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MMLU / A 16-year-old high school student, whose prenatal course you have managed,…

Problem

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question

A 16-year-old high school student, whose prenatal course you have managed, delivers a 3256-g (7-lb 3-oz) baby girl during the night with the assistance of your associate. On morning rounds you note that the delivery records report that she had mildly elevated blood pressure during labor and sustained an estimated third-stage blood loss of 500 mL. Today blood pressure is 132/84 mm Hg, she is afebrile, and deep tendon reflexes are normal. The uterine fundus is firm and at the level of the umbilicus, and her perineum is slightly edematous. Hematocrit is 33%. She is cuddling her infant and normal bonding seems to be occurring. Which of the following is the most important next step in management?

choices

  1. Begin oral methyldopa
  2. Institute fundal massage
  3. Order daily sitz baths
  4. Provide education for well-baby care

subject

professional_medicine

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