Uterine atony Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 42-year-old G6P5 woman has persistent heavy vaginal bleeding after delivering a healthy baby girl weighing 6.8 pounds. The placenta is delivered intact. Past medical history is significant for asthma controlled with inhalers and hypertension currently treated with hydrochlorothiazide. Temperature is 36.8°C (98.2°F), heart rate is 90/min, blood pressure is 136/72 mmHg, respiratory rate is 20/min, and oxygen saturation is 98% on room air. Physical examination is significant for a soft, boggy, non contracted uterus and vaginal bleeding without evidence of cervical or vaginal lacerations. Uterine massage is performed and IV oxytocin and tranexamic acid are administered. The patient continues to have vaginal bleeding and a soft boggy uterus. Which of the following is the best next step in management?

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