Which statement best describes the initial objective when managing a patient with third-trimester bleeding?

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The key idea is that protecting the mother’s circulation comes first. In third-trimester bleeding, maternal shock rapidly worsens uteroplacental perfusion and jeopardizes both mother and fetus, so initial care focuses on preventing hypovolemic shock. That means securing the airway and giving high-flow oxygen, establishing rapid, large-bore IV access, and starting isotonic fluids (and blood products if needed) while monitoring vitals and preparing for urgent transport. Stabilizing the mother provides the best chance for the fetus and buys time to determine the cause and plan delivery. While fetal status matters, decisions about delivery are made after maternal stabilization; immediate cesarean is not automatic unless there is clear fetal distress or ongoing life-threatening maternal bleeding. Initiating labor isn’t the default initial objective, as labor could worsen bleeding depending on the underlying cause.