Difficulty: Medium
Average Score: 67%
Simulated
Passage / Scenario
A client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding, fetal heart rate of 138/min, no uterine contractions, blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, temperature 36.4°C (97.6°F).A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4°C (97.6°F). Which of the following is the priority nursing action?
Correct answer
D
Rationale
Initiating IV access is critical to manage hypovolemia and prepare for potential emergency interventions in suspected placenta previa.