What is the appropriate nursing action for a client diagnosed with complete placenta previa at 36 weeks with contractions?

When a client is diagnosed with complete placenta previa, the placenta covers the cervix entirely, presenting significant risks during labor and delivery, especially as the pregnancy approaches term. In this situation, preparing the client for a cesarean section is the most appropriate nursing action.

A vaginal delivery is contraindicated in cases of complete placenta previa due to the high risk of maternal and fetal complications, such as severe hemorrhage. Performing a vaginal delivery could result in life-threatening situations for both the mother and the baby.

Labor induction is not indicated when a complete placenta previa is present, as it can lead to increased pressure on the cervix and potential vaginal bleeding.

Monitoring fetal heart rate is an essential nursing action, but it is not the primary concern in the context of an immediate plan for delivery in a setting with complete placenta previa. The focus should be on safely delivering the baby via cesarean section to prevent complications associated with the condition.

Thus, preparing the client for a cesarean section is the most appropriate nursing action in this scenario, ensuring the safety of both the mother and the infant during delivery.