You have just delivered a healthy newborn to a 35-year-old woman. There is a steady flow of blood from the vagina and her uterus feels soft upon palpation. Her vital signs are: heart rate 122, respirations 20, blood pressure 90/60 mmHg. Appropriate management of this patient includes:

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The symptoms suggest postpartum hemorrhage, which requires immediate intervention. Two large-bore IVs are needed for fluid resuscitation and oxytocin is given to cause uterine contractions that will assist in the controlling of bleeding. The other options are not appropriate for this patient's condition. Sanitary pads would not be sufficient in controlling the bleeding in cases of postpartum hemorrhage, Trendelenberg position and magnesium sulfate would not address the bleeding, and low-flow oxygen and position of comfort are not significant interventions for postpartum hemorrhage.

You Have Just Delivered a Healthy Newborn to a 35-Year-Old