AWHONN PEOP EXAM REVIEW
QUESTIONS WITH COMPLETE
A+ SOLUTIONS
Pregnant women who have had weight reduction surgery should avoid the routine 50-g
glucose load testing for gestational diabetes at 28 weeks gestation to prevent
diabetic ketoacidosis.
dumping syndrome.
prolonged hyperglycemia.
prolonged hypoglycemia. - Answer- prolonged hyperglycemia. WRONG
prolonged hypoglycemia. WRONG
Geneva is a 24-year-old primigravida in active labor and has a history of weight
reduction surgery 12 months prior to conceiving. She has worked closely with the
healthcare team throughout her pregnancy to ensure adequate weight gain to support
both maternal and fetal needs. Her cervix is 6 cm dilated and 80 percent effaced. She
has been managing contraction pain with breathing exercises and relaxation
techniques. She suddenly complains of severe abdominal pain, nausea, and vomiting
and has a fever. Because of her history, you suspect that she may have
gastroenteritis
intestinal obstruction.
placental abruption.
pulmonary embolus. - Answer- intestinal obstruction.
Janice is a 42-year-old, obese primiparous woman who is in early labor. She has a
history of obesity and uncontrolled glucose levels during the third trimester of
pregnancy. Uncontrolled abnormal glucose levels in pregnancy may also be associated
with
hypertension, macrosomia, and polyhydramnios.
hypertension, preterm birth, and oligohydramnios.
hypotension, postterm birth, and oligohydramnios.
hypotension, preterm birth, and polyhydramnios. - Answer- hypertension, macrosomia,
and polyhydramnios.
Obesity is a nationwide problem in the United States. Which of the following is
considered a primary measure to help determine risk of morbidity associated with
overweight and obesity?
,Body mass index
Hip circumference
Shoulder width
Waist circumference - Answer- Waist circumference
When assessing the obstetric trauma patient, what does the acronym FAST stand for?
Fast assessment, accurate documentation, swift care, trauma care
Focused assessment with sonography for trauma
Facial droop, arm weakness, speech difficulty, time to call 911
Fetal risk, act quickly, serial enzymes, total assessment - Answer- Focused assessment
with sonography for trauma
Which of the following is a common complication following maternal trauma?
Chorioamnionitis
Anaphylactoid syndrome of pregnancy
Placental abruption
Maternal anemia - Answer- Placental abruption
Of the following scenarios, which case would not be appropriate for transport from the
current facility to another?
Katie is a G4P3 maternal trauma patient as result of traffic collision that occurred at 50
miles per hour. Her injuries are severe, with hemodynamic instability including
respiratory and cardiac failure noted upon arrival to the scene by the first responder.
Amelia, a G1P0 maternal trauma patient as a result of a domestic violence incident, has
blunt trauma wounds from physical assault. Bleeding is controlled at this time with
stable vital signs.
Noelle is a G6P2 with significant vaginal bleeding but is alert and oriented with stable
vital signs. All roads to the emergency facility are clear, so a 10-minute arrival time is
expected.
Mary, a G2P1 at 30 weeks gestation with multiple gestation (triplets), is experiencing
severe abdominal pain with no vaginal bleeding from a fall down a flight of stairs -
Answer- Katie is a G4P3 maternal trauma patient as result of traffic collision that
occurred at 50 miles per hour. Her injuries are severe, with hemodynamic instability
including respiratory and cardiac failure noted upon arrival to the scene by the first
responder.
During the first stage of labor, the nurse administering oxytocin should assess the fetal
heart rate every
5 minutes.
, 10 minutes.
15 minutes.
30 minutes - Answer- 15 minutes.
The initial signs of hemorrhagic shock in a postpartum woman include
decreasing blood pressure and respiratory rate.
decreasing heart rate and cool clammy skin.
increasing heart rate and oliguria.
increasing heart rate and respiratory rate. - Answer- increasing heart rate and
respiratory rate.
A nurse has just received a client from the surgical suite following a cesarean birth. The
report given reveals the client has received magnesium sulfate for management of
gestational hypertension just before the emergency surgery. The nurse should monitor
the client for adverse effects from the magnesium sulfate by checking which parameter?
Consistency of the fundus
Homans' sign
Gag reflex
Heart rate - Answer- Consistency of the fundus
The goals of nursing and medical management of hemorrhage include all of the
following except
identification and management of the source of bleeding.
re-establishment of maternal hemodynamic stability.
restoration of circulating fluid volume.
separation of the mother newborn couplet until stabilization. - Answer- separation of the
mother newborn couplet until stabilization.
Which position may be helpful to facilitate rotation for a fetus that is in the occiput
posterior position?
Standing
QUESTIONS WITH COMPLETE
A+ SOLUTIONS
Pregnant women who have had weight reduction surgery should avoid the routine 50-g
glucose load testing for gestational diabetes at 28 weeks gestation to prevent
diabetic ketoacidosis.
dumping syndrome.
prolonged hyperglycemia.
prolonged hypoglycemia. - Answer- prolonged hyperglycemia. WRONG
prolonged hypoglycemia. WRONG
Geneva is a 24-year-old primigravida in active labor and has a history of weight
reduction surgery 12 months prior to conceiving. She has worked closely with the
healthcare team throughout her pregnancy to ensure adequate weight gain to support
both maternal and fetal needs. Her cervix is 6 cm dilated and 80 percent effaced. She
has been managing contraction pain with breathing exercises and relaxation
techniques. She suddenly complains of severe abdominal pain, nausea, and vomiting
and has a fever. Because of her history, you suspect that she may have
gastroenteritis
intestinal obstruction.
placental abruption.
pulmonary embolus. - Answer- intestinal obstruction.
Janice is a 42-year-old, obese primiparous woman who is in early labor. She has a
history of obesity and uncontrolled glucose levels during the third trimester of
pregnancy. Uncontrolled abnormal glucose levels in pregnancy may also be associated
with
hypertension, macrosomia, and polyhydramnios.
hypertension, preterm birth, and oligohydramnios.
hypotension, postterm birth, and oligohydramnios.
hypotension, preterm birth, and polyhydramnios. - Answer- hypertension, macrosomia,
and polyhydramnios.
Obesity is a nationwide problem in the United States. Which of the following is
considered a primary measure to help determine risk of morbidity associated with
overweight and obesity?
,Body mass index
Hip circumference
Shoulder width
Waist circumference - Answer- Waist circumference
When assessing the obstetric trauma patient, what does the acronym FAST stand for?
Fast assessment, accurate documentation, swift care, trauma care
Focused assessment with sonography for trauma
Facial droop, arm weakness, speech difficulty, time to call 911
Fetal risk, act quickly, serial enzymes, total assessment - Answer- Focused assessment
with sonography for trauma
Which of the following is a common complication following maternal trauma?
Chorioamnionitis
Anaphylactoid syndrome of pregnancy
Placental abruption
Maternal anemia - Answer- Placental abruption
Of the following scenarios, which case would not be appropriate for transport from the
current facility to another?
Katie is a G4P3 maternal trauma patient as result of traffic collision that occurred at 50
miles per hour. Her injuries are severe, with hemodynamic instability including
respiratory and cardiac failure noted upon arrival to the scene by the first responder.
Amelia, a G1P0 maternal trauma patient as a result of a domestic violence incident, has
blunt trauma wounds from physical assault. Bleeding is controlled at this time with
stable vital signs.
Noelle is a G6P2 with significant vaginal bleeding but is alert and oriented with stable
vital signs. All roads to the emergency facility are clear, so a 10-minute arrival time is
expected.
Mary, a G2P1 at 30 weeks gestation with multiple gestation (triplets), is experiencing
severe abdominal pain with no vaginal bleeding from a fall down a flight of stairs -
Answer- Katie is a G4P3 maternal trauma patient as result of traffic collision that
occurred at 50 miles per hour. Her injuries are severe, with hemodynamic instability
including respiratory and cardiac failure noted upon arrival to the scene by the first
responder.
During the first stage of labor, the nurse administering oxytocin should assess the fetal
heart rate every
5 minutes.
, 10 minutes.
15 minutes.
30 minutes - Answer- 15 minutes.
The initial signs of hemorrhagic shock in a postpartum woman include
decreasing blood pressure and respiratory rate.
decreasing heart rate and cool clammy skin.
increasing heart rate and oliguria.
increasing heart rate and respiratory rate. - Answer- increasing heart rate and
respiratory rate.
A nurse has just received a client from the surgical suite following a cesarean birth. The
report given reveals the client has received magnesium sulfate for management of
gestational hypertension just before the emergency surgery. The nurse should monitor
the client for adverse effects from the magnesium sulfate by checking which parameter?
Consistency of the fundus
Homans' sign
Gag reflex
Heart rate - Answer- Consistency of the fundus
The goals of nursing and medical management of hemorrhage include all of the
following except
identification and management of the source of bleeding.
re-establishment of maternal hemodynamic stability.
restoration of circulating fluid volume.
separation of the mother newborn couplet until stabilization. - Answer- separation of the
mother newborn couplet until stabilization.
Which position may be helpful to facilitate rotation for a fetus that is in the occiput
posterior position?
Standing
