FINAL REVIEW EXAM: AWHONN
PEOP PERINATAL, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
Swiss cheese is often used as the paradigm for explaining medical
error. In this model, the holes in the cheese represent - CORRECT
ANSWERS- latent weaknesses
Vaccines that are considered safe during pregnancy include -
CORRECT ANSWERS- Influenza, T-Dap, and COVID-19.
Cami, a G1P0 at 26 weeks gestation, presents to the OB triage
with complaints of fever, chills, flank pain and tenderness, urinary
frequency or urgency, hematuria, and dysuria. Based on your
training, what do you think she might have? - CORRECT
ANSWERS- Pyelonephritis
When is it appropriate to start a sepsis protocol? - CORRECT
ANSWERS- For women with a mean arterial pressure < 65 mm
Hg
Match the category of intraamniotic infection (IAI) to the
definition.
,1.A single oral temperature of 102.2⁰F (39⁰C) or greater, or an oral
temperature of 100.4-102.02⁰F (38-38.9⁰C) that continues when
the temperature is check every 30 minutes
2.Based on a positive amniotic fluid test result or placental
pathology that indicates the presence of placental infection or
inflammation
3.Based on clinical findings which include maternal intrapartum
fever and one or more of the following: maternal leukocytosis,
purulent cervical discharge, or fetal tachycardia
A.suspected IAI
B. isolated maternal fever
C. confirmed IAI - CORRECT ANSWERS- 1. B Isolated maternal
fever
2. C, confirmed IAI
3. A, Suspected IAI
Andrea, a 25 year old G1P0 at 39 5/7 weeks gestation was
admitted at 1020 for spontaneous rupture of membranes. Andrea
stated that she thinks her "water broke" around 2030 the night
before. Her cervical examination at that time was 3/80/0 with
greenish fluid noted on the exam glove. Andrea's prenatal record
indicated she was positive GBS so PCN G was initiated. Andrea
received an epidural for pain relieve around 1130. Andrea's cervix
was examined hourly by the OB Resident. Her labor progressed as
anticipated and she gave birth to a male newborn at 1630 with
Apgar of 7 and 9. What factors would place Andrea at risk for an
intraamniotic infection? Select the best answer. - CORRECT
,ANSWERS- Nulliparity, prolonged rupture of membranes,
meconium-stained fluid, multiple cervical examinations, and GBS
Maggie, a 26 year old G2P1 at 33 2/7 weeks gestation, presented
to the OB triage with complaints of contractions. When placed on
the fetal monitor, the tracing revealed contractions every 15-20
minutes. Maggie's cervix was closed and posterior. The provider
was notified and orders were received including an order to
obtain a vaginal-rectal GBS culture. Maggie was admitted for
overnight observation. After receiving IV hydration, her
contractions stopped and Maggie was discharged home the next
day. At what gestational age would Maggie need to have a repeat
GBS culture if she does not give birth? - CORRECT ANSWERS-
Maggie would have a repeat GBS culture at her 38 weeks
gestational age appointment. (5 weeks later)
All pregnant women should receive education regarding careful
handling of potentially infected items such as diapers, dirty
clothing, and toys; avoiding putting a child's pacifier in her mouth;
avoiding sharing food and utensils; and washing hands frequently
to avoid which infection? - CORRECT ANSWERS- Cytomegalovirus
The MOST common causes of neonatal death include - CORRECT
ANSWERS- congenital anomalies and preterm birth.
When teaching parents about grief after perinatal loss, which of
the following statements is TRUE? - CORRECT ANSWERS- Grief
after perinatal loss may be significant and traumatic and may last
for months to years.
, Which of the following parents is MOST likely to experience
complicated grief after a perinatal loss? - CORRECT ANSWERS-
Shontelle experienced a stillbirth at term, and is alone in her
room. Her family lives far away, and she and her husband are in
the process of divorcing.
Joe and Sarah have arrived for a prenatal visit and an ultrasound.
When the ultrasound showed the fetus did not have a heartbeat,
the father yelled at the physician to look again or to have
someone else read the ultrasound. He then storms out of the
room. What phase of grief is the father experiencing? - CORRECT
ANSWERS- Searching and yearning
Ricardo and Maria have just been told that their 12-week fetus
does not have a heartbeat. Maria stares blankly at the window
and does not respond. What phase of grief is she experiencing? -
CORRECT ANSWERS- Shock and numbness
Which of the following statements regarding baptism is TRUE? -
CORRECT ANSWERS- Regardless of what religion or culture, ask
the couple about all of their preferences
Romelia's labor was induced at 32 weeks gestation after a third-
trimester fetal loss. Her blood pressure has remained high after
birth. Her Muslim culture supports wrapping the deceased
newborn in a seamless white sheet and having a burial within 24
hours. Romelia is requesting an early discharge to be at the
burial. You should - CORRECT ANSWERS- discuss concerns with
PEOP PERINATAL, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
Swiss cheese is often used as the paradigm for explaining medical
error. In this model, the holes in the cheese represent - CORRECT
ANSWERS- latent weaknesses
Vaccines that are considered safe during pregnancy include -
CORRECT ANSWERS- Influenza, T-Dap, and COVID-19.
Cami, a G1P0 at 26 weeks gestation, presents to the OB triage
with complaints of fever, chills, flank pain and tenderness, urinary
frequency or urgency, hematuria, and dysuria. Based on your
training, what do you think she might have? - CORRECT
ANSWERS- Pyelonephritis
When is it appropriate to start a sepsis protocol? - CORRECT
ANSWERS- For women with a mean arterial pressure < 65 mm
Hg
Match the category of intraamniotic infection (IAI) to the
definition.
,1.A single oral temperature of 102.2⁰F (39⁰C) or greater, or an oral
temperature of 100.4-102.02⁰F (38-38.9⁰C) that continues when
the temperature is check every 30 minutes
2.Based on a positive amniotic fluid test result or placental
pathology that indicates the presence of placental infection or
inflammation
3.Based on clinical findings which include maternal intrapartum
fever and one or more of the following: maternal leukocytosis,
purulent cervical discharge, or fetal tachycardia
A.suspected IAI
B. isolated maternal fever
C. confirmed IAI - CORRECT ANSWERS- 1. B Isolated maternal
fever
2. C, confirmed IAI
3. A, Suspected IAI
Andrea, a 25 year old G1P0 at 39 5/7 weeks gestation was
admitted at 1020 for spontaneous rupture of membranes. Andrea
stated that she thinks her "water broke" around 2030 the night
before. Her cervical examination at that time was 3/80/0 with
greenish fluid noted on the exam glove. Andrea's prenatal record
indicated she was positive GBS so PCN G was initiated. Andrea
received an epidural for pain relieve around 1130. Andrea's cervix
was examined hourly by the OB Resident. Her labor progressed as
anticipated and she gave birth to a male newborn at 1630 with
Apgar of 7 and 9. What factors would place Andrea at risk for an
intraamniotic infection? Select the best answer. - CORRECT
,ANSWERS- Nulliparity, prolonged rupture of membranes,
meconium-stained fluid, multiple cervical examinations, and GBS
Maggie, a 26 year old G2P1 at 33 2/7 weeks gestation, presented
to the OB triage with complaints of contractions. When placed on
the fetal monitor, the tracing revealed contractions every 15-20
minutes. Maggie's cervix was closed and posterior. The provider
was notified and orders were received including an order to
obtain a vaginal-rectal GBS culture. Maggie was admitted for
overnight observation. After receiving IV hydration, her
contractions stopped and Maggie was discharged home the next
day. At what gestational age would Maggie need to have a repeat
GBS culture if she does not give birth? - CORRECT ANSWERS-
Maggie would have a repeat GBS culture at her 38 weeks
gestational age appointment. (5 weeks later)
All pregnant women should receive education regarding careful
handling of potentially infected items such as diapers, dirty
clothing, and toys; avoiding putting a child's pacifier in her mouth;
avoiding sharing food and utensils; and washing hands frequently
to avoid which infection? - CORRECT ANSWERS- Cytomegalovirus
The MOST common causes of neonatal death include - CORRECT
ANSWERS- congenital anomalies and preterm birth.
When teaching parents about grief after perinatal loss, which of
the following statements is TRUE? - CORRECT ANSWERS- Grief
after perinatal loss may be significant and traumatic and may last
for months to years.
, Which of the following parents is MOST likely to experience
complicated grief after a perinatal loss? - CORRECT ANSWERS-
Shontelle experienced a stillbirth at term, and is alone in her
room. Her family lives far away, and she and her husband are in
the process of divorcing.
Joe and Sarah have arrived for a prenatal visit and an ultrasound.
When the ultrasound showed the fetus did not have a heartbeat,
the father yelled at the physician to look again or to have
someone else read the ultrasound. He then storms out of the
room. What phase of grief is the father experiencing? - CORRECT
ANSWERS- Searching and yearning
Ricardo and Maria have just been told that their 12-week fetus
does not have a heartbeat. Maria stares blankly at the window
and does not respond. What phase of grief is she experiencing? -
CORRECT ANSWERS- Shock and numbness
Which of the following statements regarding baptism is TRUE? -
CORRECT ANSWERS- Regardless of what religion or culture, ask
the couple about all of their preferences
Romelia's labor was induced at 32 weeks gestation after a third-
trimester fetal loss. Her blood pressure has remained high after
birth. Her Muslim culture supports wrapping the deceased
newborn in a seamless white sheet and having a burial within 24
hours. Romelia is requesting an early discharge to be at the
burial. You should - CORRECT ANSWERS- discuss concerns with
