Final answer:
For placental abruption, the most appropriate intervention is often to immediately deliver the fetus, particularly in severe cases where the mother or fetus are in distress. Tocolytics, magnesium sulfate, and anticoagulants are generally not suitable treatments due to various risks and the nature of the condition.
Step-by-step explanation:
The appropriate interventions to start with placental abruption (when the placenta detaches from the uterus before birth) depend on the severity of the abruption, gestational age, and the condition of the mother and fetus. However, the given options suggest interventions for different conditions and not specifically for placental abruption. Among the options provided:
- Administer tocolytics - These are generally not recommended in placental abruption because they can reduce uterine contractions that are necessary to limit bleeding.
- Administer magnesium sulfate - While this drug is used in preterm labor for fetal neuroprotection, it is not typically used as a treatment for placental abruption.
- Immediate delivery of the fetus - This may be necessary in cases of severe abruption, especially if the fetus is in distress or if the mother is experiencing significant bleeding. This is commonly performed by emergency cesarean section.
- Administer anticoagulants to prevent clotting - Anticoagulants would be contraindicated in the case of placental abruption as they can exacerbate bleeding.
Therefore, the most appropriate answer from the options given is c) Immediate delivery of the fetus, provided that the clinical scenario suggests that it is the safest course of action for both mother and child.