MATERNITY CASE 5 FATIME SANOGO
DOCUMENTATION COMPREHENSIVE SCRIPT
2026 FULL STUDY GUIDE COMPLETE
RESPONSES
◉ Which of the following is consistent with the definition of a major
obstetric hemorrhage? Answer: 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) Answer: 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? Answer: 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 the expected
treatment for this condition? Answer: 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? Answer: 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? Answer: A
full bladder
◉ Why should the patient's level of consciousness be assessed
during management of postpartum hemorrhage? Answer: 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? Answer: Retained tissue.
◉ A complication of postpartum hemorrhage is hemorrhagic shock.
Which of the following signs would alert the nurse to the
DOCUMENTATION COMPREHENSIVE SCRIPT
2026 FULL STUDY GUIDE COMPLETE
RESPONSES
◉ Which of the following is consistent with the definition of a major
obstetric hemorrhage? Answer: 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) Answer: 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? Answer: 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 the expected
treatment for this condition? Answer: 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? Answer: 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? Answer: A
full bladder
◉ Why should the patient's level of consciousness be assessed
during management of postpartum hemorrhage? Answer: 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? Answer: Retained tissue.
◉ A complication of postpartum hemorrhage is hemorrhagic shock.
Which of the following signs would alert the nurse to the
