When a client in labor presents with vaginal bleeding, what should the nurse prioritize?

When a client in labor presents with vaginal bleeding, prioritizing the monitoring of fetal heart tones is essential because it helps assess the well-being of the fetus. Vaginal bleeding can be indicative of potential complications such as placental abruption or placenta previa, both of which can threaten fetal health. By continuously monitoring the fetal heart tones, the nurse can identify any signs of fetal distress or abnormalities, allowing for timely interventions to ensure the safety and health of both the mother and the baby.

The focus on fetal heart tones provides critical information regarding how well the fetus is coping with labor and whether further action is needed, such as considering an emergency cesarean delivery if distress is detected. Early intervention based on fetal monitoring results can be vital in managing outcomes during labor. Thus, this option reflects an appropriate prioritization of maternal-fetal safety in a potentially unstable situation.