Samantha delivered her fourth child after protracted and difficult labor during which oxytocin was used to augment her contractions. The next day, her vaginal bleeding continues to be moderately heavy with numerous large clots. Palpating her fundus, you find that it is in the midline but boggy and above the level of the umbilicus. Fundal massage is indicated; what should you do first?
a) Ensure that her bladder is empty.
b) Place one hand over the symphysis pubis.
c) Insert uterine packing to control the hemorrhage.
d) Seek an order to obtain and administer an oxytocic.
Answer: b)Place one hand over the symphysis pubis.
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