[Solved]: Your patient is a 32-year-old G5P5

Your patient is a 32-year-old G5P5. She just had an unmedicated vaginal birth. She is relaxed and holding her baby 10 minutes after delivery of the intact placenta. She requested physiologic management of the third stage of labor, preferring to breastfeed for endogenous oxytocin production in place of uterotonic medications. The QBL is 700 mL. Now there is a large gush of blood that you measure to be 450 mL. Her uterus is slightly boggy and deviated to the right of the midline. What would be the appropriate initial actions at this time? Select 2 answers. Provide fundal massage and empty the bladder. Notify the provider if the next assessment reveals the same. Discuss the recommendation for IV oxytocin. Move the patient to the OR for further evaluation.