[Solved]: The external fetal monitor showed fetal tachycardia,…

The external fetal monitor showed fetal tachycardia, recurrent late decelerations, and minimal variability. The provider attempted a forcep delivery for fetal distress. The provider delivered the head without difficulties, but then a shoulder dystocia was identified. McRoberts maneuver, suprapubic pressure, and an episiotomy was done. Baby delivered following a 90 second dystocia. NICU staff were present for delivery and resuscitated baby with tactile stimulation, bulb and deep suctioning, and positive pressure ventilation. APGARS were 4 at the 1 minute and 8 at 5 minutes. Upon examine from the NICU provider, clavicles were intact and no motor weakness in either upper extremity was noted. Some facial bruising was noted where the forceps were applied. The baby weighed 4479g (9lb 14oz). What additional risk factors does Ms. Taylor have for complications? 0915: Blood loss following delivery was 400ml. Placenta delivered, intact 30 minutes after baby delivered. Vital signs: RR 20, HR 119, Temp 99.9 F, BP 90/54, Pain is minimal. 0917 The provider performs a fundal massage. The uterus is boggy and 2/U, bleeding has increased significantly and numerous clots are being expressed. What is the priority of the nurse right now? What interventions should be done?