What is the first action a nurse should take if a pregnant woman presents with vaginal bleeding?

Evaluating vital signs and the fetal heart rate is the appropriate first action when a pregnant woman presents with vaginal bleeding. This step is crucial as it helps assess the immediate stability of both the mother and the fetus.

Checking vital signs such as blood pressure, heart rate, and respiratory rate can reveal if the woman is experiencing significant blood loss or other complications. Assessing the fetal heart rate is equally important because changes can indicate fetal distress. This initial assessment helps the nurse determine the severity of the situation and guides subsequent interventions, such as notifying the physician or choosing to provide emotional support.

By prioritizing these assessments, the nurse ensures that any life-threatening conditions are identified and addressed promptly, allowing for timely and appropriate medical responses. Other actions, while important, follow this critical initial assessment to ensure the safety of both the mother and the baby.