This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General obstetrics, Subject name: Gynaecology & Obstetrics
[{'content': 'A P3 female who had normal vaginal delivery develops PPH. Third stage was managed actively and placenta and membranes were expelled completely. What is the first step in management? \nSelect and explain. \nA. Carry out uterine massage, B. Inse two 14G cannulas and sta IV fluids, C. Give oxytocin infusion, D. Palpate the uterus to determine its consistency', 'role': 'user'}, {'content': 'Answer: B \nExplanation: The first step in management is to inse two 14G cannulas and sta IV fluids. Whenever there is excessive blood loss in a pregnant woman, steps are simultanously taken to identify the source of bleeding and to begin resuscitation. Is she is postpaum it is essential to identify the cause for the PPH and at least 1 and preferably more large-bore IV infusion systems are established promptly with rapid adminstration of crystalloid solutions while blood is made available. Ref: Williams Obstetrics 24th edition Pgno: 815', 'role': 'assistant'}]