AWHONN INTERMEDIATE FETAL MONITORING TEST
ACTUAL TEST COMPLETE REAL QUESTIONS AND
CORRECT DETAILED ANSWERS (CORRECT VERIFIED
ANSWERS) LATEST UPDATES |ALREADY 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
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.
ACTUAL TEST COMPLETE REAL QUESTIONS AND
CORRECT DETAILED ANSWERS (CORRECT VERIFIED
ANSWERS) LATEST UPDATES |ALREADY 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
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.
