A woman at 36 weeks gestation who is Rh negative is admitted to labor and delivery reporting abdominal cramping.She is placed on strict bedrest and the fetal heart rate and contraction pattern are monitored with an external fetal monitor.Two hours after admission, the nurse notes a large amount of bright red vaginal bleeding.Which nursing intervention has the highest priority?

Choice A rationaleAssessing the fetal heart rate and client's contraction pattern is the highest priority when a large amount of bright red vaginal bleeding occurs. It is crucial to evaluate fetal well-being and the progression of labor to determine any immediate interventions needed to ensure the safety of both the mother and fetus.Choice B rationaleConfirming Rh and Coombs status for Rho(D) immunoglobulin administration is important for Rh-negative mothers, but it is not the immediate priority in the presence of significant vaginal bleeding. Ensuring fetal and maternal stability takes precedence over Rh status confirmation.Choice C rationaleDetermining fetal position by performing Leopold maneuvers is not the highest priority when there is significant vaginal bleeding. While fetal position is relevant, immediate assessment of fetal heart rate and maternal contraction pattern is more critical for evaluating the urgency of the situation.Choice D rationalePerforming a sterile vaginal examination to determine dilation is contraindicated in the presence of vaginal bleeding, as it can exacerbate the situation and lead to further complications. Immediate assessment of fetal well-being and maternal condition is more crucial before considering any internal examination. .