Final answer:
The correct action for a client experiencing excessive postpartum bleeding is to administer oxytocin, as it stimulates uterine contractions, helps in the involution process, and prevents further hemorrhage. An obstetrician must make sure that the placenta is completely delivered, as any retained fragments can lead to increased bleeding.
Step-by-step explanation:
The appropriate action for a client experiencing excessive postpartum bleeding is C) Administer oxytocin to stimulate uterine contractions. Oxytocin is a hormone that plays a significant role in childbirth and the postpartum period. During labor, oxytocin stimulates the uterine muscle to contract, which aids in delivering the baby and the placenta. After delivery, it helps the uterus to continue contracting to prevent excessive bleeding and to return to its pre-pregnancy size, a process known as involution. Breastfeeding further promotes this process because it stimulates the release of additional oxytocin.
It is crucial for an obstetrician to examine the expelled placenta and fetal membranes to ensure they are intact, as retained placental fragments can cause postpartum hemorrhage. Postpartum bleeding is a serious condition that requires prompt medical intervention, typically involving medications like oxytocin which help the uterus to contract and minimize blood loss.