AWHONN PEOP 124 Questions 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 Answer fFN is a strong predictor or marker for identification of preterm labor associated with infection.Risk factors for placenta previa include - Correct Answer previous uterine surgery, smoking, and hypertension.One of the most common and well documented risk factors for preterm labor is - Correct Answer previous history of preterm birth.All of the following complications may predispose a pregnant woman to disseminated intravascular coagulopathy (DIC) except - Correct Answer preterm labor.A cerclage placed in women with documented shortened cervical length by ultrasound examination is called a(n) - Correct Answer therapeutic cerclage.The most common postpartum complication for mothers with higher-order multiples is - Correct Answer postpartum hemorrhage.Painless, bright red vaginal bleeding at 28 weeks of gestation is most likely caused by - Correct Answer placenta previa.Couvelaire uterus is associated with which condition? - Correct Answer Placental abruption A woman with higher-order multiples is at risk for all of the following except - Correct Answer pyelonephritis.Which feature is recommended when monitoring twin gestations to differentiate between fetal heart rates and maternal heart rate? - Correct Answer Maternal pulse oximetry 1 / 4
RhD-negative women may be sensitized with fetal blood during any bleeding episode in the antepartum period. If a Kleihauer-Betke test determines greater than 15 ml of fetal blood in the maternal circulation, it is important to recognize that - Correct Answer a 300-mg Rh immunoglobulin dose may not be sufficient to prevent sensitization.During which phase of the pathophysiologic process of disseminated intravascular coagulopathy (DIC) do platelets adhere to the surface of the exposed collagen, bind to platelet receptors, and attach to the damaged tissue creating a platelet plug? - Correct Answer Primary hemostasis Which of the following is not a contraindication for magnesium sulfate administration? - Correct Answer Hyperkalemia Current recommendations for antenatal glucocorticoid administration for acceleration of fetal lung maturation is appropriate - Correct Answer for women at 23-36 6/7 weeks gestation at risk for preterm birth within 7 days.Amniotic band syndrome is associated with what complication in pregnancy? - Correct Answer Preterm premature rupture of membranes An ova that is fertilized by one sperm and then divides into two zygotes results in - Correct Answer monozygotic gestation.Classic signs of placenta previa are - Correct Answer painless, bright red bleeding.Mrs. Jordan has arrived to the unit for a labor evaluation. She is 39 weeks pregnant and is complaining of continuous abdominal pain. 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 Answer placental abruption.Intensive nursing and medical management in women with pregestational diabetes should begin in the immediate postpartum period. 2 / 4
preconception period.second trimester of pregnancy.third trimester of pregnancy. - Correct Answer preconception period.Which of the following types of cardiac lesions are characterized by dysfunction of the cardiac muscle, resulting in decreased cardiac output?Aortic stenosis Cardiomyopathy Mitral insufficiency Pulmonic lesions - Correct Answer Cardiomyopathy Mrs. J. 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?Antacids, antihistamines, and oral contraceptives Antacids, aspirin, and acetaminophen Aspirin, acetaminophen, and oral contraceptives Aspirin, antihistamines, and vitamin K - Correct Answer Aspirin, antihistamines, and vitamin K (WRONG!) Aspirin, acetaminophen, and oral contraceptives (WRONG) The period of time during labor and birth when the greatest cardiac stress associated with the highest cardiac output occurs is the early first stage of labor.immediate postpartum period.late first stage (transition) of labor.second stage of labor with fetal descent. - Correct Answer immediate postpartum period.Maternal cardiac output begins to increase by 5 weeks gestation and peaks at 3 / 4
15-20 weeks gestation.20-25 weeks gestation.25-30 weeks gestation.30-35 weeks gestation. - Correct Answer 25-30 weeks gestation.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 cardiomegaly.demise.hyperbilirubinemia.macrosomia. - Correct Answer macrosomia.In patients with chronic hypertension, elevated uric acid levels in which of the following ranges may indicate risk for superimposed preeclampsia?
2.5-4.0 mg/dl (149-238 umol/l) 3.5-5.0 mg/dl 208-297 umol/l) 4.5-6.0 mg/dl (268-357 umol/l) 5.5-7.0 mg/dl (327-416 umol/l) - Correct Answer 4.5-6.0 mg/dl (268-357 umol/l) Treating hypertension with vasodilating agents during pregnancy may be associated with decreased uteroplacental blood flow.increased maternal weight gain.increased uteroplacental blood flow.preterm birth. - Correct Answer decreased uteroplacental blood flow.
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