AWHONN PEOP Perinatal Final Review
| Questions and Verified Answers
Rated A+ | 20242025 Guide
Doris recently had bariatric surgery. She has an appointment at the OB
clinic to speak with the provider about family planning. How long will the
provider advise Doris to wait to become pregnant?
- Correct Answer - 12-24 months after the bariatric surgery
Linda, G2P1, 39 weeks gestation is admitted in active labor. Linda has a
BMI of 40. While preparing the room for imminent birth, you bring in
ergonomic equipment to assist with positioning and transferring Linda.
The family asks what the equipment is for. Your best response would
be? - Correct Answer - The equipment is used to assist with patient
positioning and transfers.
During fetal life, the foramen ovale
- Correct Answer - allows blood to directly enter the left atrium from the
right atrium.
The fetal circulatory system is supported by the placenta. The umbilical
cord, which is comprised of two arteries and one vein, carries blood to
and from the fetus. Identify the correct statement about the umbilical
cord below.
,- Correct Answer - The umbilical vein carries oxygenated blood from the
placenta to the fetus.
Gabriella was born by operative vaginal birth after a prolonged second
stage of labor. She presented as floppy and apneic, and required
bag/mask ventilation and fluid resuscitation in the delivery room. Her
Apgar scores were 3 at 1 minute of life, 5 at 5 minutes of life, and 8 at 10
minutes of life. The pediatrician has requested that a cord blood sample
be sent to the lab. To document the most accurate acid-base status at
the time of delivery, this blood sample should be drawn from the
- Correct Answer - umbilical artery
Eye prophylaxis with a single-use dose of sterile ophthalmic ointment
containing 0.5% erythromycin is usually administered within the first hour
of birth to prevent which of the following conditions?
While you are providing discharge instructions to a new mother, her
significant other asks you why all the nurses have been so concerned
about the baby's temperature. What is your BEST response?
- Correct Answer - Newborns are predisposed to heat loss because they
have a large body surface area relative to their total body mass and
have a limited amount of body fat.
Which infant is most at risk for hypothermia?
,- Correct Answer - A newborn with neurologic deficits
You are the nurse caring for a 38-week, female newborn who was born 1
hour ago in the parking lot of the emergency room. On admission to the
nursery, the newborn's axillary temperature was 97.5°F (36.4°C). You
recognize that cold stress may predispose the newborn to
- Correct Answer - increased oxygen consumption and hypoxia.
Hyperthermia is defined as a rectal or axillary temperature greater than
99.5ºF (37.5ºC). The MOST common cause of hyperthermia in the
newborn is - Correct Answer - environmental.
Francesca is a 34-year-old primipara with a history of type-I diabetes.
She was delivered by primary cesarean birth for macrosomia. She gave
birth to a male newborn weighing 12 lbs 4 oz (5,557 g). You recognize
that the newborn may be at risk for hypoglycemia secondary to
- Correct Answer - fetal-neonatal overproduction of insulin.
A new nurse asks you why it is important to check a glucose level for a
newborn that is being ruled out for sepsis. Your BEST response would
be? - Correct Answer - Newborns that are sick tend to have higher
metabolic rates which leads to a depletion of available glucose and
oxygen.
, The purpose of gestational age assessment is to verify the term
newborn's gestational age after birth by evaluating physical and
neuromuscular maturity. Ideally, a gestational age assessment should be
performed by
- Correct Answer - 30-42 hours of life.
A new mother is very concerned and asks you about the 'red marks' on
the newborn's eyelids. She noticed that they get darker when the
newborn cries. What is your BEST response?
- Correct Answer - They are common birthmarks called nevus simplex or
stork bites that blanch with pressure and become pinker with crying.
Baby Lourdes was born 4 hours ago at 42 weeks of gestation by
vacuum-assisted delivery. On your initial newborn examination, you
document an edematous, bruised lesion on the right anterior scalp
where the vacuum was applied. This lesion has clearly demarcated
edges and does not cross the suture line. This is BEST described as a
- Correct Answer - cephalohematoma.
The full term newborn cardiovascular assessment includes auscultation,
inspection, and palpation. The point of maximal impulse is usually
palpable and can be auscultated in the
- Correct Answer - third to fourth intercostal space and left of the
midclavicular line.
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