A pregnant patient involved in a low-speed motor vehicle collision presents with abdominal tenderness and a weak pulse. What is the likely initial impression?

In evaluating a pregnant patient in the scenario described, the key factors are the abdominal tenderness and weak pulse following a low-speed motor vehicle collision. A weak pulse often indicates a relative decrease in blood volume or perfusion, which can be critical, especially in a pregnant individual since it can imply potential internal bleeding or other serious complications.

The term "sick" is appropriate because it signifies that the patient is exhibiting concerning signs that warrant immediate attention. Abdominal tenderness could signal complications such as placental abruption or other injuries that could threaten both the mother's and the fetus's well-being. In this case, the weak pulse suggests that the patient's cardiovascular response is compromised, further supporting the impression that she is not in a stable condition.

While the other options may describe different states of consciousness or stability, they do not reflect the urgent clinical picture presented by a weak pulse and abdominal tenderness in an expectant mother, who is likely at risk for significant complications following the collision. Thus, identifying the patient as "sick" is crucial for guiding appropriate and rapid medical intervention.