The patient’s symptoms are concerning for uterine rupture. The nurse dopplers fetal heart tones because an inability to locate the tones indicate either extreme fetal distress or further suggest uterine rupture. Either way, an emergent cesarean section is indicated. Uterine palpation may be helpful, but determining fetal heart tones is the better option. Cervical dilation is unnecessary because the patient will have a cesarean section. Although placing a wedge pillow under the hip is not an incorrect action, it is not the most important one.