A 6-month-old infant presents to the clinic with failure to…

A 6-month-old infant presents to the clinic with failure to thrive, a history of frequent respiratory infections, and increasing exhaustion during feedings. On physical examination, a systolic murmur is detected, no central cyanosis, and chest radiography reveals cardiomegaly. An echocardiogram is done that shows left-to-right shunting. This assessment data is characteristic of what?

Your postpartum patient has been moved to the postpartum uni…

Your postpartum patient has been moved to the postpartum unit and after being there for an hour, calls out for the nurse complaining she has just felt a large gush. You find that she is lying in a pool of vaginal blood with heavy bleeding and clots.  After you immediately assess the fundus, you find it deviated right. You massage the fundus and call for help, what is the next priority action?