AWHONN POEP FINAL EXAM Questions
and Answers 100% Solved
Which of the following is a contraindication for magnesium sulfate administration?
nifedipine
Amniotic band syndrome is associated with what complication in pregnancy? rupture of
membranes
Risk factors for placenta previa include previous uterine surgery, smoking, and
hypertension.
Classic signs of placenta previa are painless bright red bleeding
Clinical signs of velamentous insertion of the cord include FHR bradycardia
Mrs. Jordan has arrived to the unit for a labor evaluation. She is 39 weeks pregnant and is
complaining of continuous abdominal pain and "port wine" vaginal bleeding. She is having high
,frequency, low amplitude contractions and the fetal heart pattern shows minimal variability. You
suspect that Mrs. Jordan may have a placental abruption
Couvelaire uterus is associated with what condition? placental abruption
You are caring for Mrs. Henderson, G2 P2 had a vaginal birth three hours ago. The nursing
student obtained Mrs Henderson's vital signs and reported the following: heart rate of 124 bpm,
respirations 24, temperature of 97.8°F, and blood pressure 92/62. The nursing student also
commented that Mrs. Henderson appeared "agitated." Given the vital sign assessment that you
received from the nursing student, what should you consider? Mrs Henderson may be
experiencing a postpartum hemorrhage and will need immediate further examination.
Which of the following complications may predispose a pregnant woman to disseminated
intravascular coagulopathy (DIC). (Select all that apply.) concealed placental abruption,
intrauterine fetal demise, preeclampsia
An ova that is fertilized by one sperm and then divides into two zygotes results in
monozygotic gestation.
,Because of the decreased lower esophageal sphincter tone of pregnancy and increasing
mechanical pressure due to the rapidly growing uterus in the women pregnant with multiples, she
is at risk for gastroesophageal reflux.
Which feature is recommended when monitoring twin gestations to differentiate between fetal
heart rates and maternal heart rate? maternal pulse oximetry
Karen, G1P0, 34 weeks gestation with twins presents to the OB triage with complaints of severe
itching on her hands and feet. Your first suspicion is that Karen may have intrahepatic
cholestasis.
The MOST common postpartum complication for mothers with higher-order multiples is
postpartum hemorrhage
Roberta, a 29 year-old, G3P2, arrives in the OB triage. Her significant other Jose reported
Roberta's complaints of severe heartburn. He shared that the pain started after they had lunch.
You noticed Roberta was not speaking for herself. What would your next course of action be?
Ask Roberta what her preferred spoken language is and provide an interpreter as needed.
, Tammy, a 32 year-old, G2P1 with chronic hypertension, is being seen in the OB triage with
complaints of an unrelieved headache after taking acetaminophen. The provider order labs
including uric acid. The uric acid result was 4.5-6.0 mg/dL. tammy may have
superimposed preeclampsia
Proteinuria may indicate worsening underlying renal disease or preeclampsia when 24-hour urine
levels exceed 300 mg/dL
Treating hypertension with vasodilating agents during pregnancy may be associated with
decreased uteroplacental blood flow.
Sandy, a new nurse to the L&D unit, asks you why the provider ordered a 24-hour urine for
protein when you have the supplies needed on the unit to perform a urine dip stick for protein.
Your best response is? There is potential for a high false-positive when performing a
urine dipstick for protein.
You are caring for Tish, a 32 year-old G4P3 who was admitted to the antepartum unit with
gestational hypertension. Antihypertensive therapy was initiated four hours ago.
Tish current vital signs are BP 144/92 mm Hg, heart rate 122 bpm, respirations 22 bpm,
temperature 98.9°F. Given Tish's current vital signs, what could potentially be happening?
and Answers 100% Solved
Which of the following is a contraindication for magnesium sulfate administration?
nifedipine
Amniotic band syndrome is associated with what complication in pregnancy? rupture of
membranes
Risk factors for placenta previa include previous uterine surgery, smoking, and
hypertension.
Classic signs of placenta previa are painless bright red bleeding
Clinical signs of velamentous insertion of the cord include FHR bradycardia
Mrs. Jordan has arrived to the unit for a labor evaluation. She is 39 weeks pregnant and is
complaining of continuous abdominal pain and "port wine" vaginal bleeding. She is having high
,frequency, low amplitude contractions and the fetal heart pattern shows minimal variability. You
suspect that Mrs. Jordan may have a placental abruption
Couvelaire uterus is associated with what condition? placental abruption
You are caring for Mrs. Henderson, G2 P2 had a vaginal birth three hours ago. The nursing
student obtained Mrs Henderson's vital signs and reported the following: heart rate of 124 bpm,
respirations 24, temperature of 97.8°F, and blood pressure 92/62. The nursing student also
commented that Mrs. Henderson appeared "agitated." Given the vital sign assessment that you
received from the nursing student, what should you consider? Mrs Henderson may be
experiencing a postpartum hemorrhage and will need immediate further examination.
Which of the following complications may predispose a pregnant woman to disseminated
intravascular coagulopathy (DIC). (Select all that apply.) concealed placental abruption,
intrauterine fetal demise, preeclampsia
An ova that is fertilized by one sperm and then divides into two zygotes results in
monozygotic gestation.
,Because of the decreased lower esophageal sphincter tone of pregnancy and increasing
mechanical pressure due to the rapidly growing uterus in the women pregnant with multiples, she
is at risk for gastroesophageal reflux.
Which feature is recommended when monitoring twin gestations to differentiate between fetal
heart rates and maternal heart rate? maternal pulse oximetry
Karen, G1P0, 34 weeks gestation with twins presents to the OB triage with complaints of severe
itching on her hands and feet. Your first suspicion is that Karen may have intrahepatic
cholestasis.
The MOST common postpartum complication for mothers with higher-order multiples is
postpartum hemorrhage
Roberta, a 29 year-old, G3P2, arrives in the OB triage. Her significant other Jose reported
Roberta's complaints of severe heartburn. He shared that the pain started after they had lunch.
You noticed Roberta was not speaking for herself. What would your next course of action be?
Ask Roberta what her preferred spoken language is and provide an interpreter as needed.
, Tammy, a 32 year-old, G2P1 with chronic hypertension, is being seen in the OB triage with
complaints of an unrelieved headache after taking acetaminophen. The provider order labs
including uric acid. The uric acid result was 4.5-6.0 mg/dL. tammy may have
superimposed preeclampsia
Proteinuria may indicate worsening underlying renal disease or preeclampsia when 24-hour urine
levels exceed 300 mg/dL
Treating hypertension with vasodilating agents during pregnancy may be associated with
decreased uteroplacental blood flow.
Sandy, a new nurse to the L&D unit, asks you why the provider ordered a 24-hour urine for
protein when you have the supplies needed on the unit to perform a urine dip stick for protein.
Your best response is? There is potential for a high false-positive when performing a
urine dipstick for protein.
You are caring for Tish, a 32 year-old G4P3 who was admitted to the antepartum unit with
gestational hypertension. Antihypertensive therapy was initiated four hours ago.
Tish current vital signs are BP 144/92 mm Hg, heart rate 122 bpm, respirations 22 bpm,
temperature 98.9°F. Given Tish's current vital signs, what could potentially be happening?
