Which of the following statements is FALSE concerning Rh-isoimmunization in the pregnant trauma patient?

Correct Answer: C

Rationale: The correct answer is C because a negative Kleihauer-Betke test does not completely exclude Rh-isoimmunization in pregnant trauma patients. The test is used to estimate the amount of fetal-maternal hemorrhage and guide Rhogam administration, but it is not foolproof. Trauma can cause significant fetal-maternal hemorrhage, leading to Rh-isoimmunization even if the test initially shows negative results. Choice A is incorrect because Rh-isoimmunization can indeed occur in both blunt and penetrating abdominal trauma. Choice B is incorrect as even minor degrees of fetomaternal hemorrhage can lead to Rh-isoimmunization. Choice D is incorrect as Rh-isoimmunization is a concern in both Rh-negative and Rh-positive pregnant trauma patients due to the potential for fetal-maternal hemorrhage.

Correct Answer: A

Rationale: The correct answer is A: "Permissive hypotension and early plasma infusion." This principle of balanced resuscitation involves allowing for slightly lower blood pressure to reduce bleeding while promptly providing plasma to restore clotting factors. Permissive hypotension helps prevent further blood loss, while early plasma infusion helps maintain coagulation function. The other choices are incorrect because B does not address the specific needs of resuscitation, C focuses on a different aspect of patient management, and D is not directly related to the resuscitation process.

Correct Answer: D

Rationale: The correct answer is D because X-ray of the chest and pelvis are important adjuncts in assessing trauma patients to rule out life-threatening injuries like pneumothorax, hemothorax, pelvic fractures, etc. This patient's mechanism of injury suggests the possibility of pelvic injury (Choice A is incorrect). While blood loss from the lower limbs could contribute to hypotension, other causes like internal bleeding should also be considered (Choice B is incorrect). Spinal cord injury is less likely to be the cause of hypotension in this case compared to hemorrhage or other traumatic injuries (Choice C is incorrect). In summary, obtaining X-rays of the chest and pelvis is crucial in the initial assessment of trauma patients to identify potentially life-threatening injuries.

Correct Answer: B

Rationale: The correct answer is B: Assisted living facilities. Residents in assisted living facilities typically require minimal assistance with daily activities and are more independent compared to those in acute care, subacute care, and hospice facilities. Assisted living facilities provide a level of care that promotes independence while still offering support when needed. Acute care facilities (A) provide medical care for short-term conditions, subacute care facilities (C) offer more intensive care than assisted living, and hospice facilities (D) provide end-of-life care which involves more specialized and intensive support.

Correct Answer: A

Rationale: The correct answer is A because consulting the procedure manual allows the nursing assistant to review the correct steps in a reliable source. This approach ensures accuracy and adheres to professional standards. Choosing option B risks patient safety and violates protocol. Option C may provide inaccurate or unreliable information. Option D is inappropriate as residents are not trained to provide procedural guidance. Therefore, option A is the best response for ensuring correct and safe procedure execution.