Which intervention should be implemented for a client showing signs of placental abruption?

Monitoring for bleeding from IV sites is crucial in the management of a client showing signs of placental abruption. This condition can lead to significant maternal and fetal bleeding, which may sometimes manifest through bleeding at IV insertion sites. Since placental abruption is associated with a risk of disseminated intravascular coagulation (DIC) due to the stress placed on the maternal body and the sudden separation of the placenta, early identification of bleeding helps in managing the client’s condition more effectively.

By closely monitoring for such bleeding, healthcare providers can quickly respond to changes in the patient’s hemodynamic status and take appropriate actions, which might include fluid resuscitation or preparing for possible surgical intervention. This proactive approach is vital for protecting both maternal and fetal health in cases of suspected placental abruption.

In contrast, other interventions listed do not directly address the immediate risks associated with placental abruption. For example, inserting an internal fetal monitor may not be necessary or safe if there is a significant risk of maternal bleeding or if the fetal condition is unstable. Assessing for cervical changes may not be prioritized during the acute management of this condition since the immediate concern is the potential for compromised maternal-fetal circulation. Performing Leopold's maneuvers, which