A client presents with painless, bright-red bleeding. It is suspected that the woman has placenta previa. The nurse hypothesizes that which of the following should be done? (Select all that apply.)
a. Perform a sterile vaginal examination.
b. Administer oxygen via nasal canula.
c. Institute continuous fetal monitoring.
d. Notify the primary care provider immediately.
e. Anticipate ultrasonography to rule out pla-centa previa.
f. Contact the woman's nearest relative if she is alone.
C, D, E
The nurse should notify the primary care provider immediately, institute continuous fetal monitoring, and anticipate ultrsonography to rule out placenta previa. A sterile vaginal examination should NOT be done. At this point there is no indication that the woman needs oxygen. Contacting a relative is only done after permission is obtained from the woman; otherwise the nurse is in violation of HIPAA.
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