A gravida 2 para 1 client at 38 weeks’ gestation presents to…
A gravida 2 para 1 client at 38 weeks’ gestation presents to the obstetric emergency department after awakening to a sudden “gush” of bright red vaginal bleeding approximately 20 minutes ago. She reports intermittent lower abdominal discomfort that she describes as “cramping,” rating it 3/10, but denies regular contractions. She states fetal movement has decreased since the bleeding began. Assessment Findings Finding Result Blood Pressure 108/66 mm Hg Heart Rate 104 beats/min Respiratory Rate 18 breaths/min Temperature 36.8°C (98.2°F) Oxygen Saturation 99% on room air Fetal Heart Rate Baseline 120 beats/min with moderate variability External Tocodynamometer Irregular uterine irritability every 8–10 minutes Bleeding Approximately 250 mL bright red blood noted on perineal pad; no visible clots The obstetric provider has not yet evaluated the client. Which nursing action should the nurse implement FIRST?