OBSTETRIC AND POSTPARTUM TEST EXAM QUESTIONS WITH GRADED ANSWERS 100% SUCCESS
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Course
OBSTETRIC
Institution
OBSTETRIC
OBSTETRIC AND POSTPARTUM TEST
EXAM QUESTIONS WITH GRADED
ANSWERS
100% SUCCESS
After a patient has given birth, the nurse is weighing the disposable underpads and
adding up the amount of blood loss.
Which domain of care related to obstetric hemorrhage is this nurse utilizing?
Select...
OBSTETRIC AND POSTPARTUM TEST
EXAM QUESTIONS WITH GRADED
ANSWERS
100% SUCCESS
After a patient has given birth, the nurse is weighing the disposable underpads and
adding up the amount of blood loss.
Which domain of care related to obstetric hemorrhage is this nurse utilizing?
Select an answer.
O Readiness
• Reporting
• Response
• Recognition and prevention - ANSWER ✔
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 51 of 63
The following 2 medications have similar mechanisms of action, and if 1 is
ineffective in controlling obstetric hemorrhage, it is
unlikely the other will be effective:
• Oxytocin and tranexamic acid
• Misoprostol and carboprost
• Misoprostol and methylergonovine maleate
• Methylergonovine maleate and carboprost
• Oxytocin and carboprost - ANSWER ✔ • Misoprostol and carboprost
Ms. Johnson is a G2P0 who presents in labor. She smokes and has a BMI of 40.
She has a cesarean birth due to breech presentation. Which of the following are
consequences of her severe maternal morbidity risk factors?
Which of the following maternal physiologic adaptations of pregnancy may offer
a mother protection against blood loss around the time of birth?
SATA
• Increase in maternal blood volume
• Decrease in uterine blood flow
Increase in maternal clotting factors
, • Decrease in the hormone oxytocin in labor - ANSWER ✔
After a vaginal birth, the fluid in the under-buttocks drape is marked at 200 mL
prior to placenta. The total amount in the drape when the drape is removed at the
end of the birth is 550 mL
The weight of the blood-soaked items is 450 g. The dry weights of those items
total 375 g.
The nurse calculates the quantitative blood loss (QBL). What is the total QBL for
the birth?
Select an answer.
• 550 mL
O 350 mL
• 425 mL
O 75 mL - ANSWER ✔ • 425 mL
Ms. Garcia is a 16-year-old G1PO who presents in labor, having had minimal
prenatal care. She has a BMI of 42. She has a cesarean birth due to a category II
tracing with persistent, recurrent late decelerations.
Which of the following are risk factors for severe maternal morbidity?
Select all that apply.
Young maternal age
• Obesity
• Cesarean birth
• Late decelerations - ANSWER ✔
Ms. Schmidt is a 27-year-old G1P1 whose pregnancy was complicated by
gestational diabetes with fetal macrosomia and polyhydramnios. Postbirth, Ms.
Schmidt developed uterine atony, which was initially unresponsive to fundal
massage medical therapy, and conservative nonsurgical attempts to control
hemorrhage.
The QBL is 2150 mL, with BP 80/40 mm Hg, and pulse is 130 BPM, weak and
thready. The decision is made to proceed with an emergency hysterectomy.
What orders can you anticipate next from the provider?
Select 2 answers.
a. Activate the massive transfusion protocol
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