AWHONN PEOP PERINATAL FINAL EXAM REVIEW
AWHONN PEOP Perinatal Final Exam Review
Updated 2025 (A+ Graded 100% Verified Answers)
The Perinatal Care Core Measures include all of the following EXCEPT - ANSWER✅ use of
the NICHD nomenclature for electronic fetal monitoring.
Authoritative statements of the duties that all registered nurses, regardless of role,
population, or specialty are expected to perform competently are defined - ANSWER✅
Standards of Care
Primary causes of jaundice in late preterm infants - ANSWER✅ decreased life of fetal
hemoglobin and diminished bilirubin conjugation.
Unrecognized and untreated endometritis in the postpartum period may progress -
ANSWER✅ acute salpingitis.
Upon entering the woman's room to review discharge instructions, you find her staring at
her baby and crying. The MOST appropriate action for the nurse is to - ANSWER✅ ask the
woman why she is crying.
The most common mental health disorder affecting women in the postpartum period is -
ANSWER✅ postpartum depression.
Which two hormones MOST affect milk synthesis and milk ejection? - ANSWER✅ Oxytocin
and prolactin
, AWHONN PEOP PERINATAL FINAL EXAM REVIEW
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.
You are caring for a mother who is Rh negative and her infant is Rh positive. To prevent
sensitization, it is important to administer Rh immune globulin (Rhogam) within how many
hours after birth? - ANSWER✅ 72 hours
You are preparing to give your postpartum patient Rh immune globulin. Prior to
administering this medication, you should - ANSWER✅ verify that the mother is Rh
negative and Coombs negative.
One of the MOST common and well documented risk factors for preterm labor is -
ANSWER✅ previous history of preterm birth.
Determination of risk levels of hyperbilirubinemia treatment is currently based on the use of
nomograms that compare a newborn's - ANSWER✅ TSB level and age in hours.
Placental function begins to decrease toward the end of pregnancy, which may result in -
ANSWER✅ decreased blood flow and fetal hypoxia.
Position statements are recommendations for - ANSWER✅ a pathway of action regarding
a particular issue
In health care, an unplanned event that did NOT result in injury, illness, or damage but had
the potential to do so is referred to as a - ANSWER✅ near miss
, AWHONN PEOP PERINATAL FINAL EXAM REVIEW
All of the following are elements of good documentation EXCEPT - ANSWER✅ inclusion of
nursing opinion as to causes of error
Mrs. Johnson is a primipara at 34 weeks gestation who has been admitted to your unit with
increasing blood pressures. You have a discussion with the physician about her reports of
headache and blurred vision. What actions should surround the documentation of this
conversation in the medical record? - ANSWER✅ Document the date, time, person spoken
to, and objective details of what was said in the medical record.
Which of the following is NOT a component of the risk reduction strategy known as closed
loop communication? - ANSWER✅ Is only used in emergency patient care situations
You are a nurse on the mother/baby unit caring for a woman who is 12 hours postpartum
from an operative vaginal delivery with midline episiotomy. The woman has severe rectal
pain and reports inability to urinate. You suspect a vaginal hematoma and call her physician
to request an evaluation. The physician does not respond. Under these circumstances it is
appropriate to - ANSWER✅ institute the chain of communication
Team training is an effective risk management strategy because it - ANSWER✅ outlines
effective communication tools and techniques
One of the leading causes of obstetric liability is - ANSWER✅ oxytocin administration
leading to tachysystole
, AWHONN PEOP PERINATAL FINAL EXAM REVIEW
Which two medications frequently used in the perinatal setting are identified as high-risk
medications by the Institute for Safe Medication Practices (ISMP)? - ANSWER✅ Magnesium
sulfate and oxytocin
Successful defense against malpractice claims is enhanced by which of the following? -
ANSWER✅ Following national professional standards
The innermost layer of the uterus is called the - ANSWER✅ endometrium
Fertilization occurs in the - ANSWER✅ fallopian tube
During the proliferative phase of the menstrual cycle, which is NOT true? - ANSWER✅
Menstruation occurs
Swiss cheese is often used as the paradigm for explaining medical error. In this model, the
holes in the cheese represent - ANSWER✅ latent weaknesses
You are assigned to a patient who is at 38 weeks and 6 days gestation. She is being admitted
for an elective induction of labor because her husband is going on an extended business trip
in 2 days and he wants to be present for the delivery. The hospital has no policy regarding
elective induction, but you know that the AWHONN "Go the Full 40" campaign doesn't support
early elective induction. You approach the physician with your concerns. He responds that
he's been doing this for 30 years and has never had a bad outcome from an elective
induction at this gestation.
This scenario is an example of - ANSWER✅ normalization of deviance
AWHONN PEOP Perinatal Final Exam Review
Updated 2025 (A+ Graded 100% Verified Answers)
The Perinatal Care Core Measures include all of the following EXCEPT - ANSWER✅ use of
the NICHD nomenclature for electronic fetal monitoring.
Authoritative statements of the duties that all registered nurses, regardless of role,
population, or specialty are expected to perform competently are defined - ANSWER✅
Standards of Care
Primary causes of jaundice in late preterm infants - ANSWER✅ decreased life of fetal
hemoglobin and diminished bilirubin conjugation.
Unrecognized and untreated endometritis in the postpartum period may progress -
ANSWER✅ acute salpingitis.
Upon entering the woman's room to review discharge instructions, you find her staring at
her baby and crying. The MOST appropriate action for the nurse is to - ANSWER✅ ask the
woman why she is crying.
The most common mental health disorder affecting women in the postpartum period is -
ANSWER✅ postpartum depression.
Which two hormones MOST affect milk synthesis and milk ejection? - ANSWER✅ Oxytocin
and prolactin
, AWHONN PEOP PERINATAL FINAL EXAM REVIEW
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.
You are caring for a mother who is Rh negative and her infant is Rh positive. To prevent
sensitization, it is important to administer Rh immune globulin (Rhogam) within how many
hours after birth? - ANSWER✅ 72 hours
You are preparing to give your postpartum patient Rh immune globulin. Prior to
administering this medication, you should - ANSWER✅ verify that the mother is Rh
negative and Coombs negative.
One of the MOST common and well documented risk factors for preterm labor is -
ANSWER✅ previous history of preterm birth.
Determination of risk levels of hyperbilirubinemia treatment is currently based on the use of
nomograms that compare a newborn's - ANSWER✅ TSB level and age in hours.
Placental function begins to decrease toward the end of pregnancy, which may result in -
ANSWER✅ decreased blood flow and fetal hypoxia.
Position statements are recommendations for - ANSWER✅ a pathway of action regarding
a particular issue
In health care, an unplanned event that did NOT result in injury, illness, or damage but had
the potential to do so is referred to as a - ANSWER✅ near miss
, AWHONN PEOP PERINATAL FINAL EXAM REVIEW
All of the following are elements of good documentation EXCEPT - ANSWER✅ inclusion of
nursing opinion as to causes of error
Mrs. Johnson is a primipara at 34 weeks gestation who has been admitted to your unit with
increasing blood pressures. You have a discussion with the physician about her reports of
headache and blurred vision. What actions should surround the documentation of this
conversation in the medical record? - ANSWER✅ Document the date, time, person spoken
to, and objective details of what was said in the medical record.
Which of the following is NOT a component of the risk reduction strategy known as closed
loop communication? - ANSWER✅ Is only used in emergency patient care situations
You are a nurse on the mother/baby unit caring for a woman who is 12 hours postpartum
from an operative vaginal delivery with midline episiotomy. The woman has severe rectal
pain and reports inability to urinate. You suspect a vaginal hematoma and call her physician
to request an evaluation. The physician does not respond. Under these circumstances it is
appropriate to - ANSWER✅ institute the chain of communication
Team training is an effective risk management strategy because it - ANSWER✅ outlines
effective communication tools and techniques
One of the leading causes of obstetric liability is - ANSWER✅ oxytocin administration
leading to tachysystole
, AWHONN PEOP PERINATAL FINAL EXAM REVIEW
Which two medications frequently used in the perinatal setting are identified as high-risk
medications by the Institute for Safe Medication Practices (ISMP)? - ANSWER✅ Magnesium
sulfate and oxytocin
Successful defense against malpractice claims is enhanced by which of the following? -
ANSWER✅ Following national professional standards
The innermost layer of the uterus is called the - ANSWER✅ endometrium
Fertilization occurs in the - ANSWER✅ fallopian tube
During the proliferative phase of the menstrual cycle, which is NOT true? - ANSWER✅
Menstruation occurs
Swiss cheese is often used as the paradigm for explaining medical error. In this model, the
holes in the cheese represent - ANSWER✅ latent weaknesses
You are assigned to a patient who is at 38 weeks and 6 days gestation. She is being admitted
for an elective induction of labor because her husband is going on an extended business trip
in 2 days and he wants to be present for the delivery. The hospital has no policy regarding
elective induction, but you know that the AWHONN "Go the Full 40" campaign doesn't support
early elective induction. You approach the physician with your concerns. He responds that
he's been doing this for 30 years and has never had a bad outcome from an elective
induction at this gestation.
This scenario is an example of - ANSWER✅ normalization of deviance
