At 14 weeks gestation, what should the nurse do next after assessing a client with symptoms of possible ectopic pregnancy?

In cases of suspected ectopic pregnancy, the priority is to address potential complications that could arise, such as internal bleeding, especially as the ectopic tissue can become damaged and rupture. At 14 weeks of gestation, any signs suggesting this condition require immediate and appropriate nursing interventions.

Increasing the rate of IV fluids is a critical action because it is essential for maintaining hemodynamic stability. If the client is experiencing symptoms indicative of ectopic pregnancy, such as abdominal pain or vaginal bleeding, there may be a risk of hypovolemic shock due to blood loss. Administering IV fluids helps to ensure adequate blood volume and circulation, which is crucial for the well-being of both the client and the fetus.

While checking hematocrit levels is important for assessing blood loss, it is typically done alongside fluid management rather than being the first action. Administering pain medication may be necessary to provide comfort, but it does not address the underlying issue of potential shock. Monitoring for contractions may also be part of obstetric care, but in the context of suspected ectopic pregnancy, the stabilization of the client through IV fluid administration takes precedence.