RELIAS NURSING CARE OF THE PATIENT WITH
OBSTETRIC AND POSTPARTUM HEMORRHAGE
ASSESSMENT TEST 2026 ANSWERED
CORRECTLY
◉ 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). QBL should be the main
trigger to help guide management of a hemorrhage. Standardized
protocols help limit variances due to different providers.
◉ A cumulative quantitative blood 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
• Is not staged because it is <1000 mL Answer: • Stage 1
hemorrhage
◉ Which of the following nursing interventions should be
performed in collaboration with other interventions during a Stage 1
obstetric hemorrhage?
Select all that apply.
1 Keep the patient warm using warmed fluids and warmer devices.
2 Directy quantify blood loss (OBL) and communicate cumulative
QBL.
3 Aggressively replace blood loss with an equal amount of
crystalloid fluids.
OBSTETRIC AND POSTPARTUM HEMORRHAGE
ASSESSMENT TEST 2026 ANSWERED
CORRECTLY
◉ 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). QBL should be the main
trigger to help guide management of a hemorrhage. Standardized
protocols help limit variances due to different providers.
◉ A cumulative quantitative blood 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
• Is not staged because it is <1000 mL Answer: • Stage 1
hemorrhage
◉ Which of the following nursing interventions should be
performed in collaboration with other interventions during a Stage 1
obstetric hemorrhage?
Select all that apply.
1 Keep the patient warm using warmed fluids and warmer devices.
2 Directy quantify blood loss (OBL) and communicate cumulative
QBL.
3 Aggressively replace blood loss with an equal amount of
crystalloid fluids.
