A nurse is assessing a client who is in active labor.The client reports back labor pains.
Which of the following nonpharmacological interventions should the nurse provide to manage the client's pain?

The client is most likely experiencing an ectopic pregnancy. Here's why:

• Symptoms: The client presents with intermittent vaginal bleeding and dull left lower quadrant abdominal pain, which are common symptoms of an ectopic pregnancy.
• Physical Examination: Tenderness upon palpation in the left lower quadrant and an enlarged uterus consistent with 8 weeks of gestation are also indicative of an ectopic pregnancy.

Actions to Take

1. Perform ultrasound: To confirm the diagnosis and locate the ectopic pregnancy.
2. Administer IV fluids: To stabilize the client and prepare for potential surgical intervention.

Parameters to Monitor

1. Vaginal bleeding: To assess the severity and progression of the bleeding.
2. Blood pressure: To monitor for signs of internal bleeding or hemodynamic instability.

Choice A rationale

Terbutaline can cause tachycardia. A heart rate of 132/min is significantly higher than normal and could indicate severe cardiovascular effects.

Choice B rationale

While headaches can occur with terbutaline, they are generally not life-threatening and don't require immediate intervention compared to tachycardia.

Choice C rationale

Nasal congestion is a minor side effect and not a priority compared to a significantly elevated heart rate.

Choice D rationale

Tremors are common with terbutaline use, but they are usually not as concerning as a significantly elevated heart rate.