RELIAS NURSING CARE OF THE PATIENT WITH OBSTETRIC AND POSTPARTUM HEMORRHAGE ASSESSMENT TEST 2026 ANSWERED CORRECTLY

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.