Exhibits Based on the assessment data, the nurse recognizes the need to intervene immediately. Select the 5 priority interventions that the nurse should initiate based on the most recent assessment.

A. The client is showing signs of significant hemorrhage, evidenced by the saturated pad and sheets. Immediate notification of the emergency response team is crucial for rapid intervention to address the potentially life-threatening situation. B. The fundus was noted to be boggy and rotated to the right, which can indicate bladder distension affecting uterine tone. Catheterization can help relieve bladder pressure and promote uterine involution, reducing the risk of further bleeding. C. Monitoring the amount of blood loss is essential to assess the severity of the hemorrhage. This information is critical for the healthcare provider to evaluate the need for further interventions, including possible blood transfusions. D. While PRBC administration may be necessary later, the immediate intervention should focus on addressing the cause of the bleeding. E. Given the client's condition, including the signs of significant bleeding and a boggy fundus, notifying the healthcare provider is essential for further assessment and intervention decisions. The provider may need to adjust treatment plans or order additional interventions promptly. F. While fluid resuscitation is important, the focus should be on addressing uterine atony and monitoring bleeding first. G. Fundal massage is a key intervention for addressing uterine atony. Firming the fundus can help control the bleeding by promoting uterine contractions, thereby decreasing the risk of postpartum hemorrhage. H. Administer 0.2 mg methylergonovine IM: This medication is used for uterine atony, but it should only be given after assessing the client for contraindications (e.g., hypertension). I. Weigh all bloody materials may be important for tracking blood loss, but immediate interventions should focus on controlling the bleeding first.