A flight nurse is called to transport a postpartum patient experiencing excessive bleeding. What is the most appropriate initial intervention?
Perform fundal massage to stimulate uterine contractions
Assess the perineal area for lacerations
Start an immediate intravenous fluid bolus
Administer uterotonic medications
Fundal massage is the most appropriate initial intervention for a postpartum patient with excessive bleeding. It helps to stimulate uterine contractions, which can reduce bleeding. Administering uterotonic medications might be necessary if fundal massage does not control the bleeding. Immediate IV fluid bolus can assist in stabilizing the patient's hemodynamic status but does not directly address the source of bleeding. Assessing the perineal area for lacerations is crucial but secondary to stopping the uterine bleeding.
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