AWHONN PEOP EXAM QUESTIONS
AND ANSWERS ALL CORRECT
A pregnant woman presents with a rash 2 days before giving birth to a full term infant.
The rash is determined to be caused by the varicella-zoster virus. Which complication
will the newborn most likely experience?
CNS defects
Limb anomalies
Cutaneous scarring
Pneumonia - Answer-Pneumonia
In addition to hepatitis B, which other type of hepatitis virus may also be prevented with
the hepatitis B vaccine?
Hepatitis A
Hepatitis C
Hepatitis D
Hepatitis G - Answer-Hepatitis D
The risk of perinatal transmission of HIV can be reduced with antiretroviral treatment.
Identification in the preconception period is essential. Which of the following statements
about HIV screening in pregnancy is most accurate? Pregnant women
are routinely screened for HIV with all prenatal laboratory testing.
must be given the option to opt out of routine HIV testing.
must provide written consent for HIV screening.
should be offered HIV screening in each trimester. - Answer-must be given the option to
opt out of routine HIV testing.
Methergine should not be given to a patient experiencing a postpartum hemorrhage with
which of the following conditions?
Renal disease
Asthma
Hypertension
Diabetes - Answer-Hypertension
,Your patient, Irene, calls a nurse to her bedside describing spontaneous rupture of
membranes. As the sheets are pulled back, a loop of umbilical cord is noted protruding
from her vagina. All of the following are appropriate interventions for umbilical cord
prolapse except
covering the cord with a moistened gauze.
calling for immediate assistance.
gently placing the umbilical cord back into the vagina.
placing the patient in Trendelenburg position to relieve compression on the cord. -
Answer-gently placing the umbilical cord back into the vagina.
An intervention that may cause further impaction of the fetal shoulder in a delivery with
shoulder dystocia is
fundal pressure.
Gaskin maneuver.
McRoberts maneuver.
suprapubic pressure. - Answer-fundal pressure.
In caring for a woman who is in labor with an attempt at a vaginal birth after cesarean
(VBAC), it is important to provide labor support, perform ongoing assessment of
maternal and fetal status, and observe for signs of abnormal labor progress. Which
intervention is usually indicated as a precaution throughout labor in VBAC patients?
Hourly ultrasound scans to assess previous uterine scars
Indwelling Foley catheter to prevent bladder distension
Intermittent fetal and uterine monitoring
Maintaining patent intravenous access - Answer-Maintaining patent intravenous access
While providing care for a mother/baby couplet after a birth complicated by shoulder
dystocia, monitor the mother for signs of
brachial plexus injury.
postpartum hemorrhage.
prolapsed uterus.
uterine rupture. - Answer-"WRONG" brachial plexus injury.
, The initial nonpharmacologic intervention for postpartum hemorrhage caused by
involution failure consists of
external or bimanual uterine massage.
insertion of an indwelling Foley catheter.
pulse oximetry and cardiac monitoring.
reverse Trendelenburg position. - Answer-external or bimanual uterine massage.
Side effects of prostaglandin administration may include nausea, vomiting, diarrhea,
and uterine tachysystole. Which medication should be readily available to treat
tachysystole?
Magnesium sulfate, 4 g, IVP
Magnesium sulfate, 4 g, piggyback over 20 minutes
Terbutaline, 0.50 mg, IM
Terbutaline, 0.25 mg, SC - Answer-Terbutaline, 0.25 mg, SC
Ms. 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? - Answer-fFN is a strong predictor or marker for
identification of preterm labor associated with infection.
Risk factors for placenta previa include - Answer-previous uterine surgery, smoking, and
hypertension.
One of the most common and well documented risk factors for preterm labor is -
Answer-previous history of preterm birth.
All of the following complications may predispose a pregnant woman to disseminated
intravascular coagulopathy (DIC) except - Answer-preterm labor.
A cerclage placed in women with documented shortened cervical length by ultrasound
examination is called a(n) - Answer-therapeutic cerclage.
The most common postpartum complication for mothers with higher-order multiples is -
Answer-postpartum hemorrhage.
Painless, bright red vaginal bleeding at 28 weeks of gestation is most likely caused by -
Answer-placenta previa.
AND ANSWERS ALL CORRECT
A pregnant woman presents with a rash 2 days before giving birth to a full term infant.
The rash is determined to be caused by the varicella-zoster virus. Which complication
will the newborn most likely experience?
CNS defects
Limb anomalies
Cutaneous scarring
Pneumonia - Answer-Pneumonia
In addition to hepatitis B, which other type of hepatitis virus may also be prevented with
the hepatitis B vaccine?
Hepatitis A
Hepatitis C
Hepatitis D
Hepatitis G - Answer-Hepatitis D
The risk of perinatal transmission of HIV can be reduced with antiretroviral treatment.
Identification in the preconception period is essential. Which of the following statements
about HIV screening in pregnancy is most accurate? Pregnant women
are routinely screened for HIV with all prenatal laboratory testing.
must be given the option to opt out of routine HIV testing.
must provide written consent for HIV screening.
should be offered HIV screening in each trimester. - Answer-must be given the option to
opt out of routine HIV testing.
Methergine should not be given to a patient experiencing a postpartum hemorrhage with
which of the following conditions?
Renal disease
Asthma
Hypertension
Diabetes - Answer-Hypertension
,Your patient, Irene, calls a nurse to her bedside describing spontaneous rupture of
membranes. As the sheets are pulled back, a loop of umbilical cord is noted protruding
from her vagina. All of the following are appropriate interventions for umbilical cord
prolapse except
covering the cord with a moistened gauze.
calling for immediate assistance.
gently placing the umbilical cord back into the vagina.
placing the patient in Trendelenburg position to relieve compression on the cord. -
Answer-gently placing the umbilical cord back into the vagina.
An intervention that may cause further impaction of the fetal shoulder in a delivery with
shoulder dystocia is
fundal pressure.
Gaskin maneuver.
McRoberts maneuver.
suprapubic pressure. - Answer-fundal pressure.
In caring for a woman who is in labor with an attempt at a vaginal birth after cesarean
(VBAC), it is important to provide labor support, perform ongoing assessment of
maternal and fetal status, and observe for signs of abnormal labor progress. Which
intervention is usually indicated as a precaution throughout labor in VBAC patients?
Hourly ultrasound scans to assess previous uterine scars
Indwelling Foley catheter to prevent bladder distension
Intermittent fetal and uterine monitoring
Maintaining patent intravenous access - Answer-Maintaining patent intravenous access
While providing care for a mother/baby couplet after a birth complicated by shoulder
dystocia, monitor the mother for signs of
brachial plexus injury.
postpartum hemorrhage.
prolapsed uterus.
uterine rupture. - Answer-"WRONG" brachial plexus injury.
, The initial nonpharmacologic intervention for postpartum hemorrhage caused by
involution failure consists of
external or bimanual uterine massage.
insertion of an indwelling Foley catheter.
pulse oximetry and cardiac monitoring.
reverse Trendelenburg position. - Answer-external or bimanual uterine massage.
Side effects of prostaglandin administration may include nausea, vomiting, diarrhea,
and uterine tachysystole. Which medication should be readily available to treat
tachysystole?
Magnesium sulfate, 4 g, IVP
Magnesium sulfate, 4 g, piggyback over 20 minutes
Terbutaline, 0.50 mg, IM
Terbutaline, 0.25 mg, SC - Answer-Terbutaline, 0.25 mg, SC
Ms. 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? - Answer-fFN is a strong predictor or marker for
identification of preterm labor associated with infection.
Risk factors for placenta previa include - Answer-previous uterine surgery, smoking, and
hypertension.
One of the most common and well documented risk factors for preterm labor is -
Answer-previous history of preterm birth.
All of the following complications may predispose a pregnant woman to disseminated
intravascular coagulopathy (DIC) except - Answer-preterm labor.
A cerclage placed in women with documented shortened cervical length by ultrasound
examination is called a(n) - Answer-therapeutic cerclage.
The most common postpartum complication for mothers with higher-order multiples is -
Answer-postpartum hemorrhage.
Painless, bright red vaginal bleeding at 28 weeks of gestation is most likely caused by -
Answer-placenta previa.
