Your patient is a 25-year-old female who is 38 weeks pregnant and complaining of contractions. She states that she has been feeling contractions every 6 to 8 minutes for the past hour, has a cramping in her lower abdomen and is leaking amniotic fluid. She states that she has been receiving prenatal care and has been identified as high risk for placenta previa. HR = 100, BP = 122/76, RR = 18, SpO2

= 99%. Which of the following is most appropriate?

A) Start a large-bore IV at a keep-open rate and monitor maternal vitals and FHT's.
B) Administer oxygen by nonrebreather mask and start a large-bore IV at 100 mL/hour.
C) Start an IV of normal saline at a keep-open rate and consult with medical direction about administering terbutaline.
D) Administer oxygen by nonrebreather mask.


A

Health Professions

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