AWHONN PEOP Mods 2022 Test Prep Questions &
Answers.
Ms. Linghu arrived at the obstetric care unit for a labor evaluation. She is 28
weeks gestation and is complaining of a lower back ache and cramping. The
physician has asked for assistance in obtaining a sample to assess for fetal
fibronectin (fFN). Which statement about fFN is most accurate?
fFN is a strong predictor or marker for identification of preterm labor associated with
infection.
Risk factors for placenta previa include
previous uterine surgery, smoking, and hypertension.
One of the most common and well documented risk factors for preterm labor is
previous history of preterm birth.
All of the following complications may predispose a pregnant woman to
disseminated intravascular coagulopathy (DIC) except
preterm labor.
A cerclage placed in women with documented shortened cervical length by
ultrasound examination is called a(n)
therapeutic cerclage.
The most common postpartum complication for mothers with higher-order
multiples is
postpartum hemorrhage.
Painless, bright red vaginal bleeding at 28 weeks of gestation is most likely
caused by
placenta previa.
Couvelaire uterus is associated with which condition?
Placental abruption
A woman with higher-order multiples is at risk for all of the following except
pyelonephritis.
Which feature is recommended when monitoring twin gestations to differentiate
between fetal heart rates and maternal heart rate?
Maternal pulse oximetry
RhD-negative women may be sensitized with fetal blood during any bleeding
episode in the antepartum period. If a Kleihauer-Betke test determines greater
than 15 ml of fetal blood in the maternal circulation, it is important to recognize
that
a 300-mg Rh immunoglobulin dose may not be sufficient to prevent sensitization.
During which phase of the pathophysiologic process of disseminated
intravascular coagulopathy (DIC) do platelets adhere to the surface of the
exposed collagen, bind to platelet receptors, and attach to the damaged tissue
creating a platelet plug?
Primary hemostasis
Which of the following is not a contraindication for magnesium sulfate
administration?
Hyperkalemia
,Current recommendations for antenatal glucocorticoid administration for
acceleration of fetal lung maturation is appropriate
for women at 23-36 6/7 weeks gestation at risk for preterm birth within 7 days.
Amniotic band syndrome is associated with what complication in pregnancy?
Preterm premature rupture of membranes
An ova that is fertilized by one sperm and then divides into two zygotes results in
monozygotic gestation.
Classic signs of placenta previa are
painless, bright red bleeding.
Mrs. Jordan has arrived to the unit for a labor evaluation. She is 39 weeks
pregnant and is complaining of continuous abdominal pain. She is having high
frequency, low amplitude contractions and the fetal heart pattern shows minimal
variability. You suspect that Mrs. Jordan may have a
placental abruption.
Intensive nursing and medical management in women with pregestational
diabetes should begin in the
immediate postpartum period.
preconception period.
second trimester of pregnancy.
third trimester of pregnancy.
preconception period.
Which of the following types of cardiac lesions are characterized by dysfunction
of the cardiac muscle, resulting in decreased cardiac output?
Aortic stenosis
Cardiomyopathy
Mitral insufficiency
Pulmonic lesions
Cardiomyopathy
Mrs. J. has been receiving heparin therapy and is being transitioned to warfarin in
the postpartum period. Which of the following medications may act as
antagonists or decrease the actions of warfarin?
Antacids, antihistamines, and oral contraceptives
Antacids, aspirin, and acetaminophen
Aspirin, acetaminophen, and oral contraceptives
Aspirin, antihistamines, and vitamin K
Aspirin, antihistamines, and vitamin K (WRONG!)
Aspirin, acetaminophen, and oral contraceptives (WRONG)
antacids, aspirin, acetominophen (wrong)
The period of time during labor and birth when the greatest cardiac stress
associated with the highest cardiac output occurs is the
early first stage of labor.
immediate postpartum period.
, late first stage (transition) of labor.
second stage of labor with fetal descent.
immediate postpartum period.
Maternal cardiac output begins to increase by 5 weeks gestation and peaks at
15-20 weeks gestation.
20-25 weeks gestation.
25-30 weeks gestation.
30-35 weeks gestation.
25-30 weeks gestation.
Mrs. Madison has arrived at her prenatal visit at 36 weeks gestation. She has
gestational diabetes, and her glucose levels have been controlled by diet alone.
She documented several high glucose values over the past week. It is important
to discuss that prolonging pregnancy beyond 38 weeks in women with diabetes
may result in fetal
cardiomegaly.
demise.
hyperbilirubinemia.
macrosomia.
macrosomia.
In patients with chronic hypertension, elevated uric acid levels in which of the
following ranges may indicate risk for superimposed preeclampsia?
2.5-4.0 mg/dl (149-238 umol/l)
3.5-5.0 mg/dl 208-297 umol/l)
4.5-6.0 mg/dl (268-357 umol/l)
5.5-7.0 mg/dl (327-416 umol/l)
4.5-6.0 mg/dl (268-357 umol/l)
Treating hypertension with vasodilating agents during pregnancy may be
associated with
decreased uteroplacental blood flow.
increased maternal weight gain.
increased uteroplacental blood flow.
preterm birth.
decreased uteroplacental blood flow.
Proteinuria may indicate worsening underlying renal disease or preeclampsia
when 24-hour urine levels exceed
200 mg/dl.
300 mg/dl.
400 mg/dl.
500 mg/dl.
300 mg/dl.
The normal decline in systemic vascular resistance that occurs in pregnancy may
become problematic for women with cardiac lesions or cardiac diseases. Which
Answers.
Ms. Linghu arrived at the obstetric care unit for a labor evaluation. She is 28
weeks gestation and is complaining of a lower back ache and cramping. The
physician has asked for assistance in obtaining a sample to assess for fetal
fibronectin (fFN). Which statement about fFN is most accurate?
fFN is a strong predictor or marker for identification of preterm labor associated with
infection.
Risk factors for placenta previa include
previous uterine surgery, smoking, and hypertension.
One of the most common and well documented risk factors for preterm labor is
previous history of preterm birth.
All of the following complications may predispose a pregnant woman to
disseminated intravascular coagulopathy (DIC) except
preterm labor.
A cerclage placed in women with documented shortened cervical length by
ultrasound examination is called a(n)
therapeutic cerclage.
The most common postpartum complication for mothers with higher-order
multiples is
postpartum hemorrhage.
Painless, bright red vaginal bleeding at 28 weeks of gestation is most likely
caused by
placenta previa.
Couvelaire uterus is associated with which condition?
Placental abruption
A woman with higher-order multiples is at risk for all of the following except
pyelonephritis.
Which feature is recommended when monitoring twin gestations to differentiate
between fetal heart rates and maternal heart rate?
Maternal pulse oximetry
RhD-negative women may be sensitized with fetal blood during any bleeding
episode in the antepartum period. If a Kleihauer-Betke test determines greater
than 15 ml of fetal blood in the maternal circulation, it is important to recognize
that
a 300-mg Rh immunoglobulin dose may not be sufficient to prevent sensitization.
During which phase of the pathophysiologic process of disseminated
intravascular coagulopathy (DIC) do platelets adhere to the surface of the
exposed collagen, bind to platelet receptors, and attach to the damaged tissue
creating a platelet plug?
Primary hemostasis
Which of the following is not a contraindication for magnesium sulfate
administration?
Hyperkalemia
,Current recommendations for antenatal glucocorticoid administration for
acceleration of fetal lung maturation is appropriate
for women at 23-36 6/7 weeks gestation at risk for preterm birth within 7 days.
Amniotic band syndrome is associated with what complication in pregnancy?
Preterm premature rupture of membranes
An ova that is fertilized by one sperm and then divides into two zygotes results in
monozygotic gestation.
Classic signs of placenta previa are
painless, bright red bleeding.
Mrs. Jordan has arrived to the unit for a labor evaluation. She is 39 weeks
pregnant and is complaining of continuous abdominal pain. She is having high
frequency, low amplitude contractions and the fetal heart pattern shows minimal
variability. You suspect that Mrs. Jordan may have a
placental abruption.
Intensive nursing and medical management in women with pregestational
diabetes should begin in the
immediate postpartum period.
preconception period.
second trimester of pregnancy.
third trimester of pregnancy.
preconception period.
Which of the following types of cardiac lesions are characterized by dysfunction
of the cardiac muscle, resulting in decreased cardiac output?
Aortic stenosis
Cardiomyopathy
Mitral insufficiency
Pulmonic lesions
Cardiomyopathy
Mrs. J. has been receiving heparin therapy and is being transitioned to warfarin in
the postpartum period. Which of the following medications may act as
antagonists or decrease the actions of warfarin?
Antacids, antihistamines, and oral contraceptives
Antacids, aspirin, and acetaminophen
Aspirin, acetaminophen, and oral contraceptives
Aspirin, antihistamines, and vitamin K
Aspirin, antihistamines, and vitamin K (WRONG!)
Aspirin, acetaminophen, and oral contraceptives (WRONG)
antacids, aspirin, acetominophen (wrong)
The period of time during labor and birth when the greatest cardiac stress
associated with the highest cardiac output occurs is the
early first stage of labor.
immediate postpartum period.
, late first stage (transition) of labor.
second stage of labor with fetal descent.
immediate postpartum period.
Maternal cardiac output begins to increase by 5 weeks gestation and peaks at
15-20 weeks gestation.
20-25 weeks gestation.
25-30 weeks gestation.
30-35 weeks gestation.
25-30 weeks gestation.
Mrs. Madison has arrived at her prenatal visit at 36 weeks gestation. She has
gestational diabetes, and her glucose levels have been controlled by diet alone.
She documented several high glucose values over the past week. It is important
to discuss that prolonging pregnancy beyond 38 weeks in women with diabetes
may result in fetal
cardiomegaly.
demise.
hyperbilirubinemia.
macrosomia.
macrosomia.
In patients with chronic hypertension, elevated uric acid levels in which of the
following ranges may indicate risk for superimposed preeclampsia?
2.5-4.0 mg/dl (149-238 umol/l)
3.5-5.0 mg/dl 208-297 umol/l)
4.5-6.0 mg/dl (268-357 umol/l)
5.5-7.0 mg/dl (327-416 umol/l)
4.5-6.0 mg/dl (268-357 umol/l)
Treating hypertension with vasodilating agents during pregnancy may be
associated with
decreased uteroplacental blood flow.
increased maternal weight gain.
increased uteroplacental blood flow.
preterm birth.
decreased uteroplacental blood flow.
Proteinuria may indicate worsening underlying renal disease or preeclampsia
when 24-hour urine levels exceed
200 mg/dl.
300 mg/dl.
400 mg/dl.
500 mg/dl.
300 mg/dl.
The normal decline in systemic vascular resistance that occurs in pregnancy may
become problematic for women with cardiac lesions or cardiac diseases. Which
