The nurse is caring for a client at 35 weeks' gestation who has been critically injured in a shooting. Which statement by the paramedics bringing the woman to the hospital would cause the greatest concern?
1. "Blood pressure 110/68, pulse 90."
2. "Entrance wound present below the umbilicus."
3. "Client is positioned in a left lateral tilt."
4. "Clear fluid is leaking from the vagina."
2
Explanation: 2. Penetrating trauma includes gunshot wounds and stab wounds. The mother generally fares better than the fetus if the penetrating trauma involves the abdomen as the enlarged uterus is likely to protect the mother's bowel from injury.
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