While you are taking Monique's vital signs and performing a postpartum assessment 4 hours after delivery, she tells you she is feeling lightheaded. She has a history of chronic hypertension and obesity. Her vital signs are blood pressure 85/57 mm Hg, pulse 132, respirations 28, oxygen saturation 94%. Her uterus is boggy at midline, 1 cm above the umbilicus. What would be your next steps and anticipated orders?

Massage her fundus until firm and ensure IV access. Orders for methylergonovine (Methergine) 0.2 mg IM and an oxytocin bolus.

Massage her fundus until firm and ensure IV access. Orders for carboprost-tromethamine (Hemabate) 250 mcg IM, and an oxytocin bolus.

Gather her peri-pads and chux pads to quantify her blood loss.

Assist her to the restroom to void, then massage her fundus until firm. Inform her that her lightheadedness was from orthostatic hypotension and to be sure to ask for assistance when getting up. There is no change in orders at this time.

Straight catheterize her, then reassess her uterus, massaging it if it's still boggy. Order for oxytocin maintenance at 10 units/1 L of lactated Ringers running at 125 mL/hr.