AWHONN Perinatal Orientation and Education Program (POEP) Practice Exam

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• What is the recommended thromboprophylaxis for all women having a cesarean birth?
• What is the primary cause of hearing loss in newborns?
• Which is true regarding vital signs monitoring post-operatively?
• Which of the following is a classic sign of placental abruption?
• In the postpartum period, when should anticoagulant therapy be resumed for a woman who recently gave birth and has a history of anticoagulant use?
• What is one effective way to support parents who are experiencing grief?
• In caring for a mother with cardiac disease, which of the following interventions is most important during labor?
• What is considered best practice during recovery for a cesarean delivery?
• Couvelaire uterus is associated with which pregnancy complication?
• Which scenario would not warrant the transport of a patient to another facility?
• When should intensive management of women with pregestational diabetes begin?
• The level of care provided when a patient emerges from a surgical procedure requiring anesthesia is called:
• Measures to prevent hypothermia may include all of the following except:
• What are common risk factors associated with placenta previa?
• After bariatric surgery, ideally how many months should a woman wait to become pregnant?
• What action should be taken for women who have a positive rapid HIV test during labor?
• What is a common psychological response of parents upon learning of a fetal demise?
• Methergine should not be given to a patient experiencing postpartum hemorrhage with which of the following conditions?
• What ascending infection is linked to a higher incidence of spontaneous preterm birth?
• What can be a result of inadequate management of pregestational diabetes during pregnancy?
• What is a significant symptom that may indicate the presence of pulmonary embolus in postpartum women?
• What condition is a known cause of vascular permeability (noncardiogenic) pulmonary edema?
• When is the risk of neonatal transmission for herpes simplex virus highest?
• What are the initial signs of hemorrhagic shock in a postpartum woman?
• Prolonging pregnancy beyond 38 weeks in women with gestational diabetes may result in which fetal condition?
• If asymptomatic bacteriuria is left untreated, what percentage of women are likely to develop symptomatic cystitis or pyelonephritis?
• All of the following are possible side effects of oxytocin administration except?
• Which medication should be readily available to treat uterine tachysystole caused by prostaglandin administration?
• Which site is not commonly associated with neonatal gonorrheal infection?
• What monitoring feature is recommended for differentiating fetal heart rates from maternal heart rates in twin gestations?
• Amniotic band syndrome is associated with which pregnancy complication?
• When does proteinuria indicate worsening underlying renal disease or preeclampsia?
• What should infants born to hepatitis B surface-antigen (HBsAg)-positive mothers receive within 12 hours of birth?
• What does fetal fibronectin (fFN) indicate in a pregnant patient?
• Which condition is indicated by maternal exhaustion during labor?
• Which combination is not preferred for initial antiretroviral therapy in pregnant women?
• What is the significance of monitoring reflexes in the postpartum patient on magnesium sulfate?
• What term is used to describe the loss of a pregnancy prior to 20 weeks gestation?
• Which of the following best describes the respiratory status assessment performed in the PACU?
• What complication is most likely for a newborn whose mother had varicella-zoster virus shortly before delivery?
• Which of the following statements regarding subsequent pregnancy after perinatal loss is false?
• What is the recommended method of pain control for labor and birth in women with cardiac disease?
• Which intervention may cause further impaction of the fetal shoulder in a delivery with shoulder dystocia?
• What should pregnant women who have undergone weight reduction surgery avoid during their pregnancy?
• When is limited diagnostic evaluation and antibiotic therapy indicated for a newborn with GBS?
• After a cesarean birth, which parameter should a nurse monitor to assess for adverse effects of magnesium sulfate?
• What complication is primarily associated with Amniotic Band Syndrome?
• Current recommendations for antenatal glucocorticoid administration are applicable to women at which gestational age?
• What is the type of cerclage used in women with shortened cervical length?
• What are pregnant women with undiagnosed and untreated hypothyroidism at risk for?
• What is the recommended treatment for uncomplicated genital chlamydial infection in pregnant women?
• The longer the third stage of labor lasts, the higher the risk for which complication?
• Which medication is contraindicated during pregnancy for managing migraines due to risk of fetal harm?
• A pregnant woman receiving regional anesthesia is at risk for which complication if she has been on anticoagulant therapy?
• Classic signs of placenta previa include which symptom?
• What is one potential complication a healthcare provider should be aware of following a cesarean delivery in preeclampsia patients?
• What significant issue must be addressed in perinatal healthcare?
• What should Michelle do when she feels the urge to push at 9 centimeters dilation with the presenting part at -1 station?
• What is a common assessment that may be overlooked by nurses not specializing in perinatal units?
• In patients with chronic hypertension, elevated uric acid levels ranging from which values may indicate risk for superimposed preeclampsia?
• The most common reason for a cesarean birth is:
• During which period of labor does the greatest cardiac stress occur?
• What is the potential risk if a Kleihauer-Betke test indicates greater than 15 ml of fetal blood in the maternal circulation?
• What is the most accurate statement regarding HIV screening in pregnancy?
• Which complication is not a risk for disseminated intravascular coagulopathy (DIC) in pregnancy?
• What is a common indicator of possible Group B Streptococcus (GBS) infection in neonates?
• 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?
• What is the expected outcome of tactile stimulation of a newborn immediately after birth?
• In the case of a patient with cesarean delivery, what is the expected outcome regarding fluid management?
• What is the main purpose of using pneumatic compression devices in patients post-cesarean?
• What term describes the gender differences in experiencing perinatal loss?
• Which is a common complication that may occur after maternal trauma?
• What is the Bishop score that indicates a high probability of successful induction of labor?
• In which situation might the application of gentle fundal pressure be appropriate?
• What is a potential consequence of untreated maternal chorioamnionitis on a newborn?
• Following trauma, what is a priority for managing the well-being of both mother and baby?
• What is the initial nonpharmacologic intervention for postpartum hemorrhage caused by involution failure?
• What type of anesthesia did the patient receive for the cesarean, and what does it imply for monitoring?
• What is the most common pregnancy complication treated by primary care obstetric providers?
• In terms of fetal positioning, how does an occiput posterior position impact labor?
• Which statement about cytomegalovirus in newborns is true?
• How should you respond to Romelia's request for an early discharge to attend her newborn's burial?
• During labor, which parameter is crucial to monitor continuously for a VBAC patient?
• Which condition is characterized by significant bleeding and a risk of shock during pregnancy?
• Which aspect of maternal care is emphasized postpartum to promote recovery after cesarean delivery?
• What action should be taken if a newborn shows signs of infection is suspected during labor?
• Which infection is not included in the traditional TORCH classification?
• Which type of shunt reversal involves unoxygenated blood being delivered into the systemic circulation?
• Which of the following is not a goal of nursing and medical management of hemorrhage?
• What is a key aspect of antiretroviral treatment for HIV in pregnancy?
• Which statement about fetal fibronectin (fFN) is most accurate?
• What is the initial drug of choice for excessive bleeding in the postpartum period?
• In addition to hepatitis B, which other type of hepatitis virus may also be prevented with the hepatitis B vaccine?
• Which are the most common causes of neonatal death?
• The prognosis for maternal outcomes in pregnancies of women with Marfan syndrome is most related to what factor?
• Treating hypertension with vasodilating agents during pregnancy may lead to which complication?
• What condition may Mrs. Jordan likely be experiencing if she arrives with continuous abdominal pain and minimal fetal heart pattern variability?
• What condition might increase the risk of postpartum hemorrhage?
• In a critical condition, which medication should be avoided in a patient suspected of having acute respiratory distress syndrome?
• When assisting a family who experienced a term stillbirth, what should be done regarding photographs of the infant?
• In the case of a mother who delivered a stillborn infant and is stoic, what is the best approach?
• Which type of medication therapy is contraindicated in a pregnant woman with a mechanical heart valve during labor?
• What type of cardiac disease is associated with advanced maternal age, hypertension, and diabetes in pregnancy?
• Which medication should a pregnant woman with asthma avoid taking?
• Which anticoagulant is considered a teratogen and should not be used during organogenesis in pregnant women?
• Which cardiac condition involves dysfunction of the cardiac muscle leading to decreased cardiac output?
• Which of the following is NOT a complication of obesity during pregnancy?
• What is a potential outcome for an obese primiparous woman with unmanaged glucose levels during pregnancy?
• Which condition is characterized by symptoms such as dyspnea, abdominal pain, and chest pain following a cesarean birth?
• Which risk factor is associated with a higher likelihood of placenta previa?
• Which maternal condition is directly related to an increased risk of developing preeclampsia?
• Which of the following is a contraindication to regional analgesia and anesthesia?
• Which risk is associated with obesity in pregnancy?
• What is the most accurate sign to monitor for early signs of complications in a postpartum cesarean patient?
• What should be done when working with a family who has had a stillbirth at term?
• Which statement about grieving after perinatal loss is true?
• What is the primary goal of glucocorticoid therapy in preterm labor?
• Which of the following best describes the risk associated with prolonged second stage of labor?
• What might severe abdominal pain, nausea, and vomiting indicate in a pregnant woman with a history of weight reduction surgery?
• If a mother demonstrates sensory awareness to an alcohol wipe but not to a blunt needle prick, this indicates:
• During which phase of disseminated intravascular coagulopathy do platelets create a platelet plug?
• What maternal condition is characterized by high blood pressure after 20 weeks of gestation without other signs of preeclampsia?
• In the case of maternal trauma, what is most critical for the nurse to assess first?
• A sign of cardiac decompensation in a pregnant woman with rheumatic heart disease is?
• What can untreated hypothyroidism in pregnancy lead to?
• Which medical history factor may complicate pregnancy and necessitate careful monitoring of cardiac output?
• In the context of assessing an obstetric trauma patient, what does the acronym FAST signify?
• Which medication may act as an antagonist or decrease the actions of warfarin in postpartum patients?
• What should a woman with a pre-pregnancy weight of 245 lbs aim to gain during her pregnancy?
• What phase of grief is characterized by blank staring and unresponsiveness after hearing bad news regarding a pregnancy?
• What noninvasive diagnostic tool can be used to check for deep vein thrombosis in pregnant women?
• What condition is characterized by painless, bright red vaginal bleeding in the third trimester?
• In which circumstance is GBS prophylaxis not recommended according to AAP and CDC guidelines?
• What is the term for the implantation of an embryo outside the uterus?
• What is the purpose of querying a woman undergoing general anesthesia regarding her or her family's past experiences with anesthesia?
• What is a true statement regarding baptism of a stillborn or miscarried infant?
• A dermatome is defined as:
• What condition requires immediate intervention when noted in a postpartum woman?
• How can a nurse assess recovery from neuraxial anesthesia?
• In caring for a woman attempting a vaginal birth after cesarean (VBAC), which precaution is usually indicated throughout labor?
• In which situation is Rh immunoglobulin therapy typically administered?
• Which fetal condition is more likely to occur in a pregnant woman with chronic hypertension and elevated uric acid levels?
• What is one indication for cesarean birth in women with cardiac disease?
• What factor may necessitate the use of antihypertensive medication in a postpartum patient with a history of severe preeclampsia?
• What is a critical component of preconception care for women at risk for HIV?
• What assessment might help establish sympathetic and motor levels of neuraxial blockade?
• Which parent is least likely to experience complicated grief following perinatal loss?
• Which factor is a well-documented risk for preterm labor?
• What is a common outcome for infants born after a positive GBS screening in the mother?
• Which of the following can be a sign of progressive uterine hemorrhage in a pregnant woman?
• At which gestational age does maternal cardiac output peak?
• In the case of umbilical cord prolapse, which intervention is not appropriate?
• What is a potential consequence of poorly managed asthma during pregnancy?
• Which factor is most important in managing a mother after a stillbirth?
• When caring for a patient admitted to the labor and delivery PACU, what is an important vital sign to monitor in a patient with preeclampsia?
• A woman with higher-order multiples is at risk for all, except which condition?
• What can be an indicator of a significant problem in a postpartum patient?
• In situations where the mother is unstable, the anesthesia provider will:
• Which condition is not a contraindication for the administration of magnesium sulfate?
• What is the clinical significance of a cerclage in obstetric care?
• In the postpartum recovery room, which order related to a patient receiving Duramorph raises a nurse's concern for clarification?
• What is the most common postpartum complication in mothers with higher-order multiples?
• Which measurement is considered a primary indicator of risk for morbidity related to overweight and obesity?
• What is a primary role of the circulating registered nurse during a cesarean birth?
• Within how many hours should anticoagulant therapy be reinitiated after birth in women with a history of mechanical valve replacement?
• What is the primary concern for a woman who is G2P2 with a history of primary cesarean at 34 weeks due to severe preeclampsia?
• What are cardiac lesions that may present for the first time during pregnancy due to increased demands on the heart?
• What position is beneficial for facilitating the rotation of a fetus in the occiput posterior position?
• What is the most appropriate response when reviewing follow-up instructions with a patient who has lost her pregnancy?
• Cardiac output in the immediate postpartum period is generally:
• Why is monitoring urine output significant in a postpartum woman with severe preeclampsia?
• Zahara, diagnosed with preeclampsia, is at risk for which autosomally inherited disorder?
• What phase of grief is a father experiencing if he reacts with anger during a difficult ultrasound?
• When caring for a mother/baby couplet after a birth complicated by shoulder dystocia, which sign should the nurse monitor the mother for?
• Which vital sign value indicates satisfactory oxygenation in a post-operative patient?
• Which organism is most commonly responsible for urinary tract infections in pregnant women?
• What is the drug of choice to reverse the effects of anticoagulant therapy?
• During the first stage of labor, how often should a nurse assess the fetal heart rate when administering oxytocin?
• An ova fertilized by one sperm that divides into two zygotes results in what type of gestation?