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An 8 month pregnant female was wearing a seatbelt when she was T-boned during a car crash. When you arrive she has a scalp laceration, redness on both pelvic crests, and shortness of breath. You are unable to auscultate fetal heart tones at the scene. Her vital signs are BP 126/88, P 108, R 22 and SpO2 is 97% on room air. You should suspect

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Final answer:

The pregnant female may be experiencing a placental abruption, which requires immediate medical intervention. Placental abruption can lead to severe bleeding and oxygen deprivation to the fetus. Prompt evaluation and treatment by a healthcare professional are necessary.

Step-by-step explanation:

Based on the symptoms described, including a scalp laceration, redness on both pelvic crests, shortness of breath, and the inability to auscultate fetal heart tones, it is likely that the pregnant female is experiencing a placental abruption. Placental abruption is a serious condition where the placenta separates from the uterine wall before delivery, which can cause severe bleeding and oxygen deprivation to the fetus. The elevated heart rate, shortness of breath, and potential absence of fetal heart tones are indicative of fetal distress.



In this situation, immediate medical intervention is necessary. The patient should be transported to a hospital as soon as possible for evaluation and treatment by a healthcare professional. A placental abruption can be life-threatening for both the mother and the baby, and prompt medical attention is crucial.



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