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AWHONN PEOP QUESTIONS AND ANSWERS
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AWHONN PEOP QUESTIONS AND ANSWERS
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AWHONN PEOP QUESTIONS AND ANSWERSMs. 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? - Answers -fFN is a strong predictor or marker
for identification of preterm labor associated with infection.
Risk factors for placenta previa include - Answers -previous uterine surgery, smoking,
and hypertension.
One of the most common and well documented risk factors for preterm labor is -
Answers -previous history of preterm birth.
All of the following complications may predispose a pregnant woman to disseminated
intravascular coagulopathy (DIC) except - Answers -preterm labor.
A cerclage placed in women with documented shortened cervical length by ultrasound
examination is called a(n) - Answers -therapeutic cerclage.
The most common postpartum complication for mothers with higher-order multiples is -
Answers -postpartum hemorrhage.
Painless, bright red vaginal bleeding at 28 weeks of gestation is most likely caused by -
Answers -placenta previa.
Couvelaire uterus is associated with which condition? - Answers -Placental abruption
A woman with higher-order multiples is at risk for all of the following except - Answers -
pyelonephritis.
Which feature is recommended when monitoring twin gestations to differentiate
between fetal heart rates and maternal heart rate? - Answers -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 - Answers -a 300-mg
Rh immunoglobulin dose may not be sufficient to prevent sensitization.
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 - Answers -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. - Answers -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. - Answers -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. - Answers -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) - Answers -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. - Answers -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. - Answers -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 - Answers -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 - Answers -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. - Answers -rapid, irregular, weak pulse.
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? - Answers
-Primary hemostasis
Which of the following is not a contraindication for magnesium sulfate administration? -
Answers -Hyperkalemia
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