You arrive at the side of a pregnant patient in her third trimester who has been vaginally bleeding for several hours. Observation reveals several blood-soaked towels on the bed. She is alert and oriented with a patent airway and adequate breathing. Her pulse is 88 beats per minute and her blood pressure is 104/66 mmHg. In caring for this patient you would:
A) provide rapid transport in a supine position.
B) clean the outside of the vagina with sterile water and peroxide.
C) collect all towels with blood and transporting them with the patient.
D) prepare her for the possibility that she may have miscarried the baby.
Question 2
Your patient is an obese 39-year-old woman involved in a lateral-impact motor vehicle collision. Which of the following should you remember when assessing and treating this patient?
A) Relative to body size, this patient can tolerate a larger amount of hemorrhage before showing signs of shock.
B) This patient will tolerate blood loss well, as only non-vital tissues will become ischemic.
C) Relative to body weight, a smaller amount of hemorrhage may result in shock.
D) Blood volume increases proportionally with body weight, and the patient will experience signs of shock consistent with the classic stages of hemorrhage.
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