A pregnant patient is brought to the emergency department after a roll-over motor vehicle crash. After assessing and stabilizing the patient's airway, breathing, and circulation, which of the following actions should the nurse perform next?
A.
Assess the woman for further injuries.
B.
Attach continuous fetal monitoring leads.
C.
Determine the date of the patient's last tetanus booster.
D.
Prepare to transfer the woman to the delivery suite.
ANS: B
Maternal trauma accounts for about 50% of fetal deaths. Seemingly minor injuries to the woman may cause serious injury or death to the fetus. Because the fetal heart rate is one of the first signs to change in fetal distress, all pregnant trauma patients need continuous fetal monitoring. Assessing the woman for further injuries and determining the date of the woman's last tetanus booster are both appropriate actions; however, they do not take priority over fetal monitoring. The woman may or may not need to be transferred to the delivery suite.
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