Following delivery of the placenta, your patient continues to experience vaginal bleeding. She is becoming diaphoretic and her pulse is weak and rapid. In addition to administering 100% oxygen and providing rapid transport, you should:
A. place a trauma dressing in the vagina to control the bleeding, place her on her left side, and administer crystalloid fluid boluses.
B. place a sterile dressing inside the vagina, elevate her legs, and maintain perfusion with 20 mL/kg crystalloid fluid boluses.
C. cover the vagina with a sterile dressing, place her on her left side, and infuse 2 to 3 liters of an isotonic crystalloid solution
D. cover the vagina with a sanitary pad, keep her warm, and infuse 20 mL/kg boluses of an isotonic crystalloid to maintain perfusion
Answer: D. cover the vagina with a sanitary pad, keep her warm, and infuse 20 mL/kg boluses of an isotonic crystalloid to maintain perfusion
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