••• Chapter 14^ Management of Medical and Surgical Conditions in Pregnancy^157
❍ Name indications for prolonged monitoring posttrauma.
Frequent uterine contractions, nonreassuring fetal heart tracing, vaginal bleeding, uterine tenderness, serious
maternal injury, and ruptured membranes.
❍ What is the incidence of maternal visceral injury with penetrating trauma?
15% to 40%.
❍ When performing cardiopulmonary resuscitation (CPR) on a pregnant woman what is one important
difference than a nonpregnant patient?
It is critical to place the patient in a left lateral position to avoid compression of the vena cava and restrict cardiac
output.
❍ How long after the beginning of CPR should a cesarean delivery be performed?
Within 4 to 5 minutes if the fetus is viable.
❍ What volume of fetal blood does one vial of Rh-immune globulin neutralize?
15 mL of fetal packed red blood cells, or 30 mL of fetal whole blood.
❍ How soon after trauma should Rh-immune globulin be administered?
Within the first 72 hours.
❍ Should a seat belt be worn during pregnancy?
Yes. The lap belt portion should be placed under the pregnant woman’s abdomen, over both anterior superior iliac
spines and the pubic symphysis. The shoulder harness should be positioned between the breasts.