Traumatic Injury Is the Most Common Indication for Nonobstetric Surgery

question 2

Multiple Choice

Traumatic injury is the most common indication for nonobstetric surgery during pregnancy.The normal physiologic changes that occur during pregnancy increase the challenge of evaluation and treatment when pregnant women are victims of trauma.Select the statements which best describe considerations in perioperative assessment of the pregnant trauma patient.

• A) Plasma volume increases by 50%, creating an increased susceptibility to blood loss.
• B) Blood pressure falls in the second trimester which may be misinterpreted as hypovolemia.
• C) Gastric emptying is slowed, increasing the risk of aspiration.
• D) The bladder is displaced in second and third trimesters increasing the risk of bladder injury in abdominal trauma.
• E) Coagulation factors are increased, amplifying the risk of DVT.

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