AWHONN Exam Questions with 100% correct answers Latest
Graded A+
Question:
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.
Question:
Risk factors for placenta previa include
Answer:
previous uterine surgery, smoking, and hypertension.
Question:
One of the most common and well documented risk factors for preterm labor is
Answer:
previous history of preterm birth.
Question:
All of the following complications may predispose a pregnant woman to disseminated intravascular
coagulopathy (DIC) except
Answer:
preterm labor.
Question:
A cerclage placed in women with documented shortened cervical length by ultrasound examination
is called a(n)
Answer:
therapeutic cerclage.
,Question:
The most common postpartum complication for mothers with higher-order multiples is
Answer:
postpartum hemorrhage.
Question:
Painless, bright red vaginal bleeding at 28 weeks of gestation is most likely caused by
Answer:
placenta previa.
Question:
Couvelaire uterus is associated with which condition?
Answer:
Placental abruption
Question:
A woman with higher-order multiples is at risk for all of the following except
Answer:
pyelonephritis.
Question:
Which feature is recommended when monitoring twin gestations to differentiate between fetal heart
rates and maternal heart rate?
Answer:
Maternal pulse oximetry
Question:
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
Answer:
a 300-mg Rh immunoglobulin dose may not be sufficient to prevent sensitization.
,Question:
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?
Answer:
Primary hemostasis
Question:
Which of the following is not a contraindication for magnesium sulfate administration?
Answer:
Hyperkalemia
Question:
Current recommendations for antenatal glucocorticoid administration for acceleration of fetal lung
maturation is appropriate
Answer:
for women at 23-36 6/7 weeks gestation at risk for preterm birth within 7 days.
Question:
Amniotic band syndrome is associated with what complication in pregnancy?
Answer:
Preterm premature rupture of membranes
Question:
An ova that is fertilized by one sperm and then divides into two zygotes results in
Answer:
monozygotic gestation.
Question:
Classic signs of placenta previa are
Answer:
painless, bright red bleeding.
, Question:
Mrs. Jordan has arrived to the unit for a labor evaluation. She is 39 weeks pregnant and is
complaining of continuous abdominal pain. She is having high frequency, low amplitude
contractions and the fetal heart pattern shows minimal variability. You suspect that Mrs. Jordan
may have a
Answer:
placental abruption.
Intensive nursing and medical management in women with pregestational diabetes should begin in
the
immediate postpartum period.
preconception period.
second trimester of pregnancy.
Question:
third trimester of pregnancy.
Answer:
preconception period.
Question:
Which of the following types of cardiac lesions are characterized by dysfunction of the cardiac
muscle, resulting in decreased cardiac output? Aortic stenosis Cardiomyopathy Mitral insufficiency
Pulmonic lesions
Answer:
Cardiomyopathy
Question:
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
Answer:
Aspirin, antihistamines, and vitamin K (WRONG!)
Graded A+
Question:
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.
Question:
Risk factors for placenta previa include
Answer:
previous uterine surgery, smoking, and hypertension.
Question:
One of the most common and well documented risk factors for preterm labor is
Answer:
previous history of preterm birth.
Question:
All of the following complications may predispose a pregnant woman to disseminated intravascular
coagulopathy (DIC) except
Answer:
preterm labor.
Question:
A cerclage placed in women with documented shortened cervical length by ultrasound examination
is called a(n)
Answer:
therapeutic cerclage.
,Question:
The most common postpartum complication for mothers with higher-order multiples is
Answer:
postpartum hemorrhage.
Question:
Painless, bright red vaginal bleeding at 28 weeks of gestation is most likely caused by
Answer:
placenta previa.
Question:
Couvelaire uterus is associated with which condition?
Answer:
Placental abruption
Question:
A woman with higher-order multiples is at risk for all of the following except
Answer:
pyelonephritis.
Question:
Which feature is recommended when monitoring twin gestations to differentiate between fetal heart
rates and maternal heart rate?
Answer:
Maternal pulse oximetry
Question:
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
Answer:
a 300-mg Rh immunoglobulin dose may not be sufficient to prevent sensitization.
,Question:
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?
Answer:
Primary hemostasis
Question:
Which of the following is not a contraindication for magnesium sulfate administration?
Answer:
Hyperkalemia
Question:
Current recommendations for antenatal glucocorticoid administration for acceleration of fetal lung
maturation is appropriate
Answer:
for women at 23-36 6/7 weeks gestation at risk for preterm birth within 7 days.
Question:
Amniotic band syndrome is associated with what complication in pregnancy?
Answer:
Preterm premature rupture of membranes
Question:
An ova that is fertilized by one sperm and then divides into two zygotes results in
Answer:
monozygotic gestation.
Question:
Classic signs of placenta previa are
Answer:
painless, bright red bleeding.
, Question:
Mrs. Jordan has arrived to the unit for a labor evaluation. She is 39 weeks pregnant and is
complaining of continuous abdominal pain. She is having high frequency, low amplitude
contractions and the fetal heart pattern shows minimal variability. You suspect that Mrs. Jordan
may have a
Answer:
placental abruption.
Intensive nursing and medical management in women with pregestational diabetes should begin in
the
immediate postpartum period.
preconception period.
second trimester of pregnancy.
Question:
third trimester of pregnancy.
Answer:
preconception period.
Question:
Which of the following types of cardiac lesions are characterized by dysfunction of the cardiac
muscle, resulting in decreased cardiac output? Aortic stenosis Cardiomyopathy Mitral insufficiency
Pulmonic lesions
Answer:
Cardiomyopathy
Question:
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
Answer:
Aspirin, antihistamines, and vitamin K (WRONG!)