Medical Surgical Critical Care BLS & CPR #4

Question

Which is the correct position for providing CPR to a client who is 16-weeks gestational age?

Answers

  1. Lying flat on the back.
    • Rationale:

      This answer is not correct because it places pressure on the heart. By placing her on the left side, the uterus will be manually displaced on the left side and the vessels will not be compressed.

  2. Manually displaced to the left side.
    • Rationale:

      This answer is correct because the liver is on the right side of the abdomen. Lying on the left side keeps the uterus off that organ. Being on the left side improves circulation to the heart and allows for blood to flow to the fetus, uterus, and kidneys.

  3. Supine with a roll supporting the neck.
    • Rationale:

      This answer is not correct because a pregnant client should never receive CPR lying in the supine position. This position causes the uterus to place pressure on the vessels going into and out of the heart.

  4. Supine with a roll supporting the lower back.
    • Rationale:

      This answer is not correct because a pregnant client should never receive CPR lying in the supine position. This position causes the uterus to place pressure on the vessels going into and out of the heart.

Overview

When providing CPR to a pregnant client, manually displace the client on their left side with a pillow underneath their right side. This is to improve blood flow to the heart and fetus and to reduce pressure from the vena cava.

Explanation

Learning Outcomes

When providing CPR to a pregnant client, manually displace the client on their left side with a pillow underneath their right side. This is to improve blood flow to the heart and fetus and to reduce pressure from the vena cava. Lying on the left side also keeps the uterus off the liver. The pregnant client should never receive CPR lying in the supine position. This position causes the uterus to place pressure on the vessels going into and out of the heart. Chest compressions should be performed slightly higher on the sternum. This makes the compressions more effective since the uterus causes the heart to be slightly displaced.

Test Taking Tip

Just remember to never provide CPR to a pregnant client while the client is supine.

Video Rationale