AWHONN PEOP Exam | Accurate and
Correct Answers Graded A+ |
2024/2025 Guide
During the first stage of labor, the nurse administering oxytocin should
assess the fetal heart rate every
5 minutes.
10 minutes.
15 minutes.
30 minutes
- Correct Answer - 15 minutes.
The initial signs of hemorrhagic shock in a postpartum woman include
decreasing blood pressure and respiratory rate.
decreasing heart rate and cool clammy skin.
increasing heart rate and oliguria.
increasing heart rate and respiratory rate.
- Correct Answer - increasing heart rate and respiratory rate.
A nurse has just received a client from the surgical suite following a
cesarean birth. The report given reveals the client has received
magnesium sulfate for management of gestational hypertension just
before the emergency surgery. The nurse should monitor the client for
adverse effects from the magnesium sulfate by checking which
parameter?
Consistency of the fundus
,Homans' sign
Gag reflex
Heart rate
- Correct Answer - Consistency of the fundus
The goals of nursing and medical management of hemorrhage include
all of the following except
identification and management of the source of bleeding.
re-establishment of maternal hemodynamic stability.
restoration of circulating fluid volume.
separation of the mother newborn couplet until stabilization
- Correct Answer - separation of the mother newborn couplet until
stabilization.
Which position may be helpful to facilitate rotation for a fetus that is in
the occiput posterior position?
Standing
Semi-Fowler's
Squatting
High Fowler's
- Correct Answer - squatting
In which situation might the application of gentle fundal pressure be
appropriate?
Artificial rupture of membranes
Maternal exhaustion during pushing efforts
Prolonged second stage of labor
Shoulder dystocia
- Correct Answer - Artificial rupture of membranes
,The initial drug of choice for excessive bleeding in the postpartum period
is
Methergine, IM.
oxytocin, IV.
prostaglandin, PR.
terbutaline, SC.
- Correct Answer - oxytocin, IV.
Women undergoing induction of labor are at an increased risk for which
of the following?
Postpartum hemorrhage
Umbilical cord prolapse
Longer second stage of labor
Fetus in occiput posterior position
- Correct Answer - Postpartum hemorrhage
All of the following are possible side effects of oxytocin administration
except
nausea and vomiting.
fetal hyperglycemia.
tachysystole of the uterus.
water intoxication.
- Correct Answer - fetal hyperglycemia.
A woman with a previous cesarean birth is requesting a trial of labor.
Which of the following is not a contraindication to trial of labor after
cesarean?
Previous classical uterine incision.
, Inability to perform an emergency cesarean birth (e.g., physician not in-
house).
Two previous lower uterine segment transverse cesarean births.
Previous uterine rupture.
- Correct Answer - Two previous lower uterine segment transverse
cesarean births.
A high probability of successful induction of labor is associated with a
Bishop score of
≥2.
≥4.
≥6.
≥8. - Correct Answer - ≥8.
Methergine should not be given to a patient experiencing a postpartum
hemorrhage with which of the following conditions?
Renal disease
Asthma
Hypertension
Diabetes
- Correct Answer - Hypertension
Your patient, Irene, calls a nurse to her bedside describing spontaneous
rupture of membranes. As the sheets are pulled back, a loop of umbilical
cord is noted protruding from her vagina. All of the following are
appropriate interventions for umbilical cord prolapse except
covering the cord with a moistened gauze.
calling for immediate assistance.
gently placing the umbilical cord back into the vagina.
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