Final answer:
The priority interventions for a laboring woman exhibiting hypovolemic shock due to possible uterine rupture are to immediately increase IV fluids to stabilize blood volume, prepare for immediate medical or surgical intervention, and closely monitor vital signs.
Step-by-step explanation:
A laboring woman with a history of a previous cesarean birth suddenly exhibits manifestations of hypovolemic shock, which may suggest a complete or partial uterine rupture. The priority interventions that should be implemented first include:
- Increase IV fluids immediately to help stabilize blood volume and blood pressure.
- Prepare the patient for immediate medical or surgical intervention as uterine rupture is a life-threatening emergency.
- Monitor vital signs closely to assess the severity of the shock and the patient's response to treatment.
Other interventions like calling respiratory therapy for ABGs and administering epinephrine may be considered after the initial stabilization but are not the immediate priority. It is also important to manage the postpartum hemorrhage that may occur by assessing blood loss, but this comes after stabilizing the patient's hemodynamic status.
It is essential for the laboring woman to be monitored and managed by a skilled healthcare team capable of responding to emergencies such as hypovolemic shock due to uterine rupture. Appropriate interventions and swift actions can save both the mother and the infant's lives.