FATIME SANOGO VSIM EXAM
QUESTIONS AND ANSWERS GRADED A+
2025/2026
Which of the following factors places a patient at risk for post partum hemorrhage?(Select all
that apply) - ANS Macrosomia
Rapid Labor
Maternal fever
Oxytocin use during labor
Which of the following is consistent with the definition of a major obstetric hemorrhage? -
ANS Blood loss requiring transfusion of more than 5 units of blood.
Which of the following contraindications to the administration of misoprostol (Cytotec) for
treatment of a postpartum hemorrhage? (Select all that apply) - ANS Hepatitis C
Asthma
Pulmonary or hepatic disease is a contraindication for the use of prostaglandin medications.
Following the administration of misoprostol (Cytotec) for management of postpartum
hemorrhage, which of the following is the priority nursing assessment? - ANS Uterine tone
A patient is hemorrhaging after giving birth. When inspected, an area of the placenta was
frayed. The provider suspects that placental fragments are retained within the uterus. What is
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, the expected treatment for this condition? - ANS Evacuation of the uterus followed by
oxytocin (Pitocin) administration
During the first 30 to 45 minutes of a postpartum hemorrhage, which of the following is the
best parameter to estimate the amount of blood loss? - ANS Visual quantification of the
amount of bleeding.
When performing the postpartum examination, the nurse find the patient's fundus above the
umbilicus and deviated to the right. What does the nurse know might be the cause of this
finding? - ANS A full bladder
Why should the patient's level of consciousness be assessed during management of postpartum
hemorrhage? - ANS To evaluate cerebral perfusion.
While assessing the patient's fundus, the nurse notes that with massage the uterus becomes
firm, but then it relaxes again and the bleeding increases. Which of the following causes of
excessive bleeding does the nurse suspect? - ANS Retained tissue.
A complication of postpartum hemorrhage is hemorrhagic shock. Which of the following signs
would alert the nurse to the development of hemorrhagic shock? - ANS Tachycardia,
hypotension, and decreased urine output.
vSim - ANS Introduce Yourself
Wash Hands
ID patient
NIBP, Temp, Pulse Ox, Breath assessment
Check Pupils
Assess IV
Administer 2mg butorphanol tartrate IV
Check for blood, lochia and fluid on the bed
Change/weigh the bed pads
Assist patient into trendelenburg position
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS GRADED A+
2025/2026
Which of the following factors places a patient at risk for post partum hemorrhage?(Select all
that apply) - ANS Macrosomia
Rapid Labor
Maternal fever
Oxytocin use during labor
Which of the following is consistent with the definition of a major obstetric hemorrhage? -
ANS Blood loss requiring transfusion of more than 5 units of blood.
Which of the following contraindications to the administration of misoprostol (Cytotec) for
treatment of a postpartum hemorrhage? (Select all that apply) - ANS Hepatitis C
Asthma
Pulmonary or hepatic disease is a contraindication for the use of prostaglandin medications.
Following the administration of misoprostol (Cytotec) for management of postpartum
hemorrhage, which of the following is the priority nursing assessment? - ANS Uterine tone
A patient is hemorrhaging after giving birth. When inspected, an area of the placenta was
frayed. The provider suspects that placental fragments are retained within the uterus. What is
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, the expected treatment for this condition? - ANS Evacuation of the uterus followed by
oxytocin (Pitocin) administration
During the first 30 to 45 minutes of a postpartum hemorrhage, which of the following is the
best parameter to estimate the amount of blood loss? - ANS Visual quantification of the
amount of bleeding.
When performing the postpartum examination, the nurse find the patient's fundus above the
umbilicus and deviated to the right. What does the nurse know might be the cause of this
finding? - ANS A full bladder
Why should the patient's level of consciousness be assessed during management of postpartum
hemorrhage? - ANS To evaluate cerebral perfusion.
While assessing the patient's fundus, the nurse notes that with massage the uterus becomes
firm, but then it relaxes again and the bleeding increases. Which of the following causes of
excessive bleeding does the nurse suspect? - ANS Retained tissue.
A complication of postpartum hemorrhage is hemorrhagic shock. Which of the following signs
would alert the nurse to the development of hemorrhagic shock? - ANS Tachycardia,
hypotension, and decreased urine output.
vSim - ANS Introduce Yourself
Wash Hands
ID patient
NIBP, Temp, Pulse Ox, Breath assessment
Check Pupils
Assess IV
Administer 2mg butorphanol tartrate IV
Check for blood, lochia and fluid on the bed
Change/weigh the bed pads
Assist patient into trendelenburg position
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
