A nurse is caring for a client who gave birth 4 hours ago and is experiencing excessive vaginal bleeding.Which of the following actions should the nurse plan to take first?

Choice A rationaleElevating the client's legs promotes venous return and improves circulation; however, it does not directly address uterine atony, which is the most common cause of postpartum hemorrhage. Immediate action on the uterus is required.Choice B rationaleInserting an indwelling catheter may help with monitoring output and bladder distension, but it does not immediately reduce bleeding. The uterus must be addressed first to control hemorrhage effectively.Choice C rationaleMassaging the fundus stimulates uterine contractions, helping to reduce postpartum hemorrhage caused by uterine atony. Contraction compresses blood vessels in the placental site, reducing bleeding. This is the priority intervention.Choice D rationaleAdministering oxytocin enhances uterine contractions and reduces hemorrhage risk, but it requires time to act. Immediate manual stimulation, such as fundal massage, is prioritized for rapid hemostasis.