What should be done for a patient who had a "normal home delivery" and is now exhibiting anxiety and significant vaginal bleeding?

In this scenario, the presence of significant vaginal bleeding following a "normal home delivery" is concerning for possible complications such as uterine atony, retained placenta, or lacerations. These conditions can lead to hypovolemic shock if not addressed promptly, especially in the context of the patient's anxiety, which may indicate that she is experiencing distress related to her condition.

Applying high-flow oxygen serves to improve tissue oxygenation, which can be critical in cases where blood loss might compromise circulation. Rapid transport to a medical facility is essential to ensure that the patient receives the necessary interventions, which may include fluid resuscitation, medication administration, or surgical evaluation. Obtaining IV access before transport is also crucial; this allows for rapid administration of fluids and medications during transport if her condition worsens or if shock is evident.

In contrast, other options may delay necessary care. Merely reassuring her and monitoring closely does not adequately address the potential severity of her symptoms. Encouraging rest and fluid intake might be appropriate in less severe cases but is insufficient given the presentation of significant bleeding. Performing a thorough physical exam, while important for assessment, may consume valuable time that could be better spent ensuring the patient receives immediate transport and treatment.

Thus, the choice to apply