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RELIAS: NURSING CARE OF THE
PATIENT WITH OBSTETR IC AND
POSTPARTUM HEMORRHAG E
ASSESSMENT TEST ANSW ERED
CORRECTLY!!
Question 1: During a cesarean, the provider
communicates that the drapes have been suctioned out prior to the delivery of the placenta. The nurse notes the suction canister has 350 mL of blood-tinged fluid in it.The nurse quickly switches to a new suction canister prior to the delivery of the placenta. As the fascia is closed, the provider again suctions the drape, and the nurse notes 600 mL of blood in the new canister. Twenty sponges in 4 sponge counter bags are weighed with a total amount of 400 g. The nurse knows the dry weight of 20 sponges and
- counter bags is 250 g. What amount of quantitative
blood loss does the nurse record for this birth?Select an answer.• 600 mL • 1350 mL • 750 mL
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• 1100 mL • 750 mL
CORRECT ANSWER: 1100 mL
Question 2: 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 • Evaluating vital signs, assessing for cervical lacerations, and administering IV fluids • Massaging the fundus, emptying the bladder, and quantifying blood loss
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CORRECT ANSWER: Massaging the fundus, emptying
the bladder, and quantifying blood loss
Question 3: 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.• 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.• State that for a Stage 2 hemorrhage, the protocol recommends that the provider evaluates the patient and orders a uterotonic.
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CORRECT ANSWER: State that for a Stage 2
hemorrhage, the protocol recommends that the provider evaluates the patient and orders a uterotonic.
Question 4: A hemorrhage risk assessment is completed: SATA
- Upon admission
- Throughout labor, as risk factors develop
- Prior to birth
- Hourly in labor
- Upon admission
- Throughout labor, as risk factors develop
- Prior to birth
CORRECT ANSWER: 1. Upon admission, 2.
Throughout labor, as risk factors develop, 3. Prior to birth
Question 15: 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-