A pregnant woman is being excavated from the back seat of a motor ...

[Chloeellawright]

A pregnant woman is being excavated from the back seat of a motor vehicle after a crash. In which order should this victim receive emergency care?
 
  1. Apply oxygen.
  2. Establish an airway.
  3. Monitor fetal activity.
  4. Position on the left side.
  5. Administer intravenous fluids.

Question 2

A pregnant client is in a motor vehicle crash and needs surgery to repair a fractured lower leg. What special precautions will this client need during and after the surgery? Select all that apply.
 
  1. Prepare for intubation.
  2. Insert a nasogastric tube.
  3. Maintain on strict bed rest.
  4. Insert an indwelling urinary catheter.
  5. Apply sequential compression devices (SCDs).

[harveenkau8139]

Answer to Question 1

2, 1, 5, 4, 3
Explanation:
1. Applying oxygen occurs after an airway is established.
2. The first action is to establish an airway.
3. Monitoring fetal activity occurs after the victim is stabilized.
4. Positioning on the left side helps prevent hypotension.
5. Intravenous fluids are provided to prevent shock and maintain circulation.

Answer to Question 2

1, 2, 4, 5
Explanation:
1. Pregnancy causes increased secretions of the respiratory tract and engorgement of the nasal mucous membrane, often making breathing through the nose difficult. Consequently, pregnant women often need an endotracheal tube to maintain an airway during surgery.
2. The decreased intestinal motility and delayed gastric emptying that occur in pregnancy increase the risk of vomiting when anesthetics are given and during the postoperative period. A nasogastric tube may be recommended before major surgery.
3. Exercises in bed should be encouraged along with early ambulation after surgery.
4. An indwelling urinary catheter prevents bladder distention, decreases risk of injury to the bladder, and permits monitoring of output.
5. SCDs during and after surgery help prevent venous stasis and the development of thrombophlebitis.

[Chloeellawright]

Thank you

[harveenkau8139]

No problemo