If your EMS system protocols permit you to administer oxytocin to the mother following birth to control severe postpartum bleeding, it is MOST important to:

A) Administer a 500-mL normal saline bolus.
B) First massage the uterus for at least 5 minutes.
C) Ensure that she is not delivering a second baby.
D) Obtain at least two blood pressure readings first.

The MOST important action if your EMS system protocols permit you to administer oxytocin to control severe postpartum bleeding is B) first massage the uterus for at least 5 minutes.

Massaging the uterus helps to stimulate contractions, which can aid in controlling postpartum bleeding. It is a crucial immediate intervention to address uterine atony, a common cause of postpartum hemorrhage. While administering oxytocin (a uterotonic medication) can be beneficial, starting with uterine massage is essential to address the issue promptly.

Options A, C, and D are important considerations in maternal care, but they are not the immediate priority in this scenario. Administering a normal saline bolus (option A) might be necessary if the patient is hypovolemic, ensuring the absence of a second baby (option C) is vital, and obtaining blood pressure readings (option D) is crucial for monitoring the patient's condition, but massaging the uterus takes precedence to control severe postpartum bleeding.

Learn more about administering oxytocin to control severe postpartum bleeding here:

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