AWHONN PEOP ACTUAL EXAM 150 QUESTIONS AND
CORRECT ANSWERS COVERING THE RECENT AND
MOST TESTED QUESTIONS GUARANTEE OVER 80%
PASSMARK
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
answer -fFN is a strong predictor or marker for identification of preterm labor associated with infection.
Risk factors for placenta previa include - correct answer -previous uterine surgery, smoking, and
hypertension.
Which of the following parents is least likely to experience complicated grief after a perinatal loss? -
correct answer -Angelique, a 25-year-old, had a stillbirth at 25 weeks gestation as a result of preterm
rupture of membranes and chorioamnionitis. Present in the room today are her husband, Todd, and
their 2-year-old daughter.
Marlene is a 26-year-old primipara who is 10 weeks pregnant and has a history of obesity and smoking.
She is complaining of bleeding over the past 24 hours. Her primary care physician has confirmed a loss
of her pregnancy. While reviewing her follow up instructions, you should - correct answer -ask Marlene
how she is doing and then listen to her responses.
When teaching parents about grief after perinatal loss, which of the following statements is true? -
correct answer -Grief after perinatal loss may be significant and traumatic, and may last for months to
years.
Which of the following statements is false regarding the subsequent pregnancy after a perinatal loss? -
correct answer -The sense of threat mothers experience is based on the mother's appraisal of the
pregnancy, not necessarily on actual medical risk. (WRONG)
Subsequent pregnancy is usually experienced with a greater sense of threat, guarded emotions, and
feelings of stress that remain elevated throughout the subsequent pregnancy. (WRONG)
Which of the following statements regarding baptism is true? - correct answer -There is disagreement
in some Christian religions regarding baptism of a stillborn or miscarried baby.
,A primary and routine role of the circulating registered nurse during a cesarean birth includes
completing a newborn and maternal assessment prior to leaving the operating room.
documenting the fetal heart rate every 5 minutes until birth.
performing needle and sponge counts with the scrub person.
performing resuscitation and stabilization of the newborn infant after delivery. - correct answer -
performing needle and sponge counts with the scrub person.
Which of the following is recommended thromboprophylaxis for all women having a cesarean birth?
Intravenous heparin
Placement of pneumatic compression devices
Coumadin by mouth
Doppler studies - correct answer -Placement of pneumatic compression devices
Which of the following is a contraindication to the administration of regional analgesia and anesthesia?
Uncontrolled type-I diabetes
Treated maternal bacteremia
Local infection at the site of injection
Use of once-daily dose of low-molecular-weight heparin - correct answer -Local infection at the site of
injection
Althea arrived at the obstetric unit for a labor evaluation at 39 weeks gestation. She reports decreased
fetal movement for the past 24 hours. Her biophysical profile is 2/8. The decision is made to perform a
cesarean delivery. The most common reason for a cesarean birth is
failure to progress or abnormal fetal heart patterns.
polyhydramnios with single gestation fetus.
preterm labor with prolonged rupture of membranes.
twins or higher gestation pregnancy. - correct answer -failure to progress or abnormal fetal heart
patterns.
,The level of care provided when a patient is emerging from a surgical procedure requiring anesthesia or
sedation is referred to as
phase 1.
phase 2.
postanesthesia phase.
recovery phase. - correct answer -phase 1
Postoperative assessment guidelines recommend that vital signs, including blood pressure, pulse, and
respirations, be recorded every
5 minutes for the first hour.
15 minutes for the first 2 hours.
15 minutes for the first hour, then every 30 minutes for the next hour.
30 minutes for the first 2 hours. - correct answer -5 minutes for the first hour. (WRONG)
15 minutes for the first hour, then every 30 minutes for the next hour. (WRONG)
A rapid assessment of maternal status is completed immediately on arrival prior to the anesthesiologist
provider leaving the PACU. If the mother is stable, the RN accepts the transfer and assumes care of the
mother. In situations in which the mother is not stable the nurse should expect that
the anesthesia provider is immediately available by pager or phone.
the anesthesia provider may release responsibility to the nurse as long as the mother remains in the
PACU.
the anesthesia provider will remain with the mother until stable, and then the nurse accepts the
responsibility of the mother.
the obstetrician can assume care if the anesthesia provider is not available. - correct answer -the
anesthesia provider will remain with the mother until stable, and then the nurse accepts the
responsibility of the mother.
Which of the following best describes the respiratory status assessment performed in the PACU?
Auscultation for adventitious sounds
Evaluation of color and depth of inspiration
Inspection, auscultation, and oxygen saturation
, Documentation of rate and rhythm - correct answer -Inspection, auscultation, and oxygen saturation
Cardiac output in the immediate postpartum period is
decreased.
increased.
only of concern with a history of cardiac disease.
not affected during the recovery period. - correct answer -increased
A dermatome is an area of skin supplied by a single spinal nerve. Assessment of dermatome level helps
establish sympathetic and motor levels of the neuraxial blockade caused by anesthesia. The RN knows
that a woman is recovering from neuraxial anesthesia when
her sensory awareness is resolved on one side.
she demonstrates sensory awareness to an alcohol wipe but not a blunt needle prick.
the dermatome level is moving upward.
she can lift both legs off of the bed. - correct answer -she demonstrates sensory awareness to an
alcohol wipe but not a blunt needle prick. (WRONG)
her sensory awareness is resolved on one side. (WRONG)
Measures to prevent hypothermia may include all of the following except
limiting skin exposure.
maintaining room temperature at 72 degrees Fahrenheit.
placing warm blankets on the woman.
warming fluids before infusion. - correct answer -placing warm blankets on the woman.(WRONG)
warming fluids before infusion. (WRONG)
A woman who is G2P2 has had a primary cesarean at 34 weeks gestation due to preeclampsia with
severe features. Due to difficulty with respiratory transitioning, the newborn has been transferred to the
nursery and the mother is admitted to the labor and delivery PACU. Her vital signs are as follows: 94
BPM heart rate / 144/98 mmHg blood pressure / 18 per minute respirations / 98% PaO2 on pulse
oximeter / 97.6F temperature. Magnesium sulfate is infusing at 2 grams per hour, urine output is 60 ml
in the past hour, and reflexes are 2+. She received neuraxial anesthesia for the cesarean. Which of the
following is your primary concern?
CORRECT ANSWERS COVERING THE RECENT AND
MOST TESTED QUESTIONS GUARANTEE OVER 80%
PASSMARK
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
answer -fFN is a strong predictor or marker for identification of preterm labor associated with infection.
Risk factors for placenta previa include - correct answer -previous uterine surgery, smoking, and
hypertension.
Which of the following parents is least likely to experience complicated grief after a perinatal loss? -
correct answer -Angelique, a 25-year-old, had a stillbirth at 25 weeks gestation as a result of preterm
rupture of membranes and chorioamnionitis. Present in the room today are her husband, Todd, and
their 2-year-old daughter.
Marlene is a 26-year-old primipara who is 10 weeks pregnant and has a history of obesity and smoking.
She is complaining of bleeding over the past 24 hours. Her primary care physician has confirmed a loss
of her pregnancy. While reviewing her follow up instructions, you should - correct answer -ask Marlene
how she is doing and then listen to her responses.
When teaching parents about grief after perinatal loss, which of the following statements is true? -
correct answer -Grief after perinatal loss may be significant and traumatic, and may last for months to
years.
Which of the following statements is false regarding the subsequent pregnancy after a perinatal loss? -
correct answer -The sense of threat mothers experience is based on the mother's appraisal of the
pregnancy, not necessarily on actual medical risk. (WRONG)
Subsequent pregnancy is usually experienced with a greater sense of threat, guarded emotions, and
feelings of stress that remain elevated throughout the subsequent pregnancy. (WRONG)
Which of the following statements regarding baptism is true? - correct answer -There is disagreement
in some Christian religions regarding baptism of a stillborn or miscarried baby.
,A primary and routine role of the circulating registered nurse during a cesarean birth includes
completing a newborn and maternal assessment prior to leaving the operating room.
documenting the fetal heart rate every 5 minutes until birth.
performing needle and sponge counts with the scrub person.
performing resuscitation and stabilization of the newborn infant after delivery. - correct answer -
performing needle and sponge counts with the scrub person.
Which of the following is recommended thromboprophylaxis for all women having a cesarean birth?
Intravenous heparin
Placement of pneumatic compression devices
Coumadin by mouth
Doppler studies - correct answer -Placement of pneumatic compression devices
Which of the following is a contraindication to the administration of regional analgesia and anesthesia?
Uncontrolled type-I diabetes
Treated maternal bacteremia
Local infection at the site of injection
Use of once-daily dose of low-molecular-weight heparin - correct answer -Local infection at the site of
injection
Althea arrived at the obstetric unit for a labor evaluation at 39 weeks gestation. She reports decreased
fetal movement for the past 24 hours. Her biophysical profile is 2/8. The decision is made to perform a
cesarean delivery. The most common reason for a cesarean birth is
failure to progress or abnormal fetal heart patterns.
polyhydramnios with single gestation fetus.
preterm labor with prolonged rupture of membranes.
twins or higher gestation pregnancy. - correct answer -failure to progress or abnormal fetal heart
patterns.
,The level of care provided when a patient is emerging from a surgical procedure requiring anesthesia or
sedation is referred to as
phase 1.
phase 2.
postanesthesia phase.
recovery phase. - correct answer -phase 1
Postoperative assessment guidelines recommend that vital signs, including blood pressure, pulse, and
respirations, be recorded every
5 minutes for the first hour.
15 minutes for the first 2 hours.
15 minutes for the first hour, then every 30 minutes for the next hour.
30 minutes for the first 2 hours. - correct answer -5 minutes for the first hour. (WRONG)
15 minutes for the first hour, then every 30 minutes for the next hour. (WRONG)
A rapid assessment of maternal status is completed immediately on arrival prior to the anesthesiologist
provider leaving the PACU. If the mother is stable, the RN accepts the transfer and assumes care of the
mother. In situations in which the mother is not stable the nurse should expect that
the anesthesia provider is immediately available by pager or phone.
the anesthesia provider may release responsibility to the nurse as long as the mother remains in the
PACU.
the anesthesia provider will remain with the mother until stable, and then the nurse accepts the
responsibility of the mother.
the obstetrician can assume care if the anesthesia provider is not available. - correct answer -the
anesthesia provider will remain with the mother until stable, and then the nurse accepts the
responsibility of the mother.
Which of the following best describes the respiratory status assessment performed in the PACU?
Auscultation for adventitious sounds
Evaluation of color and depth of inspiration
Inspection, auscultation, and oxygen saturation
, Documentation of rate and rhythm - correct answer -Inspection, auscultation, and oxygen saturation
Cardiac output in the immediate postpartum period is
decreased.
increased.
only of concern with a history of cardiac disease.
not affected during the recovery period. - correct answer -increased
A dermatome is an area of skin supplied by a single spinal nerve. Assessment of dermatome level helps
establish sympathetic and motor levels of the neuraxial blockade caused by anesthesia. The RN knows
that a woman is recovering from neuraxial anesthesia when
her sensory awareness is resolved on one side.
she demonstrates sensory awareness to an alcohol wipe but not a blunt needle prick.
the dermatome level is moving upward.
she can lift both legs off of the bed. - correct answer -she demonstrates sensory awareness to an
alcohol wipe but not a blunt needle prick. (WRONG)
her sensory awareness is resolved on one side. (WRONG)
Measures to prevent hypothermia may include all of the following except
limiting skin exposure.
maintaining room temperature at 72 degrees Fahrenheit.
placing warm blankets on the woman.
warming fluids before infusion. - correct answer -placing warm blankets on the woman.(WRONG)
warming fluids before infusion. (WRONG)
A woman who is G2P2 has had a primary cesarean at 34 weeks gestation due to preeclampsia with
severe features. Due to difficulty with respiratory transitioning, the newborn has been transferred to the
nursery and the mother is admitted to the labor and delivery PACU. Her vital signs are as follows: 94
BPM heart rate / 144/98 mmHg blood pressure / 18 per minute respirations / 98% PaO2 on pulse
oximeter / 97.6F temperature. Magnesium sulfate is infusing at 2 grams per hour, urine output is 60 ml
in the past hour, and reflexes are 2+. She received neuraxial anesthesia for the cesarean. Which of the
following is your primary concern?
