Review Question - QID 108884

A 39-year-old G2P1001 female presents to the obstetric triage center with vaginal bleeding that started 1 hour ago. She states that she had a positive pregnancy test 6 months ago but never sought prenatal care. She denies painful contractions and feels well aside from the bleeding. The patient had a prior Caesarean section 6 years ago for non-reassuring fetal heart tones. She has no past medical history but is an active cocaine user and smokes cigarettes. In triage, the patient’s temperature is 98.4°F (36.8°C), blood pressure is 121/70 mmHg, pulse is 75/min, and respirations are 14/min. The patient appears comfortable and gravid, with a fundal height of 24 centimeters. Cardiovascular and pulmonary exams are unremarkable but there is a moderate amount of blood on the patient’s underwear. External fetal monitoring is initiated, and a representative tracing is shown in Figure A. Which of the following is the most appropriate next step in management?