A 34-year-old woman presents with complaints of vaginal bleeding and pain during intercourse. Her last menstrual period was two weeks ago and was reportedly heavier than normal. She reports that she had saturated two menstrual pads in the past two hours. You should:

Question

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The patient's symptoms suggest a potential gynecological emergency, and vital signs should be assessed to determine the severity of the situation. Transport to the hospital should also be initiated as soon as possible for further evaluation and treatment. Applying oxygen and starting an IV may not be necessary at this time, and advising the patient to insert a tampon may worsen the situation. Asking about family history of uterine cancer may be relevant to the evaluation, but assessing the patient's vital signs and initiating transport should be prioritized.

A 34-Year-Old Woman Presents with Complaints of Vaginal Bleeding and Pain