حامل في الأسبوع ٣٤ مستلقية على ظهرها للفحص، فصارت تشعر بدوخة وغثيان، وضغطها نزل من ١١٨/٧٦ إلى ٩٢/٥٨. ما أول إجراء؟

A woman at 34 weeks lying flat for an exam becomes dizzy and nauseated, and her BP falls from 118/76 to 92/58. What is the first action?

1. Give a rapid IV fluid bolus
2. Sit her up with her head between her knees
3. Raise her legs while she stays supine
4. Turn her onto her left side

Answer: D) Turn her onto her left side. The gravid uterus compresses the inferior vena cava when supine, cutting venous return. Tilting to the left relieves the compression quickly.