A febrile 32-year-old female reports right-sided pelvic pain with abdominal heaviness. What is the most appropriate action?

• A. Place her in Trendelenburg position.
• B. Transport her in a position of comfort.
• C. Administer oxygen by nasal cannula.
• D. Administer oxygen by non-rebreather mask.

Answer: (B)

In this scenario, the priority is to keep the patient comfortable and get her to definitive care quickly while monitoring her condition. Trendelenburg is not indicated because there’s no evidence it improves outcomes in pelvic or gynecologic emergencies and it can worsen breathing and circulation. Oxygen should be given only if she’s hypoxic or in respiratory distress; otherwise it won’t change the course of a febrile pelvic issue and can delay transport. Transporting in a position of comfort minimizes abdominal strain and pain, supports faster assessment at the hospital, and allows ongoing monitoring of vitals.