Question

Following routine delivery of a healthy​ newborn, the mother delivers the​ placenta, and there is about 350 mL of bleeding​ immediately, with additional bleeding continuing to flow from the vagina. Which action is​ appropriate?

A. Supporting the uterus just above the pubic bone with one hand and massaging it with the other.
B. Placing the patient in Trendelenburg position.
C. Applying direct pressure to control the bleeding.
D. Requesting ALS.

Answer 1

A. Supporting the uterus just above the pubic bone with one hand and massaging it with the other.

Step-by-step explanation:

A normal amount of blood loss during delivery is up to 500 mL. There is about 150 mL more that is left to go but it is important to try and prevent it, since it we cannot determine the exact amount of lost blood.

This massage is a way of stimulating the blood vessels to contract and reduce or stop the bleeding. Allowing the newborn to feed on the mother's breast is another possibility that helps prevent the flow of blood.