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AWHONN POEP FINAL EXAM WITH COMPLETE SOLUTIONS
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AWHONN POEP FINAL EXAM WITH COMPLETE SOLUTIONS
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AWHONN POEP FINAL EXAM WITH COMPLETESOLUTIONS
Which of the following is NOT a component of the risk reduction strategy known as closed
loop communication? Correct Ans-is only used in emergency patient care situations
You are a nurse on the mother/baby unit caring for a woman who is 12 hours postpartum
from an operative vaginal delivery with midline episiotomy. The woman has severe rectal pain
and reports inability to urinate. You suspect a vaginal hematoma and call her physician to
request an evaluation. The physician does not respond. Under these circumstances it is
appropriate to Correct Ans-institute the chain of communication.
Team training is an effective risk management strategy because it Correct Ans-outlines
effective communication tools and techniques.
Which two medications frequently used in the perinatal setting are identified as high-risk
medications by the Institute for Safe Medication Practices (ISMP)? Correct Ans-magnesium
sulfate & oxytocin
Successful defense against malpractice claims is enhanced by which of the following?
Correct Ans-Following national professional standards.
One of the MOST common and well documented risk factors for preterm labor is Correct
Ans-previous history of preterm birth
, AWHONN POEP FINAL EXAM WITH COMPLETE
SOLUTIONS
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 Ans-fFN is a strong predictor or marker for identification of preterm
labor.
A cerclage placed in women with documented shortened cervical length by ultrasound
examination is called Correct Ans-ultrasound indicated cerclage
Current recommendations for antenatal glucocorticoid administration for acceleration of fetal
lung maturation is appropriate Correct Ans-for women at 24 0/7-33 6/7 weeks gestation at
risk for preterm birth within 7 days.
Which of the following is a contraindication for magnesium sulfate administration? Correct
Ans-nifedipine
Amniotic band syndrome is associated with what complication in pregnancy? Correct Ans-
rupture of membranes
Risk factors for placenta previa include Correct Ans-previous uterine surgery, smoking, and
hypertension.
Classic signs of placenta previa are Correct Ans-painless bright red bleeding
, AWHONN POEP FINAL EXAM WITH COMPLETE
SOLUTIONS
Clinical signs of velamentous insertion of the cord include Correct Ans-FHR bradycardia
Mrs. Jordan has arrived to the unit for a labor evaluation. She is 39 weeks pregnant and is
complaining of continuous abdominal pain and "port wine" vaginal bleeding. She is having
high frequency, low amplitude contractions and the fetal heart pattern shows minimal
variability. You suspect that Mrs. Jordan may have a Correct Ans-placental abruption
Couvelaire uterus is associated with what condition? Correct Ans-placental abruption
You are caring for Mrs. Henderson, G2 P2 had a vaginal birth three hours ago. The nursing
student obtained Mrs Henderson's vital signs and reported the following: heart rate of 124
bpm, respirations 24, temperature of 97.8°F, and blood pressure 92/62. The nursing student
also commented that Mrs. Henderson appeared "agitated." Given the vital sign assessment
that you received from the nursing student, what should you consider? Correct Ans-Mrs
Henderson may be experiencing a postpartum hemorrhage and will need immediate further
examination.
Which of the following complications may predispose a pregnant woman to disseminated
intravascular coagulopathy (DIC). (Select all that apply.) Correct Ans-concealed placental
abruption, intrauterine fetal demise, preeclampsia
An ova that is fertilized by one sperm and then divides into two zygotes results in Correct
Ans-monozygotic gestation.
, AWHONN POEP FINAL EXAM WITH COMPLETE
SOLUTIONS
Because of the decreased lower esophageal sphincter tone of pregnancy and increasing
mechanical pressure due to the rapidly growing uterus in the women pregnant with multiples,
she is at risk for Correct Ans-gastroesophageal reflux.
Which feature is recommended when monitoring twin gestations to differentiate between
fetal heart rates and maternal heart rate? Correct Ans-maternal pulse oximetry
Karen, G1P0, 34 weeks gestation with twins presents to the OB triage with complaints of
severe itching on her hands and feet. Your first suspicion is that Karen may have Correct
Ans-intrahepatic cholestasis.
The MOST common postpartum complication for mothers with higher-order multiples is
Correct Ans-postpartum hemorrhage
Roberta, a 29 year-old, G3P2, arrives in the OB triage. Her significant other Jose reported
Roberta's complaints of severe heartburn. He shared that the pain started after they had
lunch. You noticed Roberta was not speaking for herself. What would your next course of
action be? Correct Ans-Ask Roberta what her preferred spoken language is and provide an
interpreter as needed.
Tammy, a 32 year-old, G2P1 with chronic hypertension, is being seen in the OB triage with
complaints of an unrelieved headache after taking acetaminophen. The provider order labs
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