A pregnant trauma patient at 28 weeks gestation presents after a motor vehicle collision. Where is the uterine fundus at this gestational age, and why is this significant in abdominal trauma assessment?
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A
At the level of the umbilicus; the uterus is still protected by the pelvis
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B
Above the umbilicus; the uterus is now an intra-abdominal organ susceptible to direct injury
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C
At the xiphoid process; the uterus is compressing the diaphragm causing respiratory compromise
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D
Below the pubic symphysis; the fetus remains protected by the bony pelvis