AWHONN Perinatal Nursing Item Bank
Questions and Answers (Verified)
A 10-minute apgar is assigned when the:
a. 1-minute Apgar is less than 8
b. 5-minute Apgar is less than 7
c. newborn has required resuscitation - ANSWER-b. 5-minute Apgar is less than 7
A 2,000-g infant should receive _________mg of vitaminK:
a. 1
b. 2
c. 0.5 - ANSWER-a. 1
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 - ANSWER-c. the woman's request should
be honored
A bottle-feeding mother asks whether she should give her baby water. The nurse should
instruct her to:
a. add a little extra water to the formula on hot days
b. feed the newborn properly mixed formula
c. give the newborn water between feedings if fussy - ANSWER-b. feed the newborn
properly mixed formula
A breath sound rarely ausculated in asthmatics is:
a. rales
b. rhonchi
c. wheezes - ANSWER-a. rales
A cardiac lesion considered to be cyanotic is:
a. atrial septal defect (ASD)
b. patent ductus arteriosus (PDA)
c. transposition of great arteries (TGA) - ANSWER-c. transposition of great arteries
(TGA)
,A cardiac lesion which results in decreased pulmonary blood flow is:
a. ASD
b. TOF
c. PDA - ANSWER-b. TOF
A cardiovascular parameter which normally decreases during pregnancy is?
a. heart rate
b. stroke volume
c. systemic vascular resistance - ANSWER-c. systemic vascular resistance
A clinical finding associated with a dehiscence of a uterine scar during a trial of labor
after cesarean birth (TOLAC) is:
a. cessation of uterine contractions
b. fetal heart rate with variable decelerations
c. sudden decrease of intrauterine pressure - ANSWER-b. fetal heart rate with variable
decelerations
A common complication of anesthesia encountered with obese pregnant women when
compared to normal weight women is:
a. allergic reaction to anesthetic agents
b. excessive response to narcotic analgesia
c. difficulty with catheter placement - ANSWER-c. difficulty with catheter placement
A common EMTALA violation is:
a. failure to document patient insurance status prior to transfer
b. inaccurate diagnosis by sending MD
c. lack of patient stabilization prior to transfer - ANSWER-c. lack of patient stabilization
prior to transfer
A complication seen in up to 26% of women with varicella pneumonia in the first 20
weeks of gestation is:
a. intrauterine infection
b. pneumonthorax
c. small-for-gestational age fetus - ANSWER-a. intrauterine infection
A cross-eyed appearance in a newborn is called:
a. hypertolerism
b. nystagmus
,c. strabismus - ANSWER-c. strabismus
A diagnosis of severe preeclampsia is consistent with a 24-hour urine showing protein
excretion of:
a. 1 g/L
b. 3 g/L
c. 5 g/L - ANSWER-c. 5 g/L
A drug that is used for tocolysis but is not classified as a beta-mimetic is:
a. Procardia
b. ritodrine
c. terbutaline - ANSWER-a. Procardia
A gestational age assessment indicating the greatest degree of physical maturity is:
a. labia majora covering clitoris and labia minora
b. labia majora large and labia minora small
c. prominent clitoris and enlarging labia minora - ANSWER-a. labia majora covering
clitoris and labia minora
A GU finding in a gestational age assessment of a newborn male at 36 weeks gestation
is:
a. rugae becoming visible
b. pendulous scrotum
c. testes in the upper scrotum - ANSWER-c. testes in the upper scrotum
A healthy fetus usually has ________ perceivable movements in 1 hour:
a. 5
b. 15
c. 10 - ANSWER-c. 10
A high probability of successful induction of labor is associated with a bishop score of:
a. >4
b. >6
c. >8 - ANSWER-c. >8
A likely cause of fetal tachycardia with moderate variability is:
a. fetal hypoxemia
b. maternal fever
, c. vagal stimulation - ANSWER-b. maternal fever
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 - ANSWER-b. American Indian/Alaskan native
A medication commonly given to women who are experiencing prolonged latent labor to
produce a period of sleep is:
a. butorphanol (Stadol)
b. morphine
c. promethazine hydrochloride (Phenergan) - ANSWER-b. morphine
A medication given to reverse the symptom of a distended bladder during a continuous
epidural infusion is:
a. bupivacaine
b. epinephrine
c. naloxone - ANSWER-c. naloxone
A medication used to maintain patency of the ductus arteriosus is:
a. caffeine
b. indomethacin
c. prostoglandin E1 - ANSWER-c. prostoglandin E1
A metabolic change characteristic of late pregnancy is decreased:
a. blood free fatty acid levels
b. insulin sensitivity
c. serum glucose levels after meals - ANSWER-b. insulin sensitivity
A mother holds her breast with her thumb on top and fingers below; she is using the:
a. C hold
b. circle hold
c. cup hold - ANSWER-a. C hold
A nevus simplex "storke bite"
a. is usually elevated, rough and dark red
b. most often appears on the neck, forehead and eyelids
Questions and Answers (Verified)
A 10-minute apgar is assigned when the:
a. 1-minute Apgar is less than 8
b. 5-minute Apgar is less than 7
c. newborn has required resuscitation - ANSWER-b. 5-minute Apgar is less than 7
A 2,000-g infant should receive _________mg of vitaminK:
a. 1
b. 2
c. 0.5 - ANSWER-a. 1
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 - ANSWER-c. the woman's request should
be honored
A bottle-feeding mother asks whether she should give her baby water. The nurse should
instruct her to:
a. add a little extra water to the formula on hot days
b. feed the newborn properly mixed formula
c. give the newborn water between feedings if fussy - ANSWER-b. feed the newborn
properly mixed formula
A breath sound rarely ausculated in asthmatics is:
a. rales
b. rhonchi
c. wheezes - ANSWER-a. rales
A cardiac lesion considered to be cyanotic is:
a. atrial septal defect (ASD)
b. patent ductus arteriosus (PDA)
c. transposition of great arteries (TGA) - ANSWER-c. transposition of great arteries
(TGA)
,A cardiac lesion which results in decreased pulmonary blood flow is:
a. ASD
b. TOF
c. PDA - ANSWER-b. TOF
A cardiovascular parameter which normally decreases during pregnancy is?
a. heart rate
b. stroke volume
c. systemic vascular resistance - ANSWER-c. systemic vascular resistance
A clinical finding associated with a dehiscence of a uterine scar during a trial of labor
after cesarean birth (TOLAC) is:
a. cessation of uterine contractions
b. fetal heart rate with variable decelerations
c. sudden decrease of intrauterine pressure - ANSWER-b. fetal heart rate with variable
decelerations
A common complication of anesthesia encountered with obese pregnant women when
compared to normal weight women is:
a. allergic reaction to anesthetic agents
b. excessive response to narcotic analgesia
c. difficulty with catheter placement - ANSWER-c. difficulty with catheter placement
A common EMTALA violation is:
a. failure to document patient insurance status prior to transfer
b. inaccurate diagnosis by sending MD
c. lack of patient stabilization prior to transfer - ANSWER-c. lack of patient stabilization
prior to transfer
A complication seen in up to 26% of women with varicella pneumonia in the first 20
weeks of gestation is:
a. intrauterine infection
b. pneumonthorax
c. small-for-gestational age fetus - ANSWER-a. intrauterine infection
A cross-eyed appearance in a newborn is called:
a. hypertolerism
b. nystagmus
,c. strabismus - ANSWER-c. strabismus
A diagnosis of severe preeclampsia is consistent with a 24-hour urine showing protein
excretion of:
a. 1 g/L
b. 3 g/L
c. 5 g/L - ANSWER-c. 5 g/L
A drug that is used for tocolysis but is not classified as a beta-mimetic is:
a. Procardia
b. ritodrine
c. terbutaline - ANSWER-a. Procardia
A gestational age assessment indicating the greatest degree of physical maturity is:
a. labia majora covering clitoris and labia minora
b. labia majora large and labia minora small
c. prominent clitoris and enlarging labia minora - ANSWER-a. labia majora covering
clitoris and labia minora
A GU finding in a gestational age assessment of a newborn male at 36 weeks gestation
is:
a. rugae becoming visible
b. pendulous scrotum
c. testes in the upper scrotum - ANSWER-c. testes in the upper scrotum
A healthy fetus usually has ________ perceivable movements in 1 hour:
a. 5
b. 15
c. 10 - ANSWER-c. 10
A high probability of successful induction of labor is associated with a bishop score of:
a. >4
b. >6
c. >8 - ANSWER-c. >8
A likely cause of fetal tachycardia with moderate variability is:
a. fetal hypoxemia
b. maternal fever
, c. vagal stimulation - ANSWER-b. maternal fever
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 - ANSWER-b. American Indian/Alaskan native
A medication commonly given to women who are experiencing prolonged latent labor to
produce a period of sleep is:
a. butorphanol (Stadol)
b. morphine
c. promethazine hydrochloride (Phenergan) - ANSWER-b. morphine
A medication given to reverse the symptom of a distended bladder during a continuous
epidural infusion is:
a. bupivacaine
b. epinephrine
c. naloxone - ANSWER-c. naloxone
A medication used to maintain patency of the ductus arteriosus is:
a. caffeine
b. indomethacin
c. prostoglandin E1 - ANSWER-c. prostoglandin E1
A metabolic change characteristic of late pregnancy is decreased:
a. blood free fatty acid levels
b. insulin sensitivity
c. serum glucose levels after meals - ANSWER-b. insulin sensitivity
A mother holds her breast with her thumb on top and fingers below; she is using the:
a. C hold
b. circle hold
c. cup hold - ANSWER-a. C hold
A nevus simplex "storke bite"
a. is usually elevated, rough and dark red
b. most often appears on the neck, forehead and eyelids
