AWHONN PEOP QUESTIONS AND ANSWERS LATEST 2024 (GRADED A+)

AWHONN PEOP QUESTIONS AND ANSWERS LATEST UPDATED 2024 (GRADED A+) 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? - Answer fFN is a strong predictor or marker for identification of preterm labor associated with infection. Risk factors for placenta previa include - Answer previous uterine surgery, smoking, and hypertension. One of the most common and well documented risk factors for preterm labor is - Answer previous history of preterm birth. All of the following complications may predispose a pregnant woman to disseminated intravascular coagulopathy (DIC) except - Answer preterm labor. A cerclage placed in women with documented shortened cervical length by ultrasound examination is called a(n) - Answer therapeutic cerclage. The most common postpartum complication for mothers with higher-order multiples is - Answer postpartum hemorrhage. Painless, bright red vaginal bleeding at 28 weeks of gestation is most likely caused by - Answer placenta previa. Couvelaire uterus is associated with which condition? - Answer Placental abruption A woman with higher-order multiples is at risk for all of the following except - Answer pyelonephritis. Which feature is recommended when monitoring twin gestations to differentiate between fetal heart rates and maternal heart rate? - Answer 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 - Answer 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? - Answer Primary hemostasis Which of the following is not a contraindication for magnesium sulfate administration? - Answer Hyperkalemia AWHONN PEOP QUESTIONS AND ANSWERS LATEST GRADED A+ Current recommendations for antenatal glucocorticoid administration for acceleration of fetal lung maturation is appropriate - Answer 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? - Answer Preterm premature rupture of membranes An ova that is fertilized by one sperm and then divides into two zygotes results in - Answer monozygotic gestation. Classic signs of placenta previa are - Answer 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 - Answer 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. - Answer 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 - Answer 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 - Answer Aspirin, antihistamines, and vitamin K (WRONG!) Aspirin, acetaminophen, and oral contraceptives (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. - Answer 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. - Answer 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. - Answer 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) - Answer 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. - Answer 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. - Answer 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 describes a shunt reversal that involves unoxygenated blood delivered into the systemic circulation? Intraabdominal shunt Intraventricular Left-to-right shunt Right-to-left shunt - Answer Right-to-left shunt Zahara is admitted at 32 weeks gestation with a headache, nausea, vomiting, epigastric pain, and malaise. She is a primiparous woman with a twin gestation pregnancy who was recently diagnosed with preeclampsia. Zahara is at risk for which autosomally inherited disorder? Acute fatty liver disease Adult respiratory distress syndrome HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome and eclampsia Lupus erythematosus - Answer Acute fatty liver disease When assessing a pregnant woman with rheumatic heart disease at 28 weeks gestation, you must be alert for signs of cardiac decompensation. A sign of cardiac decompensation is continuous wet cough. rapid, irregular, weak pulse. supine hypertension. widened pulse pressure. - Answer rapid, irregular, weak pulse. Advanced maternal age, hypertension, and diabetes are risk factors associated with which type of cardiac disease in pregnancy? Acquired Congenital Hemorrhagic Ischemic - Answer Ischemic Vaginal birth is the preferred method of delivery for most women with cardiac disease. One indication for cesarean birth may be presence of bicuspid aortic valve without stenosis. presence of Marfan syndrome with normal aortic size. presence of mitral valve prolapse with audible murmur. use of warfarin therapy within 2 weeks of delivery. - Answer use of warfarin therapy within 2 weeks of delivery