Final answer:
b. Abdominal distention.
Step-by-step explanation:
In the case of a multigravid client with a probable ruptured ectopic pregnancy who is scheduled for emergency surgery, apart from monitoring blood pressure, the nurse should be assessing a variety of symptoms. Key among these are uterine cramping (a), abdominal distention (b), and changes in the hemoglobin and hematocrit (c) which could signal internal bleeding. The pulse rate (d) should also be observed as it is another indicator that can show whether or not the client's body is entering shock as a response to blood loss from the ruptured ectopic pregnancy. Abdominal distention can be an important clinical sign in cases of a ruptured ectopic pregnancy. It can indicate internal bleeding or other complications. Assessing for abdominal distention is crucial for the nurse to gather information about the client's condition and help inform the surgical team. While the other options (a. Uterine cramping, c. Hemoglobin and hematocrit, and d. Pulse rate) are essential assessments, in this particular scenario, assessing for abdominal distention is of utmost importance due to the potential for serious complications related to a ruptured ectopic pregnancy.
Learn more about Ectopic Pregnancy