Question: Mrs. V. is a 28-year-old patient who delivered by emergency Cesarean section 3 hours ago. Her estimated blood loss was 1400 mL and she was given an intrauterine injection of methylergonovine maleate (Methergine®) 0.2 mg during surgery for uterine atony. After 1 hour on the postpartum unit, the nurse's assessment includes the following data: pallor, oliguria (with 20 mL of urine in the collection bag in the last hour), and extreme restlessness. Her blood pressure is 80/52 and her pulse is 118. The nurse's assessment indicates that this patient is in a _____________ state of shock.