A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild vaginal bleeding due to placenta previa.Which of the following actions should the nurse plan to take?
Explanation & Rationale
Choice A rationaleContinuous monitoring of fetal heart rate provides early detection of distress in placenta previa cases, ensuring timely intervention to prevent complications such as fetal hypoxia or preterm birth.Choice B rationaleBetamethasone accelerates fetal lung maturity, reducing the risk of respiratory distress syndrome if preterm delivery occurs, which is crucial in placenta previa cases at 35 weeks of gestation.Choice C rationaleCervical checks in placenta previa cases increase the risk of bleeding and further complications due to disruption of placental attachment, contraindicating frequent dilation assessments.Choice D rationaleMisoprostol is contraindicated in placenta previa due to its potential to induce uterine contractions, which can worsen bleeding and lead to placental separation or fetal harm.