Relias: Nursing Care of the Patient with Obstetric and Postpartum
Relias: Nursing Care of the Patient with Obstetric and Postpartum Hemo
Hemorrhage Assessment 2025 !!
rhage Assessment
Study online at https://quizlet.com/_cqn3ty
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 canis-
ter has 350 mL of blood-tinged flu-
id 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
2.
, Relias: Nursing Care of the Patient with Obstetric and Postpartum Hemo
rhage Assessment
Study online at https://quizlet.com/_cqn3ty
Early nursing interventions in a • Massaging the fundus, emptying the bladder, and
Stage 1 hemorrhage include: quantifying blood loss
Select an answer.
• Administering uterotonics, draw-
ing labs, and moving to the OR
• Massaging the fundus, ambulat-
ing 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 admin-
istering IV fluids
3. Ms. Diaz expels a grapefruit-sized • State that for a Stage 2 hemorrhage, the protocol
clot. The nurse massages Ms. Diaz recommends that the provider evaluates the patient and
fundus and informs the physician orders a uterotonic.
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 hemor-
rhage, the protocol recommends
that the provider evaluates the pa-
tient and orders a uterotonic.
O Follow the physician's order, as
, Relias: Nursing Care of the Patient with Obstetric and Postpartum Hemo
rhage Assessment
Study online at https://quizlet.com/_cqn3ty
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 factors
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 quanti- amount of blood loss for a vaginal birth, warranting
tative blood loss (QBL) from the un- close monitoring.
der-buttocks drape after the vagi-
nal birth is 745 mL after dry weights Though the standard definition of a hemorrhage is
and pre-placental fluids have been blood loss >1000 mL, blood loss
subtracted. Prior to the provider >500 mL is abnormal in a vaginal birth and warrants
leaving the room, the obstetric close monitoring. This is considered a Stage 1 hemor-
team decides to re-evaluate bleed- rhage on AWHONN's hemorrhage staging system.
ing, fundal height, and vital signs. Initial interventions to manage hemorrhage are appro-
The decision for heightened sur- priate after 500 mL blood loss in a vaginal birth (Associ-
veillance is made because: ation of Women's Health, Obstetric and Neonatal Nurs-
Select an answer. es 2021a). QBL should be the main trigger to help guide
, Relias: Nursing Care of the Patient with Obstetric and Postpartum Hemo
rhage Assessment
Study online at https://quizlet.com/_cqn3ty
management of a hemorrhage. Standardized protocols
a. The team mistakenly diagnoses help limit variances due to different providers.
a hemorrhage despite the fact that
QBL is <1000 mL.
b. Cumulative QBL is not accurate
enough to diagnose obstetric hem-
orrhage.
c. The team correctly identifies 745
mL as an abnormal amount of
blood loss for a vaginal birth, war-
ranting 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 he-
morrhage?
Select an answer.
• Severe hemorrhage
• Stage 1 hemorrhage
• Stage 3 hemorrhage
• Is not staged because it is <1000
mL
7. Which of the following nursing in- 1 Keep the patient warm using warmed fluids and
terventions should be performed warmer devices.
in collaboration with other inter- 2 Directy quantify blood loss (OBL) and communicate
ventions during a Stage 1 obstetric cumulative QBL.
Relias: Nursing Care of the Patient with Obstetric and Postpartum Hemo
Hemorrhage Assessment 2025 !!
rhage Assessment
Study online at https://quizlet.com/_cqn3ty
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 canis-
ter has 350 mL of blood-tinged flu-
id 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
2.
, Relias: Nursing Care of the Patient with Obstetric and Postpartum Hemo
rhage Assessment
Study online at https://quizlet.com/_cqn3ty
Early nursing interventions in a • Massaging the fundus, emptying the bladder, and
Stage 1 hemorrhage include: quantifying blood loss
Select an answer.
• Administering uterotonics, draw-
ing labs, and moving to the OR
• Massaging the fundus, ambulat-
ing 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 admin-
istering IV fluids
3. Ms. Diaz expels a grapefruit-sized • State that for a Stage 2 hemorrhage, the protocol
clot. The nurse massages Ms. Diaz recommends that the provider evaluates the patient and
fundus and informs the physician orders a uterotonic.
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 hemor-
rhage, the protocol recommends
that the provider evaluates the pa-
tient and orders a uterotonic.
O Follow the physician's order, as
, Relias: Nursing Care of the Patient with Obstetric and Postpartum Hemo
rhage Assessment
Study online at https://quizlet.com/_cqn3ty
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 factors
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 quanti- amount of blood loss for a vaginal birth, warranting
tative blood loss (QBL) from the un- close monitoring.
der-buttocks drape after the vagi-
nal birth is 745 mL after dry weights Though the standard definition of a hemorrhage is
and pre-placental fluids have been blood loss >1000 mL, blood loss
subtracted. Prior to the provider >500 mL is abnormal in a vaginal birth and warrants
leaving the room, the obstetric close monitoring. This is considered a Stage 1 hemor-
team decides to re-evaluate bleed- rhage on AWHONN's hemorrhage staging system.
ing, fundal height, and vital signs. Initial interventions to manage hemorrhage are appro-
The decision for heightened sur- priate after 500 mL blood loss in a vaginal birth (Associ-
veillance is made because: ation of Women's Health, Obstetric and Neonatal Nurs-
Select an answer. es 2021a). QBL should be the main trigger to help guide
, Relias: Nursing Care of the Patient with Obstetric and Postpartum Hemo
rhage Assessment
Study online at https://quizlet.com/_cqn3ty
management of a hemorrhage. Standardized protocols
a. The team mistakenly diagnoses help limit variances due to different providers.
a hemorrhage despite the fact that
QBL is <1000 mL.
b. Cumulative QBL is not accurate
enough to diagnose obstetric hem-
orrhage.
c. The team correctly identifies 745
mL as an abnormal amount of
blood loss for a vaginal birth, war-
ranting 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 he-
morrhage?
Select an answer.
• Severe hemorrhage
• Stage 1 hemorrhage
• Stage 3 hemorrhage
• Is not staged because it is <1000
mL
7. Which of the following nursing in- 1 Keep the patient warm using warmed fluids and
terventions should be performed warmer devices.
in collaboration with other inter- 2 Directy quantify blood loss (OBL) and communicate
ventions during a Stage 1 obstetric cumulative QBL.
