A client reports bright red, painless vaginal bleeding during her 32nd week of pregnancy. A sonogram reveals that the placenta has implanted low in the uterus and is partially covering the cervical os. Which immediate care measures are initiated?

The question is incomplete. The complete question is as follows:

A client reports to her obstetrician a significant amount of bright red, painless vaginal bleeding. A sonogram reveals that her placenta has implanted low in the uterus and is partially covering the cervical os. Which immediate care measures should the nurse initiate? Select all that apply.

a) Attach external monitoring equipment to record fetal heart sounds.

b) Perform a pelvic examination.

c) Obtain baseline vital signs.

d) Place the woman on bed rest in a side-lying position.

e) Continue to assess blood pressure every 5 to 15 minutes.

f) Determine from the client the time the bleeding began and about how much blood has been lost.

Option (a), (c), (d), (e) and (f).

Explanation:

The placenta is the important tissue that connects the mother and fetus. The placenta helps in the exchange of material like food, gases and excretory substance.

As the information in the question, the pelvic examination should not be done because this might cause injury in placenta and cause hemorrhage. This can cause problem to both the mother and the baby. All the other options are appropriate to provide immediate care in the given situation.

Thus, the answer is option (a), (c), (d), (e) and (f).

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