2024 AWHONN POEP FINAL EXAM WITH 250
REAL EXAM QUESTIONS AND CORRECT
ANSWERS (100% CORRECT VERIFIED
ANSWERS) GRADED A(LATEST VERSION!!)
Sandy, a new nurse to the L&D unit, asks you why the provider ordered a 24-hour urine for protein when you have the supplies needed on the unit to perform a urine dip stick for protein. Your best response is? - ANSWER-There is potential for a high false-positive when performing a urine dipstick for protein.
You are caring for Tish, a 32 year-old G4P3 who was admitted to the antepartum unit with gestational hypertension. Antihypertensive therapy was initiated four hours ago.Tish current vital signs are BP 144/92 mm Hg, heart rate 122 bpm, respirations 22 bpm, temperature 98.9°F. Given Tish's current vital signs, what could potentially be happening? - ANSWER-Because of the tachycardia, Tish may be experiencing decreased cardiac output and pulmonary edema.
Implantation of the embryo outside the uterus is called - ANSWER-ectopic pregnancy
Mona, a 22 year-old, G2P1 with a history of asthma, was admitted to the antepartum unit with preeclampsia. The provider ordered Labetalol 10mg IV. What is your next course of action? - ANSWER-Notify the provider that Mona has a history of asthma and request a different antihypertensive.
An acquired condition in pregnancy where the heart muscle becomes enlarged, thick, or rigid leading to a decrease in contractility is called - ANSWER- Peripartum cardiomyopathy.
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Olivia, a 32 year-old, G3P2 with a history of cardiac disease, is being admitted for labor. Given her history, what is the recommended method of pain control? - ANSWER-regional anesthesia
Mrs. Barnes is 14 weeks pregnant and presents with a history of atrial fibrillation in conjunction with mitral valve stenosis. Her primary care provider has determined that she should be treated with anticoagulant therapy throughout her pregnancy. Which anticoagulant is superior in preventing clot formation but is also a known teratogen and should not be used during organogenesis? - ANSWER- Warfarin
Jing is a 36-year-old multiparous woman who presents for a routine prenatal visit says she has pain in her right lower leg. Her calf is inflamed and warm to touch. A noninvasive diagnostic tool that may be used in pregnancy to determine whether Jing has deep vein thrombosis is - ANSWER-compression ultrasonography
You are caring for a mother/baby couplet. Approximately 40 hours ago, Melinda, a 32- year-old primiparous woman, had an urgent cesarean birth after a prolonged second stage of labor during which she had a Category-III abnormal fetal heart tracing. Melinda has been weepy and has not wanted to get out of bed. She describes symptoms of dyspnea and chest pain. Her vital signs are blood pressure of 84/56 while lying down, pulse of 122 beats per minute, and respirations of 26 breaths per minute. Melinda is displaying symptoms of - ANSWER-pulmonary embolism
Samantha, a G2P2 with a DVT, has been receiving Heparin therapy. You notice on the MAR that the 2pm dose of Heparin was given twice. What medication would be given to reverse the effects of Heparin? - ANSWER-Protamine sulfate via slow IV push
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A pregnant women who has been on anticoagulant therapy & is receiving regional anesthesia is at risk for - ANSWER-epidural hematoma
Cindy, a 25 year-old, G1P0 is scheduled for induction of labor next week. She is taking LMWH. Part of her preoperative instructions should include - ANSWER- discontinuing the LMWH 24 hours prior to induction of labor.
Mrs. Jones 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? - ANSWER-Antacids, antihistamines, and oral contraceptives
Karen, a 34 year-old G2P1, was admitted with pulmonary edema. She is on continuous fetal monitoring. What do you expected with the fetal heart rate tracing? - ANSWER-The fetal heart rate may manifest as an increasing fetal heart rate baseline, decreasing heart rate variability, and late decelerations.
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 - ANSWER-macrosomia
Pregnant woman who have undiagnosed and untreated hypothyroidism are at risk for - ANSWER-preeclampsia, placental abruption, and stillbirth.
Jennifer is admitted at 32 weeks gestation with a headache, nausea, vomiting, epigastric pain, and malaise. She is a primiparous woman with a twin gestation pregnancy who was recently diagnosed with preeclampsia. Jennifer is at risk for which autosomally inherited disorder? - ANSWER-acute fatty liver disease
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Swiss cheese is often used as the paradigm for explaining medical error. In this model, the holes in the cheese represent - ANSWER-latent weakness
Full term newborns that are asymptomatic & born to a woman who was pretreated for GBS with penicillin may be observed in the normal newborn nursery. A limited diagnostic evaluation & antibiotic therapy is indicated in which of the following circumstances? - ANSWER-rupture of membranes occurred 18 hours prior to birth
You are assigned to a patient who is at 38 weeks and 6 days gestation. She is being admitted for an elective induction of labor because her husband is going on an extended business trip in 2 days and he wants to be present for the delivery. The hospital has no policy regarding elective induction, but you know that the AWHONN "Go the Full 40" campaign doesn't support early elective induction.You approach the physician with your concerns. He responds that he's been doing this for 30 years and has never had a bad outcome from an elective induction at this gestation. - ANSWER-normalization of deviance
A shared understanding of what is going on & what is likely to happen next is known as - ANSWER-situational awareness
A patient safety event, unrelated to the natural course of the underlying illness, that reaches a patient and results in death, permanent harm, or severe temporary harm with intervention required to sustain life is an example of - ANSWER-sentinel event
Which tool is used when an adverse event has occurred to identify variations in performance that led to the outcome? - ANSWER-root cause analysis
Yearly objectives developed by The Joint Commission that focus on problems in healthcare safety are known as - ANSWER-National patient safety goals
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