You Are Transporting a Female Patient Who Was Sexually Assaulted

You are transporting a female patient who was sexually assaulted by having a foreign body inserted deep into her vagina. You are attempting to control hemorrhage by the appropriate means. As you reassess the patient, which one of the following is of most concern?

A) Pain increases from a 7/10 to 10/10.
B) Large blood clots are forming at the vaginal entrance.
C) Patient informs you she has a sexually transmitted disease.
D) Heart rate increases from 116 to 140 per minute.