Exam (elaborations)
AWHONN PEOP Exam with correct answers
AWHONN PEOP Exam with correct answers
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14 items
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AWHONN PEOP Exam with correct answers
Ms. nnLinghu nnarrived nnat nnthe nnobstetric nncare nnunit nnfor nna nnlabor nnevaluation. nnShe nnis nn28 nnweeks
nngestation nnand nnis nncomplaining nnof nna nnlower nnback nnache nnand nncramping. nnThe nnphysician nnhas nnasked
nnfor nnassistance nnin nnobtaining nna nnsample nnto nnassess nnfor nnfetal nnfibronectin nn(fFN). nnWhich nnstatement
nnabout nnfFN nnis nnmost nnaccurate? nn- nncorrect nnanswer-fFN nnis nna nnstrong nnpredictor nnor nnmarker nnfor
nnidentification nnof nnpreterm nnlabor nnassociated nnwith nninfection.
Risk nnfactors nnfor nnplacenta nnprevia nninclude nn- nncorrect nnanswer-previous nnuterine nnsurgery, nnsmoking,
nnand nnhypertension.
One nnof nnthe nnmost nncommon nnand nnwell nndocumented nnrisk nnfactors nnfor nnpreterm nnlabor nnis nn- nncorrect
nnanswer-previous nnhistory nnof nnpreterm nnbirth.
All nnof nnthe nnfollowing nncomplications nnmay nnpredispose nna nnpregnant nnwoman nnto nndisseminated
nnintravascular nncoagulopathy nn(DIC) nnexcept nn- nncorrect nnanswer-preterm nnlabor.
A nncerclage nnplaced nnin nnwomen nnwith nndocumented nnshortened nncervical nnlength nnby nnultrasound
nnexamination nnis nncalled nna(n) nn- nncorrect nnanswer-therapeutic nncerclage.
The nnmost nncommon nnpostpartum nncomplication nnfor nnmothers nnwith nnhigher-order nnmultiples nnis nn-
nncorrect nnanswer-postpartum nnhemorrhage.
Painless, nnbright nnred nnvaginal nnbleeding nnat nn28 nnweeks nnof nngestation nnis nnmost nnlikely nncaused nnby nn-
nncorrect nnanswer-placenta nnprevia.
Couvelaire nnuterus nnis nnassociated nnwith nnwhich nncondition? nn- nncorrect nnanswer-Placental nnabruption
A nnwoman nnwith nnhigher-order nnmultiples nnis nnat nnrisk nnfor nnall nnof nnthe nnfollowing nnexcept nn- nncorrect
nnanswer-pyelonephritis.
,Which nnfeature nnis nnrecommended nnwhen nnmonitoring nntwin nngestations nnto nndifferentiate nnbetween nnfetal
nnheart nnrates nnand nnmaternal nnheart nnrate? nn- nncorrect nnanswer-Maternal nnpulse nnoximetry
RhD-negative nnwomen nnmay nnbe nnsensitized nnwith nnfetal nnblood nnduring nnany nnbleeding nnepisode nnin nnthe
nnantepartum nnperiod. nnIf nna nnKleihauer-Betke nntest nndetermines nngreater nnthan nn15 nnml nnof nnfetal nnblood nnin
nnthe nnmaternal nncirculation, nnit nnis nnimportant nnto nnrecognize nnthat nn- nncorrect nnanswer-a nn300-mg nnRh
nnimmunoglobulin nndose nnmay nnnot nnbe nnsufficient nnto nnprevent nnsensitization.
During nnwhich nnphase nnof nnthe nnpathophysiologic nnprocess nnof nndisseminated nnintravascular nncoagulopathy
nn(DIC) nndo nnplatelets nnadhere nnto nnthe nnsurface nnof nnthe nnexposed nncollagen, nnbind nnto nnplatelet nnreceptors,
nnand nnattach nnto nnthe nndamaged nntissue nncreating nna nnplatelet nnplug? nn- nncorrect nnanswer-Primary
nnhemostasis
Which nnof nnthe nnfollowing nnis nnnot nna nncontraindication nnfor nnmagnesium nnsulfate nnadministration? nn-
nncorrect nnanswer-Hyperkalemia
Current nnrecommendations nnfor nnantenatal nnglucocorticoid nnadministration nnfor nnacceleration nnof nnfetal
nnlung nnmaturation nnis nnappropriate nn- nncorrect nnanswer-for nnwomen nnat nn23-36 nn6/7 nnweeks nngestation nnat
nnrisk nnfor nnpreterm nnbirth nnwithin nn7 nndays.
Amniotic nnband nnsyndrome nnis nnassociated nnwith nnwhat nncomplication nnin nnpregnancy? nn- nncorrect nnanswer-
Preterm nnpremature nnrupture nnof nnmembranes
An nnova nnthat nnis nnfertilized nnby nnone nnsperm nnand nnthen nndivides nninto nntwo nnzygotes nnresults nnin nn- nncorrect
nnanswer-monozygotic nngestation.
Classic nnsigns nnof nnplacenta nnprevia nnare nn- nncorrect nnanswer-painless, nnbright nnred nnbleeding.
Mrs. nnJordan nnhas nnarrived nnto nnthe nnunit nnfor nna nnlabor nnevaluation. nnShe nnis nn39 nnweeks nnpregnant nnand nnis
nncomplaining nnof nncontinuous nnabdominal nnpain. nnShe nnis nnhaving nnhigh nnfrequency, nnlow nnamplitude
nncontractions nnand nnthe nnfetal nnheart nnpattern nnshows nnminimal nnvariability. nnYou nnsuspect nnthat nnMrs.
nnJordan nnmay nnhave nna nn- nncorrect nnanswer-placental nnabruption.
,Intensive nnnursing nnand nnmedical nnmanagement nnin nnwomen nnwith nnpregestational nndiabetes nnshould
nnbegin nnin nnthe
immediate nnpostpartum nnperiod.
preconception nnperiod.
second nntrimester nnof nnpregnancy.
third nntrimester nnof nnpregnancy. nn- nncorrect nnanswer-preconception nnperiod.
Which nnof nnthe nnfollowing nntypes nnof nncardiac nnlesions nnare nncharacterized nnby nndysfunction nnof nnthe
nncardiac nnmuscle, nnresulting nnin nndecreased nncardiac nnoutput?
Aortic nnstenosis
Cardiomyopathy
Mitral nninsufficiency
Pulmonic nnlesions nn- nncorrect nnanswer-Cardiomyopathy
Mrs. nnJ. nnhas nnbeen nnreceiving nnheparin nntherapy nnand nnis nnbeing nntransitioned nnto nnwarfarin nnin nnthe
nnpostpartum nnperiod. nnWhich nnof nnthe nnfollowing nnmedications nnmay nnact nnas nnantagonists nnor nndecrease
nnthe nnactions nnof nnwarfarin?
Antacids, nnantihistamines, nnand nnoral nncontraceptives
Antacids, nnaspirin, nnand nnacetaminophen
Aspirin, nnacetaminophen, nnand nnoral nncontraceptives
Aspirin, nnantihistamines, nnand nnvitamin nnK nn- nncorrect nnanswer-Aspirin, nnantihistamines, nnand nnvitamin nnK
nn(WRONG!)
Aspirin, nnacetaminophen, nnand nnoral nncontraceptives nn(WRONG)
The nnperiod nnof nntime nnduring nnlabor nnand nnbirth nnwhen nnthe nngreatest nncardiac nnstress nnassociated nnwith
nnthe nnhighest nncardiac nnoutput nnoccurs nnis nnthe
early nnfirst nnstage nnof nnlabor.
immediate nnpostpartum nnperiod.
, late nnfirst nnstage nn(transition) nnof nnlabor.
second nnstage nnof nnlabor nnwith nnfetal nndescent. nn- nncorrect nnanswer-immediate nnpostpartum nnperiod.
Maternal nncardiac nnoutput nnbegins nnto nnincrease nnby nn5 nnweeks nngestation nnand nnpeaks nnat
15-20 nnweeks nngestation.
20-25 nnweeks nngestation.
25-30 nnweeks nngestation.
30-35 nnweeks nngestation. nn- nncorrect nnanswer-25-30 nnweeks nngestation.
Mrs. nnMadison nnhas nnarrived nnat nnher nnprenatal nnvisit nnat nn36 nnweeks nngestation. nnShe nnhas nngestational
nndiabetes, nnand nnher nnglucose nnlevels nnhave nnbeen nncontrolled nnby nndiet nnalone. nnShe nndocumented
nnseveral nnhigh nnglucose nnvalues nnover nnthe nnpast nnweek. nnIt nnis nnimportant nnto nndiscuss nnthat nnprolonging
nnpregnancy nnbeyond nn38 nnweeks nnin nnwomen nnwith nndiabetes nnmay nnresult nnin nnfetal
cardiomegaly.
demise.
hyperbilirubinemia.
macrosomia. nn- nncorrect nnanswer-macrosomia.
In nnpatients nnwith nnchronic nnhypertension, nnelevated nnuric nnacid nnlevels nnin nnwhich nnof nnthe nnfollowing
nnranges nnmay nnindicate nnrisk nnfor nnsuperimposed nnpreeclampsia?
2.5-4.0 nnmg/dl nn(149-238 nnumol/l)
3.5-5.0 nnmg/dl nn208-297 nnumol/l)
4.5-6.0 nnmg/dl nn(268-357 nnumol/l)
5.5-7.0 nnmg/dl nn(327-416 nnumol/l) nn- nncorrect nnanswer-4.5-6.0 nnmg/dl nn(268-357 nnumol/l)
Treating nnhypertension nnwith nnvasodilating nnagents nnduring nnpregnancy nnmay nnbe nnassociated nnwith
decreased nnuteroplacental nnblood nnflow.