<prompt> In the recovery room, 1 hour after an outlet forceps delivery, a patient is found to have an 8 x 5 cm expanding, bluish tense, painful right labia majora. The most appropriate management of this patient includes:Vaginal packingVaginal exploration under GAExploratory laparotomy and Internal Illiac aery LigationObservation, Cold compress.  <response>: The above given history is suggestive of vulvar hematoma. Most cases can be managed conservatively, at least initially, but if the pain does not disappear and if there is suspicion of an expanding hematoma, it will be necessary to examine the areas with the patient under anesthesia and drainage in order to reduce the pain, accelerate the recovery and prevent secondary infection and necrosis 