Assignment task: A 27 year old G4P3 at 40 weeks gestation delivers a 9lb 8oz baby boy (4310g) after 18 hours of labor. During the recovery period you notice increased vaginal bleeding. When assessing you are unable to palpate the fundus. BP 82/41, HR 116 RR 18 Temp: 98.5F.
A. What steps would you take next as the nurse caring for this patient?
B. What are some potential causes for this increased bleeding?
C. What aspects of the patient's medical history are pertinent to review with the healthcare team before administering medications?
D. Why is early recognition so important in identifying/treating postpartum hemorrhage?