AWHONN PEOP Mods 2022 Test Prep Questions & Answers.
AWHONN PEOP Mods 2022 Test Prep Questions & Answers. 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? >Correct Ans<- fFN is a strong predictor or marker for identification of preterm labor associated with infection. Risk factors for placenta previa include >Correct Ans<- previous uterine surgery, smoking, and hypertension. One of the most common and well documented risk factors for preterm labor is >Correct Ans<- previous history of preterm birth. All of the following complications may predispose a pregnant woman to disseminated intravascular coagulopathy (DIC) except >Correct Ans<- preterm labor. A cerclage placed in women with documented shortened cervical length by ultrasound examination is called a(n) >Correct Ans<- therapeutic cerclage. The most common postpartum complication for mothers with higher-order multiples is >Correct Ans<- postpartum hemorrhage. Painless, bright red vaginal bleeding at 28 weeks of gestation is most likely caused by >Correct Ans<- placenta previa. Couvelaire uterus is associated with which condition? >Correct Ans<- Placental abruption A woman with higher-order multiples is at risk for all of the following except >Correct Ans<- pyelonephritis. Which feature is recommended when monitoring twin gestations to differentiate between fetal heart rates and maternal heart rate? >Correct Ans<- 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 >Correct Ans<- a 300-mg Rh immunoglobulin dose may not be sufficient to prevent sensitization. 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? >Correct Ans<- Primary hemostasis Which of the following is not a contraindication for magnesium sulfate administration? >Correct Ans<- Hyperkalemia Current recommendations for antenatal glucocorticoid administration for acceleration of fetal lung maturation is appropriate >Correct Ans<- for women at 23-36 6/7 weeks gestation at risk for preterm birth within 7 days. Amniotic band syndrome is associated with what complication in pregnancy? >Correct Ans<- Preterm premature rupture of membranes An ova that is fertilized by one sperm and then divides into two zygotes results in >Correct Ans<- monozygotic gestation. Classic signs of placenta previa are >Correct Ans<- painless, bright red bleeding. 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 >Correct Ans<- 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. third trimester of pregnancy. >Correct Ans<- preconception period. 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 >Correct Ans<- Cardiomyopathy 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 >Correct Ans<- 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. >Correct Ans<- 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. >Correct Ans<- 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. >Correct Ans<- 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) >Correct Ans<- 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. >Correct Ans<- 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. >Correct Ans<- 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 >Correct Ans<- 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 >Correct Ans<- 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. >Correct Ans<- rapid, irregular, weak pulse. Advanced maternal age, hypertension, and diabetes are risk factors associated with which type of cardiac disease in pregnancy? Acquired Congenital Hemorrhagic Ischemic >Correct Ans<- Ischemic Vaginal birth is the preferred method of delivery for most women with cardiac disease. One indication for cesarean birth may be presence of bicuspid aortic valve without stenosis. presence of Marfan syndrome with normal aortic size. presence of mitral valve prolapse with audible murmur. use of warfarin therapy within 2 weeks of delivery. >Correct Ans<- use of warfarin therapy within 2 weeks of delivery. You are caring for a mother/baby couplet. Approximately 40 hours ago, Melinda, a 32-year-old primiparous woman, had an urgent cesarean birth after a prolonged second stage of labor during which she had a Category-III abnormal fetal heart tracing. Melinda has been weepy and has not wanted to get out of bed. She describes symptoms of dyspnea, abdominal pain, and chest pain. Her vital signs are blood pressure of 84/56 while lying down, pulse of 118 beats per minute, and respirations of 26 breaths per minute. Melinda is displaying symptoms of anxiety. cardiomyopathy. preeclampsia. pulmonary embolus. >Correct Ans<- pulmonary embolus. During the intrapartum and postpartum periods, it is important to ensure homeostasis and oxygenation in women with cardiac disease. The recommended method of pain control for labor and birth for such women is breathing and relaxation. epidural anesthesia. general anesthesia. intravenous narcotics. >Correct Ans<- breathing and relaxation. (WRONG) Intravenous narcotics (WRONG) Jing is a 36-year-old multiparous woman who presents for a routine prenatal visit. She says she has pain in her right lower leg. Her calf is inflamed and warm to touch. A noninvasive diagnostic tool that may be used in pregnancy to determine whether Jing has deep vein thrombosis is contrast venography. Doppler ultrasound testing. Homans' sign measurement of calf size. >Correct Ans<- Doppler ultrasound testing. Halili has a history of mechanical valve replacement and has been on anticoagulants during pregnancy. Her medications were discontinued in labor. She had a normal spontaneous vaginal birth 2 hours ago and has just completed her recovery period. Her anticoagulant therapy should be reinitiated after birth within 6 hours 8 hours 24 hours 1 week >Correct Ans<- 6 hours A pregnant woman who has been on anticoagulant therapy and is receiving regional anesthesia is at risk for aneurysm rupture. epidural hematoma. postpartum migraine headaches. subdural hematoma. >Correct Ans<- epidural hematoma. >>>>>>>>>>CONTINUED
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awhonn peop mods 2022 test prep questions amp answers
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ms linghu arrived at the obstetric care unit for a labor evaluation she is 28 weeks gestation and is compla
