A client in the first stage of labor has an episode of bright-red bleeding. What is the best action for the nurse to take?
A) Perform a vaginal examination per protocol.
B) Report any bleeding at once.
C) Perform an ultrasound examination, as ordered.
D) Inject vitamin K, as ordered, to stop bleeding.
B
Feedback:
The nurse should report any bright-red bleeding at once. A client who is bleeding should never be examined vaginally until ultrasound rules out placenta previa. The practitioner, not the nurse, should do an ultrasound examination. Vitamin K is given to the newborn to reduce the infant's chances of bleeding. However, the nurse cannot inject vitamin K into the client in labor unless specifically directed by the primary care provider.
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