A nurse is caring for a client who gave birth 4 hr 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 increases venous return, but it does not directly address the immediate cause of excessive bleeding, which is most often uterine atony.Choice B rationaleInserting a urinary catheter aids bladder emptying, which can support uterine contraction indirectly, but this is not the first action to control active bleeding.Choice C rationaleMassaging the fundus promotes uterine contraction, which is the first-line intervention to control postpartum hemorrhage caused by uterine atony.Choice D rationaleOxytocin administration enhances uterine contractions, but manual fundal massage is typically performed first to assess and manage uterine atony immediately.