A nurse assesses a G2 P1 woman who gave birth to a 4500 gram baby boy 2 hours ago. The nurse notes ...

A nurse assesses a G2 P1 woman who gave birth to a 4500 gram baby boy 2 hours ago. The nurse notes that the woman's labor was only 2 hours and that the infant was delivered by the labor nurse.
 
  The nurse's assessment findings are:
  Fundus firm and midline at umbilicus
  Lochia heavysaturates pad within 15 minutes and bleeding is a steady stream without clots
  Perineum intact, slight bruising
  Ice pack on perineum
  Vital signs are B/P 105/65, P 98, R 20, T 38
  Based on this information, the nurse is concerned that the woman has a __________ of the __________ or __________.
 
  Fill in the blank with the appropriate word.