AWHONN Perinatal Nursing Item Bank
Questions (multiple choice questions
only)
According to ACOG (2009) misoprostol is not recommended for women who are:
a. nulliparous
b. hypertensive
c. attempting VBAC - ANS c. attempting VBAC
Second-state pushing should be initiated when _____________
or when more than 2 hours have passed since complete dilation for ____________ women or more than
1 hour has passed since complete dilation for ___________women
a. the woman feels the urge to push; nulliparous; multiparous
b. the women feels the urge to void; multiparous; nulliparous
c. the woman has an epidural; nulliparous, multiparous - ANS a. the woman feels the urge to push;
nulliparous; multiparous
Triage for a pregnant women who present for care should be based on guidelines from
a. AWHONN
b. EMTALA
C. ACOG - ANS b. EMTALA
A 25-year-old Vietnamese woman admitted to the birthing unit requests that her husband stay in the
waiting area until after she gives birth. The appropriate response is based on the nurse's knowledge
that:
,a. all husbands should be present during labor and birth
b. the husband may fear his response to his wife giving birth
c. the woman's request should be honored - ANS c. the woman's request should be honored
Wang Din Wah, a Laotian mother who is 24 hours postpartum, rejects the nurse's instruction to bring
the newborn back by the 7th day of life for PKU test. Wang's reasons for this refusal are most likely
based on
a. her lack of recognition of appropriate healthcare for the baby
b. the baby's early care being provided largely by the maternal grandmother
c. the 1st month after birth being considered a time for confinement and rest - ANS c. the 1st month
after birth being considered a time for confinement and rest
Berta Wolf Creek is 4 hours postpartum and requests permission to take her placenta home with her.
Appropriate instruction by the nurse would include:
a. keeping the placenta in a leak-proof container
b. requiring disposal of the placenta by internment (burial)
c. keeping the placenta frozen until burial - ANS a. keeping the placenta in a leak-proof container
Maria Ochoa, a 23-year-old Filipino American, is 18 weeks pregnant. After receiving a prescription for
prenatal vitamins, she tells the nurse that her mother has warned her to take only herbal medication
during pregnancy. the nurse appropriately:
a. advises Maria that the pills are only vitamins and not considered medication
b. assess the significance of Maria's mother's advice
,c. reminds her that the vitamins were ordered by the nurse-midwife - ANS b. assess the significance of
Maria's mother's advice
The percentage of the U.S. population who are African American or black is nearly:
a. 6%
b. 13%
c. 20% - ANS b. 13%
An African American/black woman who believes she should not swallow her saliva and carries a spit cup
with her during pregnancy is most likely from:
a. Barbados
b. Haiti
c. West Indies - ANS b. Haiti
A major cultural group of childbearing women at increased risk for alcoholism, heart disease, cirrhosis of
the liver, and diabetes mellitus is the population of woman who are:
a. African American/black
b. American Indian/Alaskan native
c. Asian American/Pacific Islander - ANS b. American Indian/Alaskan native
According to the hot/cold theory, pregnancy is thought to be which kind of a condition?
a. cold
b. hot
, c. lukewarm - ANS b. hot
Ethnocentrism is the belief that:
a. cultural values are major determiners of one's behavior
b. every cultural group has a core center of common beliefs
c. values and practices of one's own culture are superior - ANS c. values and practices of one's own
culture are superior
A woman whose discharge plan includes her mother-in-law caring for her and her newborn during the
postpartum period by tradition is most likely from which of the following cultures?
a. Korean
b. Laotian
c. Tongan - ANS a. Korean
Goals each nurse can set to increase cultural competence while caring for culturally diverse childbearing
women and their families are described as:
a. culturally driven
b. externally based
c. self-generated - ANS c. self-generated
By 28-34 weeks' gestation in a normal pregnancy, blood volume has increased by:
a. 10-20%
b. 30-50%
Questions (multiple choice questions
only)
According to ACOG (2009) misoprostol is not recommended for women who are:
a. nulliparous
b. hypertensive
c. attempting VBAC - ANS c. attempting VBAC
Second-state pushing should be initiated when _____________
or when more than 2 hours have passed since complete dilation for ____________ women or more than
1 hour has passed since complete dilation for ___________women
a. the woman feels the urge to push; nulliparous; multiparous
b. the women feels the urge to void; multiparous; nulliparous
c. the woman has an epidural; nulliparous, multiparous - ANS a. the woman feels the urge to push;
nulliparous; multiparous
Triage for a pregnant women who present for care should be based on guidelines from
a. AWHONN
b. EMTALA
C. ACOG - ANS b. EMTALA
A 25-year-old Vietnamese woman admitted to the birthing unit requests that her husband stay in the
waiting area until after she gives birth. The appropriate response is based on the nurse's knowledge
that:
,a. all husbands should be present during labor and birth
b. the husband may fear his response to his wife giving birth
c. the woman's request should be honored - ANS c. the woman's request should be honored
Wang Din Wah, a Laotian mother who is 24 hours postpartum, rejects the nurse's instruction to bring
the newborn back by the 7th day of life for PKU test. Wang's reasons for this refusal are most likely
based on
a. her lack of recognition of appropriate healthcare for the baby
b. the baby's early care being provided largely by the maternal grandmother
c. the 1st month after birth being considered a time for confinement and rest - ANS c. the 1st month
after birth being considered a time for confinement and rest
Berta Wolf Creek is 4 hours postpartum and requests permission to take her placenta home with her.
Appropriate instruction by the nurse would include:
a. keeping the placenta in a leak-proof container
b. requiring disposal of the placenta by internment (burial)
c. keeping the placenta frozen until burial - ANS a. keeping the placenta in a leak-proof container
Maria Ochoa, a 23-year-old Filipino American, is 18 weeks pregnant. After receiving a prescription for
prenatal vitamins, she tells the nurse that her mother has warned her to take only herbal medication
during pregnancy. the nurse appropriately:
a. advises Maria that the pills are only vitamins and not considered medication
b. assess the significance of Maria's mother's advice
,c. reminds her that the vitamins were ordered by the nurse-midwife - ANS b. assess the significance of
Maria's mother's advice
The percentage of the U.S. population who are African American or black is nearly:
a. 6%
b. 13%
c. 20% - ANS b. 13%
An African American/black woman who believes she should not swallow her saliva and carries a spit cup
with her during pregnancy is most likely from:
a. Barbados
b. Haiti
c. West Indies - ANS b. Haiti
A major cultural group of childbearing women at increased risk for alcoholism, heart disease, cirrhosis of
the liver, and diabetes mellitus is the population of woman who are:
a. African American/black
b. American Indian/Alaskan native
c. Asian American/Pacific Islander - ANS b. American Indian/Alaskan native
According to the hot/cold theory, pregnancy is thought to be which kind of a condition?
a. cold
b. hot
, c. lukewarm - ANS b. hot
Ethnocentrism is the belief that:
a. cultural values are major determiners of one's behavior
b. every cultural group has a core center of common beliefs
c. values and practices of one's own culture are superior - ANS c. values and practices of one's own
culture are superior
A woman whose discharge plan includes her mother-in-law caring for her and her newborn during the
postpartum period by tradition is most likely from which of the following cultures?
a. Korean
b. Laotian
c. Tongan - ANS a. Korean
Goals each nurse can set to increase cultural competence while caring for culturally diverse childbearing
women and their families are described as:
a. culturally driven
b. externally based
c. self-generated - ANS c. self-generated
By 28-34 weeks' gestation in a normal pregnancy, blood volume has increased by:
a. 10-20%
b. 30-50%
