For a client with placenta previa, which interventions should the nurse implement?

In the case of a client with placenta previa, initiating bed rest with bathroom privileges is a crucial intervention. This approach helps to minimize any potential complications associated with placenta previa, particularly the risk of hemorrhage.

Placenta previa occurs when the placenta is abnormally located near or over the cervix, which can lead to significant bleeding, particularly during labor or when the cervix begins to efface and dilate. Therefore, bed rest is recommended to reduce activity that could exacerbate bleeding, while allowing the client some mobility for basic needs, such as using the bathroom, maintains a balance between safety and comfort.

The other interventions are not appropriate in this context. Vaginal examinations could provoke bleeding, as they may stimulate the cervix and lead to complications. Monitoring the fetal heart rate with an internal fetal monitor can also pose risks; since the placement requires access to the uterine cavity, it may cause trauma, particularly if the placenta is low-lying. Frequent maternal heart rate assessment, while important in general clinical practice, does not address the immediate concerns associated with placenta previa specifically and is not prioritized over safety measures like bed rest.