Relias: Nursing Care of the Patient with
Obstetric and Postpartum Hemorrhage
Assessment (Latest Update )
Questions with Answers 100% Correct
{Grade A}
After administration of oxytocin, methylergonovine maleate, and carboprost, Ms.
Petrov's uterine atony is controlled; however, she continues to bleed. Her blood loss is
categorized as a Stage 2 hemorrhage. Her uterus is firm, midline, and at the umbilicus.
Which medication should the nurse anticipate being ordered next?
After administration of oxytocin, methylergonovine maleate, and carboprost, Ms.
Petrov's uteri she continues to bleed. Her blood loss is categorized as a Stage 2
hemorrhage. Her uterus is umbilicus. Which medication should the nurse anticipate
being ordered next?
Select an answer.
a. Oxytocin
b. Methylergonovine maleate
c. Carboprost
,d. Tranexamic acid - Correct answer d. Tranexamic acid
If a PPH continues despite treatment, the risk of coagulopathy increases, at which time
TXA may be appropriate. TXA inhibits fibrinolysis and may reduce bleeding when there
are coagulation abnormalities. TXA is not used to treat uterine atony and should not be
an initial treatment of PPH (California Maternal Quality Care Collaborative 2017).
Because the patient's uterine atony has been controlled, administration of uterotonic
drugs such as oxytocin, methylergonovine maleate, carboprost, or misoprostol would
not be appropriate.
What is the purpose of obstetric hemorrhage (OH) protocols?
• To standardize the response to OH
• To offer communication tools
• To explain blood compatibility concerns
• To allow individualization of care - Correct answer
,Ms. Smith is a 17-year-old primipara, Non-Hispanic Black woman who dropped out of s
Ms. Smith gave birth vaginally 20 minutes ago. After birth, she began to have increased
nurse and said, "Is this bleeding normal? I'm afraid I'm going to die."
The nurse is aware that which health disparity may affect Ms. Smith's health outcome?
Select an answer.
a. Being a Non-Hispanic Black woman
b. Living with her mother
c. Growing up in a wealthy family
d Lacking a secondary education
The nurse is aware that which social determinant of health may affect Ms. Smith's
health outcome? Select an answer.
a. Being a Non-Hispanic Black woman
b. Living with her mother
c. Growing up in a wealthy family
d Lacking a secondary education - Correct answer Q1
Being a Non-Hispanic Black woman
, Q2
d Lacking a secondary education
A Non-Hispanic Black Woman is at a higher risk for maternal mortality. A patient living
with her mother has no relevance in health outcomes as long as it is a safe
environment. A patient coming from a wealthy upbringing actually has a better chance
at good health outcomes. Education is a social determinant of health, and Ms. Smith
has dropped out of school, thereby increasing the risk of poor outcomes.
The nurse is aware that which of the following interventions are aimed at obstetric
hemorrhage (OH) prevention for all births?
Select all that apply.
a. Recommending prophylactic oxytocin for active management of the third stage of
labor.
b. Bringing the hemorrhage cart and all uterotonic medications to every birth.
c. Visually estimating blood loss after the birth of the baby and placenta.
Obstetric and Postpartum Hemorrhage
Assessment (Latest Update )
Questions with Answers 100% Correct
{Grade A}
After administration of oxytocin, methylergonovine maleate, and carboprost, Ms.
Petrov's uterine atony is controlled; however, she continues to bleed. Her blood loss is
categorized as a Stage 2 hemorrhage. Her uterus is firm, midline, and at the umbilicus.
Which medication should the nurse anticipate being ordered next?
After administration of oxytocin, methylergonovine maleate, and carboprost, Ms.
Petrov's uteri she continues to bleed. Her blood loss is categorized as a Stage 2
hemorrhage. Her uterus is umbilicus. Which medication should the nurse anticipate
being ordered next?
Select an answer.
a. Oxytocin
b. Methylergonovine maleate
c. Carboprost
,d. Tranexamic acid - Correct answer d. Tranexamic acid
If a PPH continues despite treatment, the risk of coagulopathy increases, at which time
TXA may be appropriate. TXA inhibits fibrinolysis and may reduce bleeding when there
are coagulation abnormalities. TXA is not used to treat uterine atony and should not be
an initial treatment of PPH (California Maternal Quality Care Collaborative 2017).
Because the patient's uterine atony has been controlled, administration of uterotonic
drugs such as oxytocin, methylergonovine maleate, carboprost, or misoprostol would
not be appropriate.
What is the purpose of obstetric hemorrhage (OH) protocols?
• To standardize the response to OH
• To offer communication tools
• To explain blood compatibility concerns
• To allow individualization of care - Correct answer
,Ms. Smith is a 17-year-old primipara, Non-Hispanic Black woman who dropped out of s
Ms. Smith gave birth vaginally 20 minutes ago. After birth, she began to have increased
nurse and said, "Is this bleeding normal? I'm afraid I'm going to die."
The nurse is aware that which health disparity may affect Ms. Smith's health outcome?
Select an answer.
a. Being a Non-Hispanic Black woman
b. Living with her mother
c. Growing up in a wealthy family
d Lacking a secondary education
The nurse is aware that which social determinant of health may affect Ms. Smith's
health outcome? Select an answer.
a. Being a Non-Hispanic Black woman
b. Living with her mother
c. Growing up in a wealthy family
d Lacking a secondary education - Correct answer Q1
Being a Non-Hispanic Black woman
, Q2
d Lacking a secondary education
A Non-Hispanic Black Woman is at a higher risk for maternal mortality. A patient living
with her mother has no relevance in health outcomes as long as it is a safe
environment. A patient coming from a wealthy upbringing actually has a better chance
at good health outcomes. Education is a social determinant of health, and Ms. Smith
has dropped out of school, thereby increasing the risk of poor outcomes.
The nurse is aware that which of the following interventions are aimed at obstetric
hemorrhage (OH) prevention for all births?
Select all that apply.
a. Recommending prophylactic oxytocin for active management of the third stage of
labor.
b. Bringing the hemorrhage cart and all uterotonic medications to every birth.
c. Visually estimating blood loss after the birth of the baby and placenta.
