A multigravida in her 34th week of gestation presents in the emergency department complaining of vaginal bleeding. Which of the following should be the nurse's first action ?()
A.Establish IV access.
B.Assess fetal heart rate (FHR) and maternal blood pressure.
C.Prepare the client for a cesarean delivery.
D.Assess maternal heart rate and respiratory rate.
参考答案:B
解析:
FHR and maternal blood pressure will provide important data on the conditions of mother and fetus. An IV should be started after the maternal-fetal dyad is assessed. Preparing the client for a cesarean delivery before determining the cause of the vaginal bleeding would be premature. Maternal heart rate and respiratory rate aren't the best indicators of maternal health status and provide no information about fetal health.