AWHONN PEOP Perinatal Final Review
2025/2026 Rated A+
A cerclage placed in women with documented shortened cervical length by ultrasound
examination is called a(n) - ANSWER-ultrasound indicated cerclage.
A dermatome is an area of skin supplied by a single spinal nerve. Assessment of
dermatome level helps establish sympathetic and motor levels of the neuraxial blockade
caused by anesthesia. The RN knows that a woman is recovering from neuraxial
anesthesia when - ANSWER-she can lift both legs off the bed.
A G1P1 woman delivered by cesarean is now in the recovery room. She received
Duramorph via intrathecal catheter. On review of orders before transfer to the
postpartum unit, the nurse notes one entry that needs clarification by the physician.
Which order is the source of the nurse's concern? - ANSWER-Monitor respirations
every 6 hours for 24 hours
A new mother is very concerned and asks you about the 'red marks' on the newborn's
eyelids. She noticed that they get darker when the newborn cries. What is your BEST
response? - ANSWER-They are common birthmarks called nevus simplex or stork bites
that blanch with pressure and become pinker with crying.
A new nurse asks you why it is important to check a glucose level for a newborn that is
being ruled out for sepsis. Your BEST response would be? - ANSWER-Newborns that
are sick tend to have higher metabolic rates which leads to a depletion of available
glucose and oxygen.
A newborn is born after a difficult birth and meets the criteria for therapeutic
hypothermia. Cooling the newborn must begin within - ANSWER-6 hours of birth.
A patient safety event, unrelated to the natural course of the underlying illness, that
reaches a patient and results in death, permanent harm, or severe temporary harm with
intervention required to sustain life is an example of - ANSWER-a sentinel event
A pregnant woman presents with a rash two days before giving birth to a full term
neonate. The rash is determined to be caused by the varicella-zoster virus. Which
complications will the newborn most likely experience? - ANSWER-Life-threatening
disseminated disease
A primary and routine role of the circulating registered nurse during a cesarean birth
includes - ANSWER-performing needle and sponge counts with the scrub person.
,a prolonged deceleration that may be associated with uterine rupture. - ANSWER-You
are caring for Liesa, G2P1 at 39 weeks gestation. Liesa is attempting a TOLAC. You
note the following FHR tracing. This tracing may reflect
A rapid assessment of maternal status is completed immediately on arrival prior to the
anesthesiologist provider leaving the PACU. If the mother is stable, the RN accepts the
transfer and assumes care of the mother. In situations in which the mother is unstable,
the nurse should expect that - ANSWER-the anesthesia provider will remain with the
mother until stable, and then the nurse accepts the responsibility of the mother.
A routine screening for diabetes should occur around - ANSWER-20-28 weeks
gestation
A shared understanding of what is going on and what is likely to happen next is known
as - ANSWER-situational awareness
A tool used to screen for IPV is - ANSWER-RADAR
A woman is to receive general anesthesia for an unscheduled cesarean birth. The
anesthesiologist asks if she or anyone in her immediate family has had problems with
general anesthesia in the past. This question is asked to screen for which of the
following? - ANSWER-Malignant hyperthermia
A woman who is G2P2 has had a primary cesarean at 34 weeks gestation due to
preeclampsia with severe features. Due to difficulty with respiratory transitioning, the
newborn has been transferred to the nursery and the mother is admitted to the labor
and delivery PACU.
Her vital signs are as follows: 94 BPM heart rate / 144/98 mmHg blood pressure / 18
per minute respirations / 98% PaO2 on pulse oximeter / 97.6°F temperature.
Magnesium sulfate is infusing at 2 grams per hour, urine output is 60 ml in the past
hour, and reflexes are 2+. She received neuraxial anesthesia for the cesarean.
Which of the following is your PRIMARY concern? - ANSWER-Fundal location and
bleeding amount
Abby, G2P1 at 39 3/7 weeks gestation presents to the OB triage with complaints of "her
water leaking". You apply the fetal monitor. Abby's vitals are as follows: BP 158/98 mm
Hg, P 82 bpm, R 22 bpm, Temp 100.4°F (38°C). Abby has a positive pH paper test
indicating her membranes are ruptured and her cervical examination is 3cm dilated and
70% effaced. The FHR is 165 bpm, minimal variability, and recurrent variable
decelerations are present. Abby is contracting every 3-4 minutes, 60-70 seconds in
duration, the contractions palpate moderate, and her resting tone is soft. What
assessment findings indicate IMMEDIATE provider notification? - ANSWER-
Hypertension, elevated temperature, and indeterminant FHR pattern
Abigail a G5P4 at 38 5/7 weeks gestation presents to the L&D unit in active labor. Her
cervical examination reveals that she is 5 cm dilated and 80% effaced with the fetal
,head at a -1 station. Abigail has a history of opioid use and is currently on a methadone
treatment. She is requesting an epidural for pain relieve. What is your best response? -
ANSWER-We can use nonpharmacologic interventions until the anesthesia provider
arrives to insert the epidural.
Access to care may be limited by all factors except lack of - ANSWER-contraception
After a discussion regarding cardiac output, you know that Randell, a new nurse on the
unit, understands the hemodynamic changes that occur with pregnancy when he says?
(Select all that apply.) - ANSWER-Because of the central blood volume from the uterus,
cardiac output increases immediately after birth.
Maternal cardiac output returns to prepregnancy values between 12-24 weeks
postpartum.
After birth, blood loss is typically evaluated by the primary care physician or midwife
who delivered the baby. Normal blood loss for a vaginal birth is less than or equal to -
ANSWER-500 mL.
After birth, cardiac output usually remains elevated for 48 hours and then decreases
rapidly during the first two weeks. Cardiac output returns to pre-pregnant values within -
ANSWER-3 weeks.
After ovulation, the ovarian follicle produces - ANSWER-progesterone
Alexandra is 21-year-old primigravida at 10 weeks of gestation. She has arrived for her
first prenatal visit. She is 5' 3" tall, and her prepregnant weight is 245 lbs and her BMI is
45. In your prenatal discussion about optimal weight gain during her pregnancy, it is
important to stress that Alexandra should - ANSWER-gain 11-20 lbs to accommodate
the growing placenta and fetus.
All of the following are elements of good documentation EXCEPT - ANSWER-inclusion
of nursing opinion as to causes of error
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? - ANSWER-Cytomegalovirus
All women of childbearing age should take which of the following per day to reduce the
risk of neural tube defects? - ANSWER-Folic acid
Althea arrived at the obstetric unit for a labor evaluation at 39 weeks gestation. She
reports decreased fetal movement for the past 24 hours. Her biophysical profile is 2/8.
The decision is made to perform a cesarean delivery. The most common maternal
, reason for a cesarean birth is - ANSWER-failure to progress or abnormal fetal heart
patterns.
Although most women are able to breastfeed if they choose, there are important
instances in which breastfeeding is contraindicated. Which of the following is NOT a
contraindication to breastfeeding? - ANSWER-Hepatitis C infection
Although the fetus has moderate variability and accelerations, Iesha is having too many
contractions. The oxytocin should be reduced. - ANSWER-You are caring for Iesha,
G3P2 at 39 2/7 weeks gestation who was admitted for an elective induction of labor.
Currently the oxytocin rate is 10 milliunits/minute. You note the following FHR tracing.
What is your next course of action?
Amniotic band syndrome is associated with what complication in pregnancy? -
ANSWER-Rupture of membranes
Amniotic fluid is produced daily by fetal - ANSWER-Fetal lungs and urine
An acquired condition in pregnancy where the heart muscle becomes enlarged, thick, or
rigid leading to a decrease in contractility is called - ANSWER-Peripartum
cardiomyopathy
An essential component of prenatal health assessment is the determination of the
pregnant woman's vital signs. Which of the following is an expected change in vital
signs during pregnancy? - ANSWER-A decrease in diastolic blood pressure by 10-15
mm Hg or more in the sitting and standing positions and
An increase in the respiratory rate and a heighted awareness to breathe as pregnancy
progresses.
An intrauterine condition in which rings of amniotic membranes lead to constriction
resulting in malformation or amputation of the extremities is - ANSWER-amniotic band
syndrome.
An ova that is fertilized by one sperm and then divides into two zygotes results in -
ANSWER-monozygotic gestation.
An unsuccessful repair of a 4th degree laceration after a precipitous vaginal birth of a
12-pound infant may result in a - ANSWER-rectovaginal fistula.
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
2025/2026 Rated A+
A cerclage placed in women with documented shortened cervical length by ultrasound
examination is called a(n) - ANSWER-ultrasound indicated cerclage.
A dermatome is an area of skin supplied by a single spinal nerve. Assessment of
dermatome level helps establish sympathetic and motor levels of the neuraxial blockade
caused by anesthesia. The RN knows that a woman is recovering from neuraxial
anesthesia when - ANSWER-she can lift both legs off the bed.
A G1P1 woman delivered by cesarean is now in the recovery room. She received
Duramorph via intrathecal catheter. On review of orders before transfer to the
postpartum unit, the nurse notes one entry that needs clarification by the physician.
Which order is the source of the nurse's concern? - ANSWER-Monitor respirations
every 6 hours for 24 hours
A new mother is very concerned and asks you about the 'red marks' on the newborn's
eyelids. She noticed that they get darker when the newborn cries. What is your BEST
response? - ANSWER-They are common birthmarks called nevus simplex or stork bites
that blanch with pressure and become pinker with crying.
A new nurse asks you why it is important to check a glucose level for a newborn that is
being ruled out for sepsis. Your BEST response would be? - ANSWER-Newborns that
are sick tend to have higher metabolic rates which leads to a depletion of available
glucose and oxygen.
A newborn is born after a difficult birth and meets the criteria for therapeutic
hypothermia. Cooling the newborn must begin within - ANSWER-6 hours of birth.
A patient safety event, unrelated to the natural course of the underlying illness, that
reaches a patient and results in death, permanent harm, or severe temporary harm with
intervention required to sustain life is an example of - ANSWER-a sentinel event
A pregnant woman presents with a rash two days before giving birth to a full term
neonate. The rash is determined to be caused by the varicella-zoster virus. Which
complications will the newborn most likely experience? - ANSWER-Life-threatening
disseminated disease
A primary and routine role of the circulating registered nurse during a cesarean birth
includes - ANSWER-performing needle and sponge counts with the scrub person.
,a prolonged deceleration that may be associated with uterine rupture. - ANSWER-You
are caring for Liesa, G2P1 at 39 weeks gestation. Liesa is attempting a TOLAC. You
note the following FHR tracing. This tracing may reflect
A rapid assessment of maternal status is completed immediately on arrival prior to the
anesthesiologist provider leaving the PACU. If the mother is stable, the RN accepts the
transfer and assumes care of the mother. In situations in which the mother is unstable,
the nurse should expect that - ANSWER-the anesthesia provider will remain with the
mother until stable, and then the nurse accepts the responsibility of the mother.
A routine screening for diabetes should occur around - ANSWER-20-28 weeks
gestation
A shared understanding of what is going on and what is likely to happen next is known
as - ANSWER-situational awareness
A tool used to screen for IPV is - ANSWER-RADAR
A woman is to receive general anesthesia for an unscheduled cesarean birth. The
anesthesiologist asks if she or anyone in her immediate family has had problems with
general anesthesia in the past. This question is asked to screen for which of the
following? - ANSWER-Malignant hyperthermia
A woman who is G2P2 has had a primary cesarean at 34 weeks gestation due to
preeclampsia with severe features. Due to difficulty with respiratory transitioning, the
newborn has been transferred to the nursery and the mother is admitted to the labor
and delivery PACU.
Her vital signs are as follows: 94 BPM heart rate / 144/98 mmHg blood pressure / 18
per minute respirations / 98% PaO2 on pulse oximeter / 97.6°F temperature.
Magnesium sulfate is infusing at 2 grams per hour, urine output is 60 ml in the past
hour, and reflexes are 2+. She received neuraxial anesthesia for the cesarean.
Which of the following is your PRIMARY concern? - ANSWER-Fundal location and
bleeding amount
Abby, G2P1 at 39 3/7 weeks gestation presents to the OB triage with complaints of "her
water leaking". You apply the fetal monitor. Abby's vitals are as follows: BP 158/98 mm
Hg, P 82 bpm, R 22 bpm, Temp 100.4°F (38°C). Abby has a positive pH paper test
indicating her membranes are ruptured and her cervical examination is 3cm dilated and
70% effaced. The FHR is 165 bpm, minimal variability, and recurrent variable
decelerations are present. Abby is contracting every 3-4 minutes, 60-70 seconds in
duration, the contractions palpate moderate, and her resting tone is soft. What
assessment findings indicate IMMEDIATE provider notification? - ANSWER-
Hypertension, elevated temperature, and indeterminant FHR pattern
Abigail a G5P4 at 38 5/7 weeks gestation presents to the L&D unit in active labor. Her
cervical examination reveals that she is 5 cm dilated and 80% effaced with the fetal
,head at a -1 station. Abigail has a history of opioid use and is currently on a methadone
treatment. She is requesting an epidural for pain relieve. What is your best response? -
ANSWER-We can use nonpharmacologic interventions until the anesthesia provider
arrives to insert the epidural.
Access to care may be limited by all factors except lack of - ANSWER-contraception
After a discussion regarding cardiac output, you know that Randell, a new nurse on the
unit, understands the hemodynamic changes that occur with pregnancy when he says?
(Select all that apply.) - ANSWER-Because of the central blood volume from the uterus,
cardiac output increases immediately after birth.
Maternal cardiac output returns to prepregnancy values between 12-24 weeks
postpartum.
After birth, blood loss is typically evaluated by the primary care physician or midwife
who delivered the baby. Normal blood loss for a vaginal birth is less than or equal to -
ANSWER-500 mL.
After birth, cardiac output usually remains elevated for 48 hours and then decreases
rapidly during the first two weeks. Cardiac output returns to pre-pregnant values within -
ANSWER-3 weeks.
After ovulation, the ovarian follicle produces - ANSWER-progesterone
Alexandra is 21-year-old primigravida at 10 weeks of gestation. She has arrived for her
first prenatal visit. She is 5' 3" tall, and her prepregnant weight is 245 lbs and her BMI is
45. In your prenatal discussion about optimal weight gain during her pregnancy, it is
important to stress that Alexandra should - ANSWER-gain 11-20 lbs to accommodate
the growing placenta and fetus.
All of the following are elements of good documentation EXCEPT - ANSWER-inclusion
of nursing opinion as to causes of error
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? - ANSWER-Cytomegalovirus
All women of childbearing age should take which of the following per day to reduce the
risk of neural tube defects? - ANSWER-Folic acid
Althea arrived at the obstetric unit for a labor evaluation at 39 weeks gestation. She
reports decreased fetal movement for the past 24 hours. Her biophysical profile is 2/8.
The decision is made to perform a cesarean delivery. The most common maternal
, reason for a cesarean birth is - ANSWER-failure to progress or abnormal fetal heart
patterns.
Although most women are able to breastfeed if they choose, there are important
instances in which breastfeeding is contraindicated. Which of the following is NOT a
contraindication to breastfeeding? - ANSWER-Hepatitis C infection
Although the fetus has moderate variability and accelerations, Iesha is having too many
contractions. The oxytocin should be reduced. - ANSWER-You are caring for Iesha,
G3P2 at 39 2/7 weeks gestation who was admitted for an elective induction of labor.
Currently the oxytocin rate is 10 milliunits/minute. You note the following FHR tracing.
What is your next course of action?
Amniotic band syndrome is associated with what complication in pregnancy? -
ANSWER-Rupture of membranes
Amniotic fluid is produced daily by fetal - ANSWER-Fetal lungs and urine
An acquired condition in pregnancy where the heart muscle becomes enlarged, thick, or
rigid leading to a decrease in contractility is called - ANSWER-Peripartum
cardiomyopathy
An essential component of prenatal health assessment is the determination of the
pregnant woman's vital signs. Which of the following is an expected change in vital
signs during pregnancy? - ANSWER-A decrease in diastolic blood pressure by 10-15
mm Hg or more in the sitting and standing positions and
An increase in the respiratory rate and a heighted awareness to breathe as pregnancy
progresses.
An intrauterine condition in which rings of amniotic membranes lead to constriction
resulting in malformation or amputation of the extremities is - ANSWER-amniotic band
syndrome.
An ova that is fertilized by one sperm and then divides into two zygotes results in -
ANSWER-monozygotic gestation.
An unsuccessful repair of a 4th degree laceration after a precipitous vaginal birth of a
12-pound infant may result in a - ANSWER-rectovaginal fistula.
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
