What is the best field assessment for a pregnant woman with signs of severe hypertension and abdominal pain?

The best course of action for a pregnant woman exhibiting signs of severe hypertension and abdominal pain is immediate transport to the hospital. Severe hypertension in pregnancy can be a sign of potentially life-threatening conditions such as preeclampsia or eclampsia, which require urgent medical evaluation and intervention. Abdominal pain alongside these symptoms could indicate complications such as placental abruption or other serious obstetric emergencies.

Prompt transport allows the woman to receive the necessary medical care, which may include monitoring in a hospital setting where specialists can manage both the mother and the fetus effectively. Time is critical in these scenarios, as delays in treatment could result in significant health risks for both the mother and the unborn child.

While obtaining a detailed history of the pregnancy, monitoring vital signs, and assessing fetal heart tones are all important components of a comprehensive assessment, they do not take precedence over the urgent need to transport a patient experiencing severe symptoms indicative of serious complications. Immediate hospital care is essential to ensure both maternal and fetal well-being.