Relias: Nursing Care of the Patient with Obstetric and Postpartum Hemo
rhage Assessment / Expert Verified Actual Questions & Answers for Guar
teed Pass / Newest Update, 2025/2026.
Study online at https://quizlet.com/_h6ftqa
1. Question 1 of 63 • 750°mL
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 can-
ister has 350 mL of blood-tinged
fluid in it. The nurse quickly
switches to a new suction can-
ister 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
, Relias: Nursing Care of the Patient with Obstetric and Postpartum Hemo
rhage Assessment / Expert Verified Actual Questions & Answers for Guar
teed Pass / Newest Update, 2025/2026.
Study online at https://quizlet.com/_h6ftqa
2. Early nursing interventions in a • Massaging the fundus, emptying the bladder, and quan-
Stage 1 hemorrhage include: tifying blood loss
Select an answer.
• Administering uterotonics,
drawing labs, and moving to the
OR
• Massaging the fundus, ambu-
lating the patient, and quantify-
ing blood loss
• Massaging the fundus, empty-
ing the bladder, and quantifying
blood loss
O Evaluating vital signs, assess-
ing for cervical lacerations, and
administering IV fluids
3. Ms. Diaz expels a grape- • State that for a Stage 2 hemorrhage, the protocol recom-
fruit-sized clot. The nurse mas- mends that the provider evaluates the patient and orders a
sages Ms. Diaz fundus and in- uterotonic.
forms the physician that the pa-
tient has entered Stage 2 of he-
morrhage. 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 hemor-
rhage, the protocol recommends
, Relias: Nursing Care of the Patient with Obstetric and Postpartum Hemo
rhage Assessment / Expert Verified Actual Questions & Answers for Guar
teed Pass / Newest Update, 2025/2026.
Study online at https://quizlet.com/_h6ftqa
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 bleed-
ing is concerning.
• Ask the senior nurse what to do,
and follow that advice.
4. A hemorrhage risk assessment is 1. Upon admission
completed: 2. Throughout labor, as risk factors develop
3. Prior to birth
SATA
1. Upon admission
2. Throughout labor, as risk fac-
tors develop
3. Prior to birth
4. Hourly in labor
5. Question 15 of 63 c. The team correctly identifies 745 mL as an abnormal
The nurse reports that the quan- amount of blood loss for a vaginal birth, warranting close
titative blood loss (QBL) from monitoring.
the under-buttocks drape after
the vaginal birth is 745 mL af- Though the standard definition of a hemorrhage is blood
ter dry weights and pre-placen- loss >1000 mL, blood loss
tal fluids have been subtracted. >500 mL is abnormal in a vaginal birth and warrants close
Prior to the provider leaving the monitoring. This is considered a Stage 1 hemorrhage on
room, the obstetric team decides AWHONN's hemorrhage staging system.
, Relias: Nursing Care of the Patient with Obstetric and Postpartum Hemo
rhage Assessment / Expert Verified Actual Questions & Answers for Guar
teed Pass / Newest Update, 2025/2026.
Study online at https://quizlet.com/_h6ftqa
to re-evaluate bleeding, fundal Initial interventions to manage hemorrhage are appropri-
height, and vital signs. The deci- ate after 500 mL blood loss in a vaginal birth (Association
sion for heightened surveillance of Women's Health, Obstetric and Neonatal Nurses 2021a).
is made because: QBL should be the main trigger to help guide manage-
Select an answer. ment of a hemorrhage. Standardized protocols help limit
variances due to different providers.
a. The team mistakenly diag-
noses a hemorrhage despite the
fact that QBL is <1000 mL.
b. Cumulative QBL is not accu-
rate enough to diagnose obstet-
ric 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 cau-
tious than others, and manage-
ment depends on the individual
provider.
6. A cumulative quantitative blood • Stage 1 hemorrhage
loss after a vaginal birth that is
600 mL is considered what stage
of hemorrhage?
Select an answer.
• Severe hemorrhage
• Stage 1 hemorrhage
• Stage 3 hemorrhage
rhage Assessment / Expert Verified Actual Questions & Answers for Guar
teed Pass / Newest Update, 2025/2026.
Study online at https://quizlet.com/_h6ftqa
1. Question 1 of 63 • 750°mL
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 can-
ister has 350 mL of blood-tinged
fluid in it. The nurse quickly
switches to a new suction can-
ister 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
, Relias: Nursing Care of the Patient with Obstetric and Postpartum Hemo
rhage Assessment / Expert Verified Actual Questions & Answers for Guar
teed Pass / Newest Update, 2025/2026.
Study online at https://quizlet.com/_h6ftqa
2. Early nursing interventions in a • Massaging the fundus, emptying the bladder, and quan-
Stage 1 hemorrhage include: tifying blood loss
Select an answer.
• Administering uterotonics,
drawing labs, and moving to the
OR
• Massaging the fundus, ambu-
lating the patient, and quantify-
ing blood loss
• Massaging the fundus, empty-
ing the bladder, and quantifying
blood loss
O Evaluating vital signs, assess-
ing for cervical lacerations, and
administering IV fluids
3. Ms. Diaz expels a grape- • State that for a Stage 2 hemorrhage, the protocol recom-
fruit-sized clot. The nurse mas- mends that the provider evaluates the patient and orders a
sages Ms. Diaz fundus and in- uterotonic.
forms the physician that the pa-
tient has entered Stage 2 of he-
morrhage. 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 hemor-
rhage, the protocol recommends
, Relias: Nursing Care of the Patient with Obstetric and Postpartum Hemo
rhage Assessment / Expert Verified Actual Questions & Answers for Guar
teed Pass / Newest Update, 2025/2026.
Study online at https://quizlet.com/_h6ftqa
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 bleed-
ing is concerning.
• Ask the senior nurse what to do,
and follow that advice.
4. A hemorrhage risk assessment is 1. Upon admission
completed: 2. Throughout labor, as risk factors develop
3. Prior to birth
SATA
1. Upon admission
2. Throughout labor, as risk fac-
tors develop
3. Prior to birth
4. Hourly in labor
5. Question 15 of 63 c. The team correctly identifies 745 mL as an abnormal
The nurse reports that the quan- amount of blood loss for a vaginal birth, warranting close
titative blood loss (QBL) from monitoring.
the under-buttocks drape after
the vaginal birth is 745 mL af- Though the standard definition of a hemorrhage is blood
ter dry weights and pre-placen- loss >1000 mL, blood loss
tal fluids have been subtracted. >500 mL is abnormal in a vaginal birth and warrants close
Prior to the provider leaving the monitoring. This is considered a Stage 1 hemorrhage on
room, the obstetric team decides AWHONN's hemorrhage staging system.
, Relias: Nursing Care of the Patient with Obstetric and Postpartum Hemo
rhage Assessment / Expert Verified Actual Questions & Answers for Guar
teed Pass / Newest Update, 2025/2026.
Study online at https://quizlet.com/_h6ftqa
to re-evaluate bleeding, fundal Initial interventions to manage hemorrhage are appropri-
height, and vital signs. The deci- ate after 500 mL blood loss in a vaginal birth (Association
sion for heightened surveillance of Women's Health, Obstetric and Neonatal Nurses 2021a).
is made because: QBL should be the main trigger to help guide manage-
Select an answer. ment of a hemorrhage. Standardized protocols help limit
variances due to different providers.
a. The team mistakenly diag-
noses a hemorrhage despite the
fact that QBL is <1000 mL.
b. Cumulative QBL is not accu-
rate enough to diagnose obstet-
ric 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 cau-
tious than others, and manage-
ment depends on the individual
provider.
6. A cumulative quantitative blood • Stage 1 hemorrhage
loss after a vaginal birth that is
600 mL is considered what stage
of hemorrhage?
Select an answer.
• Severe hemorrhage
• Stage 1 hemorrhage
• Stage 3 hemorrhage
