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AWHONN PEOP 2025 – Perinatal Orientation & Education Program Study Guide | Fetal Monitoring, Labor Assessment, Maternal Safety, Neonatal Care, Medications & Case Scenarios

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This AWHONN PEOP (Perinatal Orientation and Education Program) 2025 study guide is a comprehensive resource built for nurses and clinicians entering or currently practicing in the perinatal, labor & delivery, and postpartum settings. The content includes critical concepts, clinical rationales, and assessment tools aligned with the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) standards. Designed to reinforce safety, evidence-based care, and maternal-newborn well-being, this guide integrates knowledge checks, case studies, and structured explanations across key clinical topics. Major areas covered: Electronic Fetal Monitoring (EFM): interpretation of variability, accelerations, decelerations, category I–III tracings Labor and Birth Assessments: cervical changes, contractions, fetal position/station, stages of labor Maternal Safety & Emergency Management: postpartum hemorrhage, hypertensive disorders, shoulder dystocia, magnesium sulfate, blood loss estimation Newborn Care: Apgar scoring, thermoregulation, skin-to-skin, hypoglycemia screening, neonatal resuscitation cues Medications & Pharmacologic Interventions: oxytocin, misoprostol, epidural effects, pain management strategies Professional Practice: team communication (SBAR), documentation, cultural competence, and legal responsibilities Each section prepares perinatal professionals for real-life clinical scenarios, certification exams, and safe bedside care. This resource is ideal for onboarding, review, or academic preparation. Recommended for: Labor & Delivery Nurses, Postpartum Nurses, NICU Transition Staff Nurse Residents or New Graduate RNs in women’s health Maternal-Child Health Students Clinical educators conducting perinatal orientation Nurses preparing for AWHONN EFM Certification or RNC-OB exams Keywords: AWHONN PEOP, perinatal nursing, fetal monitoring, labor assessment, maternal emergencies, postpartum care, neonatal assessment, oxytocin, uterine tachysystole, EFM tracings, Apgar score, magnesium sulfate, OB hemorrhage, shoulder dystocia, RN orientation, L&D nursing, newborn transition, perinatal case studies, AWHONN standards

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Institution
POEP AWHONN
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POEP AWHONN

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AWHONN PEOP 2025/2026 Exam
Questions and Correct Answers | New
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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.


Risk factors for placenta previa include - 🧠ANSWER ✔✔previous uterine

surgery, smoking, and hypertension.

One of the most common and well documented risk factors for preterm

labor is - 🧠ANSWER ✔✔previous history of preterm birth.

,All of the following complications may predispose a pregnant woman to

disseminated intravascular coagulopathy (DIC) except - 🧠ANSWER

✔✔preterm labor.


A cerclage placed in women with documented shortened cervical length by

ultrasound examination is called a(n) - 🧠ANSWER ✔✔therapeutic cerclage.


The most common postpartum complication for mothers with higher-order

multiples is - 🧠ANSWER ✔✔postpartum hemorrhage.


Painless, bright red vaginal bleeding at 28 weeks of gestation is most likely

caused by - 🧠ANSWER ✔✔placenta previa.


Couvelaire uterus is associated with which condition? - 🧠ANSWER

✔✔Placental abruption


A woman with higher-order multiples is at risk for all of the following except

- 🧠ANSWER ✔✔pyelonephritis.


Which feature is recommended when monitoring twin gestations to

differentiate between fetal heart rates and maternal heart rate? -

🧠ANSWER ✔✔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 - 🧠ANSWER ✔✔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? - 🧠ANSWER ✔✔Primary hemostasis


Which of the following is not a contraindication for magnesium sulfate

administration? - 🧠ANSWER ✔✔Hyperkalemia


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.

Amniotic band syndrome is associated with what complication in

pregnancy? - 🧠ANSWER ✔✔Preterm premature rupture of membranes


An ova that is fertilized by one sperm and then divides into two zygotes

results in - 🧠ANSWER ✔✔monozygotic gestation.


3
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, Classic signs of placenta previa are - 🧠ANSWER ✔✔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 -

🧠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.


third trimester of pregnancy. - 🧠ANSWER ✔✔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

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