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Cyanosis is the bluish discoloration of the skin and mucous membranes that indicates inadequate oxygenation.

It is not normal in newborns and requires immediate intervention.

Pallor is the paleness of the skin that indicates poor perfusion or anemia.

It is not normal in newborns and requires further evaluation.

Jaundice is the yellowish discoloration of the skin and sclera that indicates elevated bilirubin levels.

It is not normal in newborns within the first 24 hours of life and may indicate hemolytic disease or liver dysfunction.

Administering oxytocin is a pharmacological intervention that can be used after massaging the fundus if bleeding persists.

Oxytocin is a hormone that also stimulates uterine contractions and reduces blood loss.

Inserting an indwelling urinary catheter is not a priority action for postpartum hemorrhage.

A full bladder can interfere with uterine contractions and cause displacement of the uterus, but it is not the main cause of uterine atony.

Starting an IV infusion of lactated Ringer’s solution is a supportive measure that can be used to replace fluid loss and maintain blood pressure in postpartum hemorrhage.

However, it does not address the underlying cause of bleeding and should not be done before massaging the fundus.

It is a late sign of hypovolemic shock, indicating severe blood loss and decompensation.

Hypotension can lead to organ failure and death if not corrected promptly.

It is not a specific sign of hypovolemic shock, but rather a consequence of reduced renal perfusion due to low blood pressure and volume.

Oliguria can also be caused by other factors such as dehydration, urinary tract obstruction, or renal disease.

Pallor is wrong because it is not a reliable sign of hypovolemic shock, as it can be influenced by skin color, temperature, and lighting conditions.

Pallor can also occur in other conditions such as anemia, hypoxia, or vasovagal syncope.

Having a large baby can increase the risk of postpartum hemorrhage.

A large baby can overstretch the uterine muscle and cause atony, which is the failure of the uterus to contract properly after delivery.Atony is the most common cause of postpartum hemorrhage.

Having a prolonged labor can increase the risk of postpartum hemorrhage.

A prolonged labor can exhaust the uterine muscle and impair its ability to contract after delivery.This can also lead to atony and excessive bleeding.

Having a low-lying placenta can increase the risk of postpartum hemorrhage.

A low-lying placenta, also called placenta previa, is when the placenta covers part of the cervix. This condition can increase the risk of postpartum hemorrhage, which is excessive bleeding after childbirth.

Temperature is wrong because temperature is not affected by methylergonovine and is not a priority assessment for postpartum hemorrhage.

Respiratory rate is wrong because respiratory rate is not affected by methylergonovine and is not a priority assessment for postpartum hemorrhage.

Blood glucose is wrong because blood glucose is not affected by methylergonovine and is not a priority assessment for postpartum hemorrhage.

Postpartum hemorrhage is severe vaginal bleeding after childbirth that can lead to shock and death.

The major causes of postpartum hemorrhage are uterine atony, lacerations, retained placenta or clots, and clotting factor deficiency

Hemoglobin 10 g/dL is within the normal range for postpartum women (10-14 g/dL) and does not indicate hemorrhage.

Hematocrit 30% is also within the normal range for postpartum women (30-39%) and does not indicate hemorrhage.

White blood cells 12,000/mm3 is slightly elevated but not abnormal for postpartum women, who may have a physiological leukocytosis due to stress, inflammation, or infection.