AWHONN EXAM 2024/2025 LATEST UPDATE.
Ms. Linghu arrived at the obstetric care unit for a labor evaluation. She is 28 weeks gestation
and is
... [Show More] 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
AWHONN EXAM 2024/2025 LATEST UPDATE.
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.
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
Cardiomyopathy
Mitral insufficiency
Pulmonic lesions - ANSWER Cardiomyopathy
Mrs. J. has been receiving heparin therapy and is being transitioned to warfarin in the
postpartum period. Which of the following medications may act as antagonists or decrease
the actions of warfarin?
Antacids, antihistamines, and oral contraceptives
Antacids, aspirin, and acetaminophen
Aspirin, acetaminophen, and oral contraceptives
Aspirin, antihistamines, and vitamin K - ANSWER Aspirin, antihistamines, and vitamin K
(WRONG!)
Aspirin, acetaminophen, and oral contraceptives (WRONG)
The period of time during labor and birth when the greatest cardiac stress associated with the
highest cardiac output occurs is the
early first stage of labor.
immediate postpartum period.
late first stage (transition) of labor.
second stage of labor with fetal descent. - ANSWER immediate postpartum period.
Maternal cardiac output begins to increase by 5 weeks gestation and peaks at
15-20 weeks gestation.
20-25 weeks gestation.
25-30 weeks gestation.
30-35 weeks gestation. - ANSWER 25-30 weeks gestation.
Mrs. Madison has arrived at her prenatal visit at 36 weeks gestation. She has gestational
diabetes, and her glucose levels have been controlled by diet alone. She documented several
high glucose values over the past week. It is important to discuss that prolonging pregnancy
beyond 38 weeks in women with diabetes may result in fetal
cardiomegaly.
demise.
hyperbilirubinemia.
macrosomia. - ANSWER macrosomia.
In patients with chronic hypertension, elevated uric acid levels in which of the following
ranges may indicate risk for superimposed preeclampsia?
2.5-4.0 mg/dl (149-238 umol/l)
3.5-5.0 mg/dl 208-297 umol/l)
4.5-6.0 mg/dl (268-357 umol/l)
5.5-7.0 mg/dl (327-416 umol/l) - ANSWER 4.5-6.0 mg/dl (268-357 umol/l)
Treating hypertension with vasodilating agents during pregnancy may be associated with
decreased uteroplacental blood flow.
increased maternal weight gain.
increased uteroplacental blood flow.
preterm birth. - ANSWER decreased uteroplacental blood flow.
Proteinuria may indicate worsening underlying renal disease or preeclampsia when 24-hour
urine levels exceed
200 mg/dl.
300 mg/dl.
400 mg/dl.
500 mg/dl. - ANSWER 300 mg/dl. [Show Less]