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Blunt trauma in pregnancy — ABEM Board MCQ

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HardTraumaBlunt trauma in pregnancyABEM Board

A 28-year-old pregnant woman at 28 weeks presents as triage level 2 after a low-speed MVC. She is Rh-negative, has no abdominal pain, fetal heart tones are present, and ultrasound shows a viable intrauterine pregnancy without free fluid. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Administer Rh immune globulin and monitor for uterine activity

Rh-negative pregnant trauma patients should receive Rh immune globulin, and viable pregnancies generally require monitoring because ultrasound does not exclude placental abruption.

Reference: ATLS obstetric trauma guidance; ACOG trauma in pregnancy guidance