A pregnant client has sudden severe abdominal pain, a rigid uterus, dark vaginal bleeding, and fetal distress on the monitor. What is the priority nursing action?

Question

Accepted Answer

B. Prepare for emergency delivery and manage maternal shock — These findings are consistent with placental abruption, a life-threatening emergency. Priorities are maternal stabilization (IV access, fluids, oxygen) and rapid preparation for delivery per provider direction.

Answer

A. Perform a vaginal exam to check dilation

Answer

C. Administer tocolytics and discharge home with rest

Answer

D. Encourage the client to walk to reduce pain