Nursing Care of the Patient with Obstetric and Postpartum
Advanced Final Exam
Hemorrhage Assessment
Study Guide 2026/2027
⭐ Accurate Questions with Correct Detailed Solutions |
Brand New Updated Version | High Exam Success
Boost your preparation with this Advanced Final Exam Study Guide 2026/2027, designed to
help students review smarter, strengthen understanding, and perform confidently in exams.
This study resource features accurate exam-style questions with correct detailed solutions,
carefully structured around important and frequently tested concepts. Each solution includes
clear explanations and step-by-step breakdowns to help improve comprehension, reinforce
learning, and enhance problem-solving skills.
Whether you are preparing ahead of time or reviewing shortly before your exam, this guide
provides a focused and organized approach to help maximize your study time and improve
exam readiness.
🔥 What This Guide Offers
✔ Accurate and exam-focused practice questions
✔ Correct detailed solutions with clear explanations
✔ Coverage of important and commonly tested topics
✔ Brand new updated version (2026/2027)
✔ Easy-to-follow structure for quick revision
🚀 Benefits of This Study Guide
• Helps strengthen understanding of core concepts
• Supports effective and efficient revision
• Improves confidence and test-taking ability
• Provides realistic exam-style practice
• Helps identify and improve weak areas
,🎯 Ideal For
• Final exam preparation
• Midterm revision sessions
• Last-minute review and practice
• Practicing exam-style questions
• Improving academic performance and exam confidence
📚 A practical and reliable study companion designed to help students prepare effectively
and achieve stronger exam results.
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
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
, 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.
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
Question 15 of 63
The nurse reports that the quantitative blood loss (QBL) from the under-buttocks drape
after the vaginal birth is 745 mL after dry weights and pre-placental 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 the
individual provider. - ANSWER ✅✅✅✅c. The team correctly identifies 745 mL as an
abnormal amount of blood loss for a vaginal birth, warranting close monitoring.
Though the standard definition of a hemorrhage is blood loss >1000 mL, blood loss
>500 mL is abnormal in a vaginal birth and warrants close monitoring. This is
considered a Stage 1 hemorrhage on AWHONN's hemorrhage staging system.
Initial interventions to manage hemorrhage are appropriate after 500 mL blood loss in a
vaginal birth (Association of Women's Health, Obstetric and Neonatal Nurses 2021a).
Advanced Final Exam
Hemorrhage Assessment
Study Guide 2026/2027
⭐ Accurate Questions with Correct Detailed Solutions |
Brand New Updated Version | High Exam Success
Boost your preparation with this Advanced Final Exam Study Guide 2026/2027, designed to
help students review smarter, strengthen understanding, and perform confidently in exams.
This study resource features accurate exam-style questions with correct detailed solutions,
carefully structured around important and frequently tested concepts. Each solution includes
clear explanations and step-by-step breakdowns to help improve comprehension, reinforce
learning, and enhance problem-solving skills.
Whether you are preparing ahead of time or reviewing shortly before your exam, this guide
provides a focused and organized approach to help maximize your study time and improve
exam readiness.
🔥 What This Guide Offers
✔ Accurate and exam-focused practice questions
✔ Correct detailed solutions with clear explanations
✔ Coverage of important and commonly tested topics
✔ Brand new updated version (2026/2027)
✔ Easy-to-follow structure for quick revision
🚀 Benefits of This Study Guide
• Helps strengthen understanding of core concepts
• Supports effective and efficient revision
• Improves confidence and test-taking ability
• Provides realistic exam-style practice
• Helps identify and improve weak areas
,🎯 Ideal For
• Final exam preparation
• Midterm revision sessions
• Last-minute review and practice
• Practicing exam-style questions
• Improving academic performance and exam confidence
📚 A practical and reliable study companion designed to help students prepare effectively
and achieve stronger exam results.
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
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
, 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.
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
Question 15 of 63
The nurse reports that the quantitative blood loss (QBL) from the under-buttocks drape
after the vaginal birth is 745 mL after dry weights and pre-placental 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 the
individual provider. - ANSWER ✅✅✅✅c. The team correctly identifies 745 mL as an
abnormal amount of blood loss for a vaginal birth, warranting close monitoring.
Though the standard definition of a hemorrhage is blood loss >1000 mL, blood loss
>500 mL is abnormal in a vaginal birth and warrants close monitoring. This is
considered a Stage 1 hemorrhage on AWHONN's hemorrhage staging system.
Initial interventions to manage hemorrhage are appropriate after 500 mL blood loss in a
vaginal birth (Association of Women's Health, Obstetric and Neonatal Nurses 2021a).
