Review Question - QID 210901

A 34-year-old G5P5 woman gave birth to a healthy infant 30 minutes ago by vacuum-assisted vaginal delivery and is now experiencing vaginal bleeding. The placenta was delivered spontaneously and was intact upon examination. The infant weighed 5.2 kg and had Apgar scores of 8 and 9. No perineal tear or intentional episiotomy occurred. The patient has type 1 diabetes. She had good glycemic control throughout her pregnancy. She took a prenatal vitamin daily. Her temperature is 98.7°F (37°C), blood pressure is 135/72 mmHg, pulse is 102/min, respirations are 18/min, and oxygen saturation is 99% on room air. Upon physical examination, the uterine fundus is soft and palpated 4 cm above the umbilicus. There are 3 cm blood clots on the patient’s bed pad. Which of the following is the most appropriate next step in management for the patient’s bleeding?