North Carolina EMT State Practice Exam

What is the best positioning for pregnant patients during transport?

1. Supine position

2. On their right side

3. On their left side

4. In a seated position

The correct answer is: On their left side

For pregnant patients during transport, the optimal positioning is on their left side. This position is recommended primarily because it helps improve blood flow to the uterus and the fetus by reducing the risk of compression on the inferior vena cava, which is the large vein that carries deoxygenated blood from the lower body back to the heart. When a pregnant patient is positioned supine (flat on their back), especially in later stages of pregnancy, the weight of the uterus can press against the inferior vena cava, leading to a condition known as supine hypotensive syndrome. This condition can result in decreased blood return to the heart, reduced cardiac output, and potentially compromise the well-being of both the mother and the fetus. Lying on the right side does not provide the same benefits as the left side, as it can still place some pressure on the inferior vena cava and does not optimize blood circulation as effectively. Sitting up in a seated position may be more comfortable for the patient but does not provide the necessary support for optimal fetal circulation. Positioning pregnant patients on their left side enhances both maternal and fetal safety and is a standard practice in emergency medical services for these scenarios.