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Multiple Choice

Pregnant trauma patients should be placed on the left side because:

Placing a pregnant trauma patient on the left side relieves compression of the large vein that returns blood to the heart. In late pregnancy the uterus can push on the inferior vena cava when the patient is flat, which lowers venous return, reduces cardiac output, and can compromise uteroplacental blood flow. Shifting to the left side moves the uterus off the vessel, improves venous return, increases maternal blood pressure and cardiac output, and enhances placental perfusion and fetal oxygen delivery during trauma. This position is about optimizing hemodynamics, not preventing seizures or placental abruption, and fetal heart tones can be checked in various positions, but the left-side tilt is favored for improved perfusion.

Placing a pregnant trauma patient on the left side relieves compression of the large vein that returns blood to the heart. In late pregnancy the uterus can push on the inferior vena cava when the patient is flat, which lowers venous return, reduces cardiac output, and can compromise uteroplacental blood flow. Shifting to the left side moves the uterus off the vessel, improves venous return, increases maternal blood pressure and cardiac output, and enhances placental perfusion and fetal oxygen delivery during trauma. This position is about optimizing hemodynamics, not preventing seizures or placental abruption, and fetal heart tones can be checked in various positions, but the left-side tilt is favored for improved perfusion.