A 34-year-old client is 34 weeks pregnant and is experiencing bleeding caused by placenta previ
a. The fetal heart sounds are normal and the client isn’t in labor. Which of the following nursing interventions should be of priorityA. Monitor the amount of vaginal blood loss.B. Allow the client to ambulate with assistance.C. Perform a vaginal examination to cheek for cervical dilation.D. Notify the physician for a fetal heart rate of 130 beats/minut
参考答案：A
解析：Estimate the amount of blood loss by such measures as weighing perineal pads or counting the amount of pads saturated over a period of time. The physician should be notified of continued blood loss, an increase in blood flow, or vital signs indicative of shock (hypotension and tachycardia). The woman should be placed on bed rest and not allowed to ambulate. A pelvic examination should never be performed when placenta previa is suspected because manipulation of the cervix can cause hemorrhage.