PREGNANCY AND TRAUMA quiz

Increased heart rate decreased systemic vascular resistance increase in plasma volume

The cardiovascular changes associated with a normal pregnancy are ...

Airway Breathing Circulation Disability Exposure

What is assessed during the primary survey of a pregnant trauma patient?

Test fetal cells in maternal circulation

What is the purpose of the Kleinhauser-Betke test?

The placenta is not able to contract and expand with the uterus Increased vascularity puts the mother at greater risk for hemorrhage the severity of injuries is a good predictor for placental abruption

What is true about blunt trauma in the pregnant patient?

During the secondary survey

When are fetal heart tones assessed?

While maintaining spinal precautions, place the patient in a left tilt at 15 degrees or 4-6 inches

When resuscitating the pregnant trauma patient, what should be completed first?

To increase venous flow flow to heart by getting baby/uterus off of inferior vena cava, increasing preload

Why would you turn a pregnant trauma patient on her side?

Fetal late decelerations

Hemorrhagic shock in a pregnant trauma patient may lead to ...

Is noted by changes in fetal heart rate

Hypoperfusion of the fetus ...

Abruptio Placenta

A 32 y/o gravida female presents to the ED following a MVC. She is 32 weeks gestation. She is describing sharp abdominal pain and frequent contractions. Vaginal exam notes a moderate amount of dark red blood. FHTs are 150s. What is most likely diagnosis?

Late decelerations NO variability baseline pattern changes heart rate >160 BPM Brady with acute insult sinusoidal patterns

Describe the fetal heart rate changes that happen during fetal hypoxia (fetal distress).

Constrict Decreased

Maternal shock causes uterine artery to (constrict/dilate) thus resulting in (increased/decreased) blood flow to the fetus.

Deep Vein thrombosis (DVT)

Normal pregnancy has two of the three factors of Virchow's triad, in the pregnant trauma patient, making the patient at risk for ...