What is the first nursing action to implement in the event of shock for a client with abruptio placentae?

In the event of shock for a client with abruptio placentae, placing the client in a lateral position with the bed flat is a critical first nursing action. This position helps to optimize blood flow to vital organs, particularly in cases of hypotension or reduced blood volume, which can occur due to hemorrhage associated with abruptio placentae. Lying on the left side can also minimize pressure on the vena cava from the uterus, improving venous return and circulation.

This positioning is crucial because shock can lead to inadequate perfusion, which can have serious consequences for both the mother and the fetus. By maintaining a position that enhances circulation, the nurse is taking an immediate action to support the client's hemodynamic stability and improve outcomes for both mother and baby.

Other choices may seem relevant; however, they are not the immediate priority. Checking urine output is important for monitoring kidney function but not the first action in this emergent situation. Inserting an intravenous line is essential for fluid resuscitation and medication administration, but ensuring the client is positioned to promote circulation takes precedence. Obtaining informed consent for a cesarean delivery is crucial in the overall management of the situation but is not an immediate nursing action to address the acute condition of shock.