What intervention should a nurse include in a care plan for a client at 35 weeks of gestation with mild vaginal bleeding due to placenta previa?

The appropriate intervention to include in the care plan for a client at 35 weeks of gestation with mild vaginal bleeding due to placenta previa is to initiate continuous monitoring of the fetal heart rate (FHR). This is critical because placenta previa can lead to complications such as fetal distress, placental abruption, or preterm labor. By continuously monitoring the FHR, the nurse can assess the well-being of the fetus and detect any signs of compromise promptly.

Monitoring provides valuable data regarding the fetus's response to the current uterine environment and bleeding episode, guiding further clinical decisions. It is essential in ensuring both maternal and fetal safety during an episode of vaginal bleeding associated with placenta previa, allowing for timely intervention if the fetal heart rate indicates distress or other complications arise.

While the other options may have their place in obstetric care, they are not as directly related to the immediate concern of fetal well-being in the context of vaginal bleeding from placenta previa. Administering IV fluids may be necessary depending on the clinical picture of the mother but does not address the immediate concern of fetal monitoring. Instructing the client to ambulate and encouraging oral hydration could potentially be contraindicated in this scenario, as movement or increased activity can worsen bleeding or put the