Relias: Nursing Care of the Patient with Obstetric and
Postpartum Hemorrhage Assessment Actual Questions
and Verified Answers, 100% Guarantee Pass
1. Question 1 of 63
During a cesarean, the provider communicates that the drapes have been
suctioned out prior to the delivery of the placenta.
The nurse notes the suction canister has 350 mL of blood-tinged fluid in it. The
nurse quickly switches to a new suction canister prior to the delivery of the
placenta. As the fascia is closed, the provider again suctions the drape, and the
nurse notes 600 mL of blood in the new canister.
Twenty sponges in 4 sponge counter bags are weighed with a total amount of
400 g. The nurse knows the dry weight of 20 sponges and 4 counter bags is 250
g.
What amount of quantitative blood loss does the nurse record for this birth?
Select an answer.
,• 600 mL
1350 ml
• 750°mL
• 1100 mL
Answer: • 750°mL
2. Early nursing interventions in a Stage 1 hemorrhage include
Select an answer.
• Administering uterotonics, drawing labs, and moving to the OR
• Massaging the fundus, ambulating the patient, and quantifying blood loss
• Massaging the fundus, emptying the bladder, and quantifying blood loss
O Evaluating vital signs, assessing for cervical lacerations, and administering
IV fluids
Answer: • Massaging the fundus, emptying the bladder, and quantifying blood loss
3. Ms. Diaz expels a grapefruit-sized clot. The nurse massages Ms. Diaz fundus
and informs the physician that the patient has entered Stage 2 of hemorrhage.
The physician states, "Let's just watch her over the next hour."
What should the prudent nurse do?
,Select an answer.
• State that for a Stage 2 hemorrhage, the protocol recommends that the
provider evaluates the patient and orders a uterotonic.
O Follow the physician's order, as it is the physician's call, not the nurse's.
• Tell the patient that the doctor does not seem to think her bleeding is
concerning.
• Ask the senior nurse what to do, and follow that advice.
Answer: • State that for a Stage 2 hemorrhage, the protocol recommends that the provider
evaluates the patient and orders a uterotonic.
4. A hemorrhage risk assessment is completed
SATA
1. Upon admission
2. Throughout labor, as risk factors develop
3. Prior to birth
4. Hourly in labor
, Answer: 1. Upon admission
2. Throughout labor, as risk factors develop
3. Prior to birth
5. Question 15 of 63
The nurse reports that the quantitative blood loss (QBL) from the under-but-
tocks drape after the vaginal birth is 745 mL after dry weights and pre-pla-
cental fluids have been subtracted. Prior to the provider leaving the room, the
obstetric team decides to re-evaluate bleeding, fundal height, and vital signs.
The decision for heightened surveillance is made because
Select an answer.
a. The team mistakenly diagnoses a hemorrhage despite the fact that QBL is
<1000 mL.
b. Cumulative QBL is not accurate enough to diagnose obstetric hemorrhage.
c. The team correctly identifies 745 mL as an abnormal amount of blood loss
for a vaginal birth, warranting close monitoring.
d. Some providers are more cautious than others, and management depends on
Postpartum Hemorrhage Assessment Actual Questions
and Verified Answers, 100% Guarantee Pass
1. Question 1 of 63
During a cesarean, the provider communicates that the drapes have been
suctioned out prior to the delivery of the placenta.
The nurse notes the suction canister has 350 mL of blood-tinged fluid in it. The
nurse quickly switches to a new suction canister prior to the delivery of the
placenta. As the fascia is closed, the provider again suctions the drape, and the
nurse notes 600 mL of blood in the new canister.
Twenty sponges in 4 sponge counter bags are weighed with a total amount of
400 g. The nurse knows the dry weight of 20 sponges and 4 counter bags is 250
g.
What amount of quantitative blood loss does the nurse record for this birth?
Select an answer.
,• 600 mL
1350 ml
• 750°mL
• 1100 mL
Answer: • 750°mL
2. Early nursing interventions in a Stage 1 hemorrhage include
Select an answer.
• Administering uterotonics, drawing labs, and moving to the OR
• Massaging the fundus, ambulating the patient, and quantifying blood loss
• Massaging the fundus, emptying the bladder, and quantifying blood loss
O Evaluating vital signs, assessing for cervical lacerations, and administering
IV fluids
Answer: • Massaging the fundus, emptying the bladder, and quantifying blood loss
3. Ms. Diaz expels a grapefruit-sized clot. The nurse massages Ms. Diaz fundus
and informs the physician that the patient has entered Stage 2 of hemorrhage.
The physician states, "Let's just watch her over the next hour."
What should the prudent nurse do?
,Select an answer.
• State that for a Stage 2 hemorrhage, the protocol recommends that the
provider evaluates the patient and orders a uterotonic.
O Follow the physician's order, as it is the physician's call, not the nurse's.
• Tell the patient that the doctor does not seem to think her bleeding is
concerning.
• Ask the senior nurse what to do, and follow that advice.
Answer: • State that for a Stage 2 hemorrhage, the protocol recommends that the provider
evaluates the patient and orders a uterotonic.
4. A hemorrhage risk assessment is completed
SATA
1. Upon admission
2. Throughout labor, as risk factors develop
3. Prior to birth
4. Hourly in labor
, Answer: 1. Upon admission
2. Throughout labor, as risk factors develop
3. Prior to birth
5. Question 15 of 63
The nurse reports that the quantitative blood loss (QBL) from the under-but-
tocks drape after the vaginal birth is 745 mL after dry weights and pre-pla-
cental fluids have been subtracted. Prior to the provider leaving the room, the
obstetric team decides to re-evaluate bleeding, fundal height, and vital signs.
The decision for heightened surveillance is made because
Select an answer.
a. The team mistakenly diagnoses a hemorrhage despite the fact that QBL is
<1000 mL.
b. Cumulative QBL is not accurate enough to diagnose obstetric hemorrhage.
c. The team correctly identifies 745 mL as an abnormal amount of blood loss
for a vaginal birth, warranting close monitoring.
d. Some providers are more cautious than others, and management depends on
