A 27-year-old woman who is 34 weeks pregnant is brought to the emergency department after a moderate-speed motor-vehicle collision. She is hemodynamically stable, and her primary survey is unremarkable. After the mother's initial assessment and stabilization, which of the following is the most appropriate step to evaluate fetal well-being in this patient?
Begin continuous external fetal heart-rate and uterine-contraction monitoring for a minimum of 4 hours.
Obtain a single handheld Doppler reading of the fetal heart rate and repeat only if maternal vital signs change.
Delay any fetal assessment until all maternal diagnostic imaging is completed.
Administer prophylactic tocolytics immediately, without prior fetal assessment.
For any viable pregnancy (typically ≥20-24 weeks) complicated by trauma, current obstetric and trauma guidelines recommend initiating continuous electronic fetal heart-rate and uterine-activity monitoring-usually for at least 4 hours-to detect placental abruption, uterine contractions, or other signs of fetal distress. A single Doppler check may miss late abnormalities, and delaying fetal assessment or administering tocolytics without monitoring can lead to missed or inappropriate management decisions.
Ask Bash
Bash is our AI bot, trained to help you pass your exam. AI Generated Content may display inaccurate information, always double-check anything important.
What is continuous external fetal heart-rate and uterine-contraction monitoring?
Open an interactive chat with Bash
What is placental abruption, and why is it a concern in trauma during pregnancy?
Open an interactive chat with Bash
Why is a single handheld Doppler reading not sufficient for assessing fetal well-being after trauma?
Open an interactive chat with Bash
BCEN CEN
Gastrointestinal, Genitourinary, Gynecology, and Obstetrical
Your Score:
Report Issue
Bash, the Crucial Exams Chat Bot
AI Bot
Loading...
Loading...
Loading...
Pass with Confidence.
Nursing and Medical Assistants Package
You have hit the limits of our free tier, become a Premium Member today for unlimited access.
Military, Healthcare worker, Gov. employee or Teacher? See if you qualify for a Community Discount.
Monthly
$9.99
$9.99/mo
Billed monthly, Cancel any time.
3 Month Pass
$14.99
$4.99/mo
One time purchase of $14.99, Does not auto-renew.
BEST DEAL
Lifetime Pass
$29.99
One time purchase, Good for life.
What You Get
All Nursing and Medical Assistants Package plans include the following perks and exams .