A patient who is in her third trimester of pregnancy has vaginal bleeding. She is conscious and alert. Her BP is 108/68 mm Hg, her pulse is 90 beats/min and strong, and her respirations are 20 breaths/min and unlabored. You should:
A: give oxygen as needed, position her supine, start an IV, and give a 20 mL/kg saline bolus.
B: give oxygen as needed, cover her vagina with a sterile dressing, and establish IV access.
C: give oxygen as needed, pack her vagina with dry sterile dressings, and establish IV access.
D: assist her ventilations with a bag-mask device and firmly massage the fundus of her uterus.
Answer: B: give oxygen as needed, cover her vagina with a sterile dressing, and establish IV access.
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