal deaths. Seemingly minor injuries to the woman may cause serious injury or death to the fetus. Because the fetal heart rate is one of the first signs to change in fetal distress, all pregnant trauma patients need continuous fetal monitoring. Assessing the woman for further injuries and determining the date of the woman's last tetanus booster are both appropriate actions; however, they do not take priority over fetal monitoring. The woman may or may not need to be transferred to the delivery suite.

Answer to Question 2

ANS: D
Magnesium sulfate should be infused on an infusion pump piggybacked into the main line, not as the primary IV line. The other actions are appropriate.