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Quantitative Estimated Blood Loss Maternity NCLEX-Style Questions

Test your nursing knowledge with this NCLEX-style quiz on Quantitative Estimated Blood Loss (QEBL) in maternity care. These practice questions challenge you to calculate blood loss accurately for both vaginal and cesarean deliveries using real clinical data, including suction canisters, surgical sponges, drapes, and peri-pad weights.

By working through this quiz, you’ll sharpen your critical thinking, reinforce key postpartum assessment skills, and prepare for NCLEX-style scenarios that require precise blood loss estimation. Each question includes step-by-step solutions so you can check your answers and learn the calculation methods that ensure safe patient care.

Don’t forget to check out our free maternity nursing reviews and to review the quantitative estimated blood loss notes (coming soon) before taking the quiz.

Quantitative Estimated Blood Loss Maternity NCLEX-Style Questions

1. A patient had a cesarean delivery. The nurse documents the following: suction canister: 700 mL (amniotic fluid: 200 mL and irrigation fluid: 150 mL), 3 laparotomy pads: dry weight 50 g EACH; total wet weight 220 g, 1 surgical drape: dry weight 150 g; wet weight 180 g. What is the patient’s estimated blood loss (mL)?(Required)
2. A patient had a vaginal birth. The nurse documents the following: chux pad: wet weight 610 g (dry weight: 400 g) and surgical towel: wet weight 100 g (dry weight: 60 g). What is the patient's estimated blood loss (mL)?(Required)
3. A patient had a cesarean delivery. The nurse documents the following: suction canister: 1050 mL (amniotic fluid: 150 mL and irrigation fluid: 350 mL), 4 laparotomy pads: dry weight 50 g EACH; total wet weight: 450 g, 1 surgical drape: dry weight 200 g; wet weight 300 g. What is the patient’s estimated blood loss (mL)? A. 450 mL B. 275 mL C. 900 mL D. 890 mL(Required)
4. A patient had a cesarean delivery. The nurse documents the following: suction canister: 1500 mL (amniotic fluid: 250 mL and irrigation fluid: 200 mL), 5 laparotomy pads: dry weight 50 g EACH; total wet weight 500 g, 1 surgical drape: dry weight 200 g; wet weight 350 g. What is the patient’s estimated blood loss (mL)?(Required)
5. A patient is 4 hours postpartum following a vaginal birth. The nurse documents the following peri-pad weights (dry weight 30 g): 0800: 55 g, 0900: 60 g, 1000: 50 g, 1100: 45 g. What is the patient’s estimated blood loss (mL)?(Required)
6. A patient had a vaginal birth. The nurse documents the following: bed sheet: wet weight 620 g (dry weight: 300 g) and lap sponge: wet weight 120 g (dry weight: 40 g). What is the patient’s estimated blood loss (mL)?(Required)
7. A patient had a vaginal birth. The nurse documents the following: 2 perineal pads: wet weight 90 g EACH (dry weight: 20 g EACH) and surgical towel: wet weight 180 g (dry weight: 80 g). What is the patient’s estimated blood loss (mL)?(Required)
8. A patient had a cesarean delivery. The nurse documents the following: suction canister: 800 mL (amniotic fluid: 200 mL and irrigation fluid: 250 mL), 3 laparotomy pads: dry weight 50 g EACH; total wet weight 300 g, 1 surgical drape: dry weight 150 g; wet weight 200 g. What is the patient’s estimated blood loss (mL)?(Required)
9. A patient is 5 hours postpartum following a vaginal birth. The nurse documents the following peri-pad weights (dry weight 30 g): 0800: 60 g, 0900: 65 g, 1000: 60 g, 1100: 55 g, 1200: 50 g, 1300: 50 g. What is the patient’s estimated blood loss (mL)?(Required)
10. A patient had a vaginal birth. The nurse documents the following: delivery drape: wet weight 380 g (dry weight: 100 g) and perineal pad: wet weight 90 g (dry weight: 30 g). What is the patient’s estimated blood loss (mL)?(Required)

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Blood Loss Maternity Practice Questions

  1. A patient had a cesarean delivery. The nurse documents the following: suction canister: 700 mL (amniotic fluid: 200 mL and irrigation fluid: 150 mL), 3 laparotomy pads: dry weight 50 g EACH; total wet weight 220 g, 1 surgical drape: dry weight 150 g; wet weight 180 g. What is the patient’s estimated blood loss (mL)?

A. 420 mL
B. 350 mL
C. 560 mL
D. 450 mL

The answer is D: 450 mL. Suction: 700 – (200 + 150) = 700 – 350 = 350 mL; Pads: 220 – (50×3 = 150) = 70 mL; Drape: 180 – 150 = 30 mL…Total = 350 + 70 + 30 = 450 mL

  1. A patient had a vaginal birth. The nurse documents the following: chux pad: wet weight 610 g (dry weight: 400 g) and surgical towel: wet weight 100 g (dry weight: 60 g). What is the patient’s estimated blood loss (mL)?

A. 290 mL
B. 310 mL
C. 250 mL
D. 420 mL

The answer is C: 250 mL. Chux pad: 610–400 + Towel: 100–60 = 210 + 40 = 250 mL

  1. A patient had a cesarean delivery. The nurse documents the following: suction canister: 1050 mL (amniotic fluid: 150 mL and irrigation fluid: 350 mL), 4 laparotomy pads: dry weight 50 g EACH; total wet weight: 450 g, 1 surgical drape: dry weight 200 g; wet weight 300 g. What is the patient’s estimated blood loss (mL)?

A. 450 mL
B. 275 mL
C. 900 mL
D. 890 mL

The answer is C: 900 mL. Suction: 1050 – (150 + 350) = 1050 – 500 = 550 mL; Pads: 450 – 200 = 250 mL; Drape: 300 – 200 = 100 mL…Total = 550 + 250 + 100 = 900 mL

  1. A patient had a cesarean delivery. The nurse documents the following: suction canister: 1500 mL (amniotic fluid: 250 mL and irrigation fluid: 200 mL), 5 laparotomy pads: dry weight 50 g EACH; total wet weight 500 g, 1 surgical drape: dry weight 200 g; wet weight 350 g. What is the patient’s estimated blood loss (mL)?

A. 1050 mL
B. 1000 mL
C. 1250 mL
D. 1450 mL

The answer is D: 1450 mL. Suction: 1500 – (250 + 200) = 1050 mL; Pads: 500 – (50×5 = 250) = 250 mL; Drape: 350 – 200 = 150 mL…Total = 1050 + 250 + 150 = 1450 mL

  1. A patient is 4 hours postpartum following a vaginal birth. The nurse documents the following peri-pad weights (dry weight 30 g): 0800: 55 g, 0900: 60 g, 1000: 50 g, 1100: 45 g. What is the patient’s estimated blood loss (mL)?

A. 130 mL
B. 80 mL
C. 90 mL
D. 115 mL

The answer is C: 90 mL. Calculate each pad: 0800: 55–30 = 25 mL; 0900: 60–30 = 30 mL; 1000: 50–30 = 20 mL; 1100: 45–30 = 15 mL….Total = 25 + 30 + 20 + 15 = 90 mL

  1. A patient had a vaginal birth. The nurse documents the following: bed sheet: wet weight 620 g (dry weight: 300 g) and lap sponge: wet weight 120 g (dry weight: 40 g). What is the patient’s estimated blood loss (mL)?

A. 360 mL
B. 650 mL
C. 400 mL
D. 540 mL

The answer is C: 400 mL. Bed sheet: 620 – 300 = 320 mL; Lap sponge: 120 – 40 = 80 mL….Total = 320 + 80 = 400 mL

  1. A patient had a vaginal birth. The nurse documents the following: 2 perineal pads: wet weight 90 g EACH (dry weight: 20 g EACH) and surgical towel: wet weight 180 g (dry weight: 80 g). What is the patient’s estimated blood loss (mL)?

A 200 mL
B. 240 mL
C. 260 mL
D. 300 mL

The answer is B: 240 mL. Perineal pads: (90 – 20) × 2 = 70 × 2 = 140 mL; Surgical towel: 180 – 80 = 100 mL; Total = 140 + 100 = 240 mL

  1. A patient had a cesarean delivery. The nurse documents the following: suction canister: 800 mL (amniotic fluid: 200 mL and irrigation fluid: 250 mL), 3 laparotomy pads: dry weight 50 g EACH; total wet weight 300 g, 1 surgical drape: dry weight 150 g; wet weight 200 g. What is the patient’s estimated blood loss (mL)?

A. 350 mL
B. 275 mL
C. 550 mL
D. 980 mL

The answer is C: 550 mL. Suction 800 – (200 + 250) = 800 – 450 = 350 mL; Laparotomy pads 300 – (50 × 3 = 150) = 150 mL; Surgical drape
200 – 150 = 50 mL…Total 350 + 150 + 50 = 550 mL

  1. A patient is 5 hours postpartum following a vaginal birth. The nurse documents the following peri-pad weights (dry weight 30 g): 0800: 60 g, 0900: 65 g, 1000: 60 g, 1100: 55 g, 1200: 50 g, 1300: 50 g. What is the patient’s estimated blood loss (mL)?

A. 170 mL
B. 190 mL
C. 250 mL
D. 160 mL

The answer is D: 160 mL. Calculate each pad: 0800: 60 – 30 = 30 mL; 0900: 65 – 30 = 35 mL; 1000: 60 – 30 = 30 mL; 1100: 55 – 30 = 25 mL; 1200: 50 – 30 = 20 mL; 1300: 50 – 30 = 20 mL…30 + 35 + 30 + 25 + 20 + 20 = 160 mL

  1. A patient had a vaginal birth. The nurse documents the following: delivery drape: wet weight 380 g (dry weight: 100 g) and perineal pad: wet weight 90 g (dry weight: 30 g). What is the patient’s estimated blood loss (mL)?

A. 590 mL
B. 760 mL
C. 285 mL
D. 340 mL

The answer is D: 340 mL. Delivery drape: 380 – 100 = 280 mL; Perineal pad: 90 – 30 = 60 mL…total 280 + 60 = 340 mL

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