Page | 1
RELIAS: NURSING CARE OF THE PATIENT
WITH OBSTETRIC AND POSTPARTUM
HEMORRHAGE ASSESSMENT 2025| BRAND
NEW ACTUAL EXAM WITH 100% VERIFIED
QUESTIONS AND CORRECT SOLUTIONS|
GUARANTEED VALUE PACK| ACE YOUR
GRADES.
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
, Page | 2
1350 ml
• 750°mL
• 1100 mL - correct 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 - correct 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.
, Page | 3
• 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. - correct
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 - correct answer - 1. Upon admission
2. Throughout labor, as risk factors develop
3. Prior to birth
Question 15 of 63
, Page | 4
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. - correct 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). QBL should be
the main trigger to help guide management of a hemorrhage.
RELIAS: NURSING CARE OF THE PATIENT
WITH OBSTETRIC AND POSTPARTUM
HEMORRHAGE ASSESSMENT 2025| BRAND
NEW ACTUAL EXAM WITH 100% VERIFIED
QUESTIONS AND CORRECT SOLUTIONS|
GUARANTEED VALUE PACK| ACE YOUR
GRADES.
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
, Page | 2
1350 ml
• 750°mL
• 1100 mL - correct 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 - correct 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.
, Page | 3
• 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. - correct
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 - correct answer - 1. Upon admission
2. Throughout labor, as risk factors develop
3. Prior to birth
Question 15 of 63
, Page | 4
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. - correct 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). QBL should be
the main trigger to help guide management of a hemorrhage.
