A nurse is caring for a client who had a vaginal delivery 2 hr ago. Which of the following actions should the nurse anticipate in the care of this client? (Select all that apply.)

Observe the lochia during palpation of fundus.

Administer methylergonovine maleate if uterus is boggy.

Document fundal height.

Determine whether the fundus is midline.

Massage a firm fundus.