AWHONN MATERNAL AND NEONATAL HEALTH ACTUAL EXAM 2025| 149 QUESTIONS WITH
VERIFIED CORRECT RATIONALES
1. A pregnant woman diagnosed with preeclampsia is being
monitored closely. If her condition worsens, what potential
intervention might be necessary to protect the health of both the
mother and the fetus?
Increase her physical activity to improve circulation.
Administer antihypertensive medication and consider early
delivery if necessary.
Encourage a high-calorie diet to promote fetal growth.
Schedule regular ultrasound scans to monitor fetal size without
any other interventions.
2. Explain how the physiological changes during pregnancy, such as
decreased lower esophageal sphincter tone and increased
abdominal pressure, contribute to the risk of gastroesophageal
reflux in women pregnant with multiples.
They increase the risk of gestational hypertension.
They lead to hormonal changes that affect digestion.
They create a mechanical obstruction in the gastrointestinal tract.
They allow stomach contents to flow back into the esophagus
more easily.
3. A patient is experiencing complications in early pregnancy due to
low progesterone levels. What would be the most appropriate
,intervention to support her pregnancy?
Administering insulin to manage blood sugar.
Providing progesterone supplementation to support
embryo implantation.
Recommending increased physical activity.
, Encouraging a high-protein diet.
4. Why is regional anesthesia preferred for patients with a history of
cardiac disease during labor?
It provides complete sedation.
It minimizes stress on the cardiovascular system.
It allows for immediate
delivery. It is the only
method available.
5. A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The
birth was vaginal, and the estimated blood loss (EBL) was 1500 ml.
When evaluating the woman's vital signs, which finding would be of
greatest concern to the nurse?
Temperature 37.9 C, heart rate 120 beats per minute (bpm),
respirations 20 breaths per minute, and blood pressure 90/50 mm
Hg
Temperature 37.4 C, heart rate 88 bpm, respirations 36 breaths per
minute, and blood pressure 126/68 mm Hg
Temperature 38 C, heart rate 80 bpm, respirations 16 breaths per
minute, and blood pressure 110/80 mm Hg
Temperature 36.8 C, heart rate 60 bpm, respirations 18 breaths per
minute, and blood pressure 140/90 mm Hg
6. A newborn is diagnosed with phenylketonuria. What dietary
management strategy should be implemented to prevent
, neurological damage?
Introduce high-protein foods to promote growth.
Provide a diet low in phenylalanine, including special formula.
Encourage breastfeeding exclusively for the first
year. Limit carbohydrate intake to reduce
metabolic stress.
VERIFIED CORRECT RATIONALES
1. A pregnant woman diagnosed with preeclampsia is being
monitored closely. If her condition worsens, what potential
intervention might be necessary to protect the health of both the
mother and the fetus?
Increase her physical activity to improve circulation.
Administer antihypertensive medication and consider early
delivery if necessary.
Encourage a high-calorie diet to promote fetal growth.
Schedule regular ultrasound scans to monitor fetal size without
any other interventions.
2. Explain how the physiological changes during pregnancy, such as
decreased lower esophageal sphincter tone and increased
abdominal pressure, contribute to the risk of gastroesophageal
reflux in women pregnant with multiples.
They increase the risk of gestational hypertension.
They lead to hormonal changes that affect digestion.
They create a mechanical obstruction in the gastrointestinal tract.
They allow stomach contents to flow back into the esophagus
more easily.
3. A patient is experiencing complications in early pregnancy due to
low progesterone levels. What would be the most appropriate
,intervention to support her pregnancy?
Administering insulin to manage blood sugar.
Providing progesterone supplementation to support
embryo implantation.
Recommending increased physical activity.
, Encouraging a high-protein diet.
4. Why is regional anesthesia preferred for patients with a history of
cardiac disease during labor?
It provides complete sedation.
It minimizes stress on the cardiovascular system.
It allows for immediate
delivery. It is the only
method available.
5. A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The
birth was vaginal, and the estimated blood loss (EBL) was 1500 ml.
When evaluating the woman's vital signs, which finding would be of
greatest concern to the nurse?
Temperature 37.9 C, heart rate 120 beats per minute (bpm),
respirations 20 breaths per minute, and blood pressure 90/50 mm
Hg
Temperature 37.4 C, heart rate 88 bpm, respirations 36 breaths per
minute, and blood pressure 126/68 mm Hg
Temperature 38 C, heart rate 80 bpm, respirations 16 breaths per
minute, and blood pressure 110/80 mm Hg
Temperature 36.8 C, heart rate 60 bpm, respirations 18 breaths per
minute, and blood pressure 140/90 mm Hg
6. A newborn is diagnosed with phenylketonuria. What dietary
management strategy should be implemented to prevent
, neurological damage?
Introduce high-protein foods to promote growth.
Provide a diet low in phenylalanine, including special formula.
Encourage breastfeeding exclusively for the first
year. Limit carbohydrate intake to reduce
metabolic stress.
