Question

a 31 - year - old unrestrained pregnant female was involved in a motor vehicle collision in which she struck the steering wheel. she now complains of chest and abdominal pain. she is conscious, alert, and oriented with no deficits noted to the airway, breathing, or circulation. when asking her questions regarding her status, which questions should you ask first?

○ a. \is there a reason why you were not wearing a seat belt?\
○ b. \are you receiving prenatal care from an obstetrician?\
○ c. \do you feel as though you are having contractions?\
○ d. \have there been any problems with previous pregnancies?\

Explanation:

In a trauma situation involving a pregnant woman, assessing for signs of preterm labor (such as contractions) is crucial as it directly impacts the immediate well - being of both the mother and the fetus. Questions about seat belt use (a) are not relevant to the current medical status in this context. While prenatal care (b) and previous pregnancy problems (d) are important for overall obstetric history, they are not the most urgent to ask first compared to assessing for contractions which could indicate an immediate obstetric emergency.

Answer:

C. "Do you feel as though you are having contractions?"