The Relias Nursing Care of Patient with Obstetric (OB) & Postpartum Hemorrhage (PPH) Assessment is a specialized evaluation for registered nurses, particularly those working in Labor & Delivery (L&D), postpartum, and high-risk maternity units. It is designed to validate a nurse’s competence in early identification, rapid response, and effective management of obstetric hemorrhage, with a critical focus on postpartum hemorrhage. This assessment is crucial for ensuring safe, high-quality maternal care.
Healthcare facilities use this test to verify that their nursing staff can provide life-saving interventions and adhere to evidence-based protocols. For individual nurses, passing this assessment demonstrates proficiency in an essential clinical area and can lead to increased confidence in high-pressure situations.
This comprehensive assessment covers a broad spectrum of critical topics based on current clinical guidelines, including those from the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) and other relevant bodies. The core curriculum focuses on:
Risk Assessment: Identifying PPH risk factors at admission, throughout labor, and post-birth. This includes recognizing maternal profile factors (age, BMI), uterine over-distension, placental problems (previa, accreta), and labor complications.
The 4 Ts of PPH: Detailed knowledge of the four primary causes of PPH: Tone (uterine atony), Trauma (lacerations, hematomas), Tissue (retained products), and Thrombin (coagulopathies).
Early Recognition & Assessment: Mastering the signs and symptoms of hypovolemia and shock, quantifying blood loss accurately (e.g., using weighing techniques for sponges), and conducting thorough fundal and bladder assessments.
Immediate Interventions: Proficiently performing critical tasks such as fundal massage, bladder emptying, and the administration of vital medications like uterotonics (oxytocin, carboprost, misoprostol, and tranexamic acid/TXA).
Massive Hemorrhage Protocol: Understanding the steps for activating the massive transfusion protocol, managing blood product replacement, and monitoring for associated electrolyte abnormalities, such as hyperkalemia and hypocalcemia.
Post-Hemorrhage Care and Education: Developing nursing care plans to manage recovery, providing emotional support, and delivering essential discharge instructions to patients and families regarding self-monitoring for warning signs.
The final assessment is typically administered online via the Relias Learning Management System (LMS). It consists of multiple-choice questions, which may include "select all that apply" formats, scenarios, and case-based questions to evaluate clinical decision-making.
Format: Online, multiple-choice, including select all that apply.
Number of Questions: The number of questions can vary slightly but is typically around 60–65 questions.
Time Limit: You will have a specific time limit to complete the assessment, which will be clearly displayed before you begin. Typical limits are between 60 to 90 minutes.
Passing Score: The required passing score is set by the institution delivering the assessment but is generally high, often 80% or above, reflecting the critical nature of the material.
Rules: The assessment is designed to be completed individually without external aid, although individual facility rules may apply.
Effective study strategies are key to success. Because this is a practice test, your first step should be to use resources that mirror the exam's focus on clinical judgment.
Use the Practice Test: We encourage you to use this comprehensive practice test to familiarize yourself with the type of questions asked, particularly the "select all that apply" scenarios. Practice quantifying blood loss, identifying the 4 Ts, and ordering the correct steps for rapid response.
Review Relias Coursework: If your facility has enrolled you in the relevant Relias modules, prioritize reviewing that material, including any interactive scenarios.
Study Clinical Guidelines: Review the latest clinical guidelines and algorithms from AWHONN, the American College of Obstetricians and Gynecologists (ACOG), and your own facility's specific PPH protocols and massive hemorrhage checklist.
Focus on Assessment & Action: When studying, do not just memorize facts. Practice thinking: "Given this patient's symptoms, what is the most likely cause, and what is my immediate first priority action?"
Exam Centers: The final assessment is administered entirely online. You do not go to a physical testing center like Pearson VUE. Instead, you will take the exam via the Relias learning management system (LMS). This can typically be accessed from any computer with internet access, often either on-site at your employer's facility or remotely, depending on your institution's specific policies.
A strong score on the Relias OB & PPH Assessment validates critical skills and can be a significant asset in various career paths within the maternal health field. Potential job titles and career opportunities include:
Registered Nurse (RN) – Labor & Delivery (L&D)
Registered Nurse (RN) – Postpartum/Mother-Baby Unit
Obstetrics Unit Manager or Assistant Manager
High-Risk OB Case Manager
Perinatal Clinical Nurse Specialist (CNS)
Perinatal Nurse Educator
Obstetrics Quality Improvement Coordinator
Travel Nurse specializing in Obstetrics/L&D
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