If the mother continues to bleed after delivery, what should you do?

Performing fundal massage above the uterus is a crucial step to help control postpartum bleeding. After delivery, the uterus should contract to close off the blood vessels in the placenta site. If the uterus is not contracting effectively, the massage can stimulate contractions, thereby helping to reduce bleeding.

Monitoring vital signs, while important, does not directly address the immediate need to control the bleeding. Providing fluids may be necessary later if the mother shows signs of shock or severe blood loss, but it does not actively help to stop the bleeding at that moment. Advising her to lay down can be helpful for comfort or to manage symptoms, but it too does not have a direct effect on the physiological issue of uterine tone and blood loss.

Therefore, the action of performing fundal massage directly addresses the cause of the continued bleeding and is the most appropriate course of action in this scenario.