A 37 year old gravida 8 para 7 woman was admitted to the postpartum unit at 2 hours postbirth. On admission to the unit, her fundus was U/U, midline, firm and her lochia was moderate rubra. An hour later her fundus is midline and boggy and the lochia is heavy with small clots. Based on this assessment, the first nursing action is .
a. Massage the fundus of the uterus. b. Assist the woman to the bathroom and reassess the fundus. c. Notify the physician or midwife. d. Start IV oxytocin therapy as per standing orders.
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