A woman who is 14 weeks pregnant presents to the ED after falling down a flight of stairs. What should be the nurse's first intervention?
1. Administer oxygen.
2. Attempt to locate fetal heart tones.
3. Start an IV with a large-bore catheter.
4. Position the patient on her right side.
1
Rationale 1: Oxygen consumption is increased in pregnancy. The pregnant trauma patient should always receive supplemental oxygen. This should be the first action according to the ABCs of assessment.
Rationale 2: It is important to assess fetal heart tones, but this is not the priority intervention.
Rationale 3: It may be necessary to secure venous access, but this is not the first priority.
Rationale 4: In more advanced pregnancy the uterus may compress the vena cava. In this situation the patient is placed on her left side.
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