A 34-year-old female delivered at home yesterday and is anxious with steady vaginal bleeding. What should you do?

In this scenario, the patient has just delivered at home and is experiencing steady vaginal bleeding, which indicates that she may be at risk for post-partum hemorrhage. The priority in managing such a situation is to ensure the mother’s stability and to control the bleeding.

Applying a bulky dressing and massaging the fundus is the correct course of action. The fundus is the top part of the uterus, and after delivery, it should be firmly contracted to minimize bleeding. Massaging the fundus helps stimulate uterine contraction and can significantly reduce bleeding. The bulky dressing can help absorb any vaginal bleeding and apply pressure, which is also beneficial in managing hemorrhage.

While monitoring vital signs is important to assess the patient's condition, it does not directly address the immediate cause of bleeding. Requesting immediate transport is necessary if the condition worsens or if the bleeding doesn’t stop, but active management at the scene is essential first. Administering medication can be relevant after the immediate problem is being addressed but isn’t the primary action to control bleeding in this context.