Postpartum hemorrhage interventions Exam
question
and correct answers (verified answers 100%)
Q&A 2026/2027 INSTANT DOWNLOAD PDF
1. A nurse is assessing a woman 1 hour after vaginal delivery. Which finding
requires immediate intervention for possible postpartum hemorrhage?
A. Fundus firm and midline
B. Lochia rubra with small clots
C. Saturating a perineal pad within 15 minutes
D. Mild uterine cramping during breastfeeding
Correct Answer: C
Rapid saturation of a perineal pad indicates excessive bleeding and possible
postpartum hemorrhage requiring immediate assessment and intervention.
2. What is the primary cause of early postpartum hemorrhage?
A. Uterine atony
B. Gestational diabetes
C. Placenta previa
D. Maternal infection
Correct Answer: A
Uterine atony, failure of the uterus to contract effectively after delivery, is the most
common cause of early postpartum hemorrhage.
,3. A nurse finds a boggy uterus with heavy vaginal bleeding after delivery. What
is the nurse’s first action?
A. Administer pain medication
B. Massage the uterine fundus
C. Prepare the patient for surgery
D. Insert a urinary catheter
Correct Answer: B
Fundal massage stimulates uterine contraction and is the first intervention for
uterine atony causing hemorrhage.
4. Which medication is commonly administered first for uterine atony-related
postpartum hemorrhage?
A. Oxytocin
B. Magnesium sulfate
C. Betamethasone
D. Terbutaline
Correct Answer: A
Oxytocin promotes uterine contraction and is the first-line medication for
preventing and treating uterine atony.
5. A postpartum patient continues bleeding despite oxytocin administration.
Which medication should the nurse anticipate next?
A. Methylergonovine
B. Insulin
C. Diazepam
D. Furosemide
Correct Answer: A
,Methylergonovine causes uterine contraction and is used when bleeding continues
after oxytocin therapy.
6. Which assessment finding indicates uterine atony?
A. Firm uterus with minimal bleeding
B. Soft, boggy uterus with excessive bleeding
C. Increased maternal temperature
D. Severe hypertension
Correct Answer: B
A boggy uterus indicates poor uterine contraction, allowing excessive blood loss.
7. A nurse suspects postpartum hemorrhage. Which assessment should be
performed first?
A. Check uterine tone
B. Assess newborn reflexes
C. Measure maternal height
D. Review prenatal vitamins
Correct Answer: A
Assessing uterine tone helps identify uterine atony, the leading cause of
postpartum hemorrhage.
8. Which patient is at highest risk for postpartum hemorrhage?
A. Woman with a prolonged labor
B. Woman with a normal spontaneous delivery
C. Woman breastfeeding immediately
D. Woman ambulating after birth
Correct Answer: A
, Prolonged labor can lead to uterine fatigue and increase the risk of uterine atony
and hemorrhage.
9. Which finding suggests hypovolemic shock from postpartum hemorrhage?
A. Bradycardia and hypertension
B. Tachycardia and hypotension
C. Increased appetite
D. Warm dry skin with normal blood pressure
Correct Answer: B
Blood loss causes decreased circulating volume, resulting in compensatory
tachycardia and hypotension.
10. A nurse is caring for a patient with postpartum hemorrhage. Which
intervention is priority?
A. Provide oral fluids
B. Establish large-bore IV access
C. Encourage ambulation
D. Place the patient in a sitting position
Correct Answer: B
Large-bore IV access allows rapid administration of fluids and blood products
during hemorrhage.
11. Which uterotonic medication should be avoided in a patient with
hypertension?
A. Oxytocin
B. Methylergonovine
question
and correct answers (verified answers 100%)
Q&A 2026/2027 INSTANT DOWNLOAD PDF
1. A nurse is assessing a woman 1 hour after vaginal delivery. Which finding
requires immediate intervention for possible postpartum hemorrhage?
A. Fundus firm and midline
B. Lochia rubra with small clots
C. Saturating a perineal pad within 15 minutes
D. Mild uterine cramping during breastfeeding
Correct Answer: C
Rapid saturation of a perineal pad indicates excessive bleeding and possible
postpartum hemorrhage requiring immediate assessment and intervention.
2. What is the primary cause of early postpartum hemorrhage?
A. Uterine atony
B. Gestational diabetes
C. Placenta previa
D. Maternal infection
Correct Answer: A
Uterine atony, failure of the uterus to contract effectively after delivery, is the most
common cause of early postpartum hemorrhage.
,3. A nurse finds a boggy uterus with heavy vaginal bleeding after delivery. What
is the nurse’s first action?
A. Administer pain medication
B. Massage the uterine fundus
C. Prepare the patient for surgery
D. Insert a urinary catheter
Correct Answer: B
Fundal massage stimulates uterine contraction and is the first intervention for
uterine atony causing hemorrhage.
4. Which medication is commonly administered first for uterine atony-related
postpartum hemorrhage?
A. Oxytocin
B. Magnesium sulfate
C. Betamethasone
D. Terbutaline
Correct Answer: A
Oxytocin promotes uterine contraction and is the first-line medication for
preventing and treating uterine atony.
5. A postpartum patient continues bleeding despite oxytocin administration.
Which medication should the nurse anticipate next?
A. Methylergonovine
B. Insulin
C. Diazepam
D. Furosemide
Correct Answer: A
,Methylergonovine causes uterine contraction and is used when bleeding continues
after oxytocin therapy.
6. Which assessment finding indicates uterine atony?
A. Firm uterus with minimal bleeding
B. Soft, boggy uterus with excessive bleeding
C. Increased maternal temperature
D. Severe hypertension
Correct Answer: B
A boggy uterus indicates poor uterine contraction, allowing excessive blood loss.
7. A nurse suspects postpartum hemorrhage. Which assessment should be
performed first?
A. Check uterine tone
B. Assess newborn reflexes
C. Measure maternal height
D. Review prenatal vitamins
Correct Answer: A
Assessing uterine tone helps identify uterine atony, the leading cause of
postpartum hemorrhage.
8. Which patient is at highest risk for postpartum hemorrhage?
A. Woman with a prolonged labor
B. Woman with a normal spontaneous delivery
C. Woman breastfeeding immediately
D. Woman ambulating after birth
Correct Answer: A
, Prolonged labor can lead to uterine fatigue and increase the risk of uterine atony
and hemorrhage.
9. Which finding suggests hypovolemic shock from postpartum hemorrhage?
A. Bradycardia and hypertension
B. Tachycardia and hypotension
C. Increased appetite
D. Warm dry skin with normal blood pressure
Correct Answer: B
Blood loss causes decreased circulating volume, resulting in compensatory
tachycardia and hypotension.
10. A nurse is caring for a patient with postpartum hemorrhage. Which
intervention is priority?
A. Provide oral fluids
B. Establish large-bore IV access
C. Encourage ambulation
D. Place the patient in a sitting position
Correct Answer: B
Large-bore IV access allows rapid administration of fluids and blood products
during hemorrhage.
11. Which uterotonic medication should be avoided in a patient with
hypertension?
A. Oxytocin
B. Methylergonovine
