AWHONN PEOP Perinatal Final Review |
100% Correct Answers | Verified | Latest
2024 Version
Swiss cheese is often used as the paradigm for explaining medical error. In this model, the holes in the
cheese represent - ✔✔latent weaknesses
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.
This scenario is an example of - ✔✔normalization of deviance
Which of the following has been noted among the top three root causes of sentinel events for over 10
years? - ✔✔Communication
A shared understanding of what is going on and what is likely to happen next is known as -
✔✔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 - ✔✔a sentinel event
Which tool is used when an adverse event has occurred to identify variations in performance that led to
the outcome? - ✔✔Root cause analysis
Yearly objectives developed by The Joint Commission that focus on problems in healthcare safety are
known as - ✔✔National Patient Safety Goals
,The Perinatal Care Core Measures include all of the following EXCEPT - ✔✔use of the NICHD
nomenclature for electronic fetal monitoring.
Authoritative statements of the duties that all registered nurses, regardless of role, population, or
specialty are expected to perform competently are defined - ✔✔Standards of Care
Position statements are recommendations for - ✔✔a pathway of action regarding a particular issue
In health care, an unplanned event that did NOT result in injury, illness, or damage but had the potential
to do so is referred to as a - ✔✔near miss
All of the following are elements of good documentation EXCEPT - ✔✔inclusion of nursing opinion as to
causes of error
Mrs. Johnson is a primipara at 34 weeks gestation who has been admitted to your unit with increasing
blood pressures. You have a discussion with the physician about her reports of headache and blurred
vision. What actions should surround the documentation of this conversation in the medical record? -
✔✔Document the date, time, person spoken to, and objective details of what was said in the medical
record.
Which of the following is NOT a component of the risk reduction strategy known as closed loop
communication? - ✔✔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 - ✔✔institute the chain of
communication
Team training is an effective risk management strategy because it - ✔✔outlines effective communication
tools and techniques
One of the leading causes of obstetric liability is - ✔✔oxytocin administration leading to tachysystole
,Which two medications frequently used in the perinatal setting are identified as high-risk medications by
the Institute for Safe Medication Practices (ISMP)? - ✔✔Magnesium sulfate and oxytocin
Successful defense against malpractice claims is enhanced by which of the following? - ✔✔Following
national professional standards
The innermost layer of the uterus is called the - ✔✔endometrium
Fertilization occurs in the - ✔✔fallopian tube
During the proliferative phase of the menstrual cycle, which is NOT true? - ✔✔Menstruation occurs
The corpus luteum produces ___________ to prepare the uterus to nurture the fertilized egg. -
✔✔progesterone
In the early menstrual cycle phase, which gland sends a signal telling the ovaries to prepare to release an
egg? - ✔✔Pituitary
After ovulation, the ovarian follicle produces - ✔✔progesterone
Implantation of a fertilized ovum occurs ______ days after ovulation. - ✔✔7-10
Average viability for male sperm within the female reproductive tract is - ✔✔2-3 days
For a healthy, 30-year-old woman, the chance of conception is approximately __ per cycle. - ✔✔20%
The best way for a woman with a regular menstrual cycle to predict ovulation is to record the first day of
the LMP and - ✔✔count backward 14 days
, Which is NOT a characteristic of ovulation in the female? - ✔✔Decreased basal body temperature
Infertility evaluation is recommended for women less than 35 years old who have not conceived after
___ months. - ✔✔6 (but I think question is incorrectly worded should be 12 months; >35 y/o is 6
months)
Starting at what age does female fertility decline? - ✔✔32
Which is NOT a symptom of polycystic ovarian syndrome? - ✔✔Painful periods
What is the best way to confirm the diagnosis of endometriosis? - ✔✔Laparoscopy
At ovulation, the cervical mucus becomes clear and stretchy. This facilitates - ✔✔sperm to pass through
the cervical canal
Which of the following uterine abnormalities may be surgically corrected to improve fertility? - ✔✔All
the above (Endometrial polyps, Myomas, Uterine septum)
Which test is the best predictor of a woman's ovarian reserve? - ✔✔Antral follicle count
When is the best time of the menstrual cycle to perform hysterosalpingography? - ✔✔Day 7-12
Standards for semen analysis have been designated to maintain consistency and quality control by -
✔✔World Health Organization
Pregnancy outcomes associated with ART include - ✔✔all the above (early pregnancy loss,
multiple gestation pregnancy,
preterm birth)
100% Correct Answers | Verified | Latest
2024 Version
Swiss cheese is often used as the paradigm for explaining medical error. In this model, the holes in the
cheese represent - ✔✔latent weaknesses
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.
This scenario is an example of - ✔✔normalization of deviance
Which of the following has been noted among the top three root causes of sentinel events for over 10
years? - ✔✔Communication
A shared understanding of what is going on and what is likely to happen next is known as -
✔✔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 - ✔✔a sentinel event
Which tool is used when an adverse event has occurred to identify variations in performance that led to
the outcome? - ✔✔Root cause analysis
Yearly objectives developed by The Joint Commission that focus on problems in healthcare safety are
known as - ✔✔National Patient Safety Goals
,The Perinatal Care Core Measures include all of the following EXCEPT - ✔✔use of the NICHD
nomenclature for electronic fetal monitoring.
Authoritative statements of the duties that all registered nurses, regardless of role, population, or
specialty are expected to perform competently are defined - ✔✔Standards of Care
Position statements are recommendations for - ✔✔a pathway of action regarding a particular issue
In health care, an unplanned event that did NOT result in injury, illness, or damage but had the potential
to do so is referred to as a - ✔✔near miss
All of the following are elements of good documentation EXCEPT - ✔✔inclusion of nursing opinion as to
causes of error
Mrs. Johnson is a primipara at 34 weeks gestation who has been admitted to your unit with increasing
blood pressures. You have a discussion with the physician about her reports of headache and blurred
vision. What actions should surround the documentation of this conversation in the medical record? -
✔✔Document the date, time, person spoken to, and objective details of what was said in the medical
record.
Which of the following is NOT a component of the risk reduction strategy known as closed loop
communication? - ✔✔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 - ✔✔institute the chain of
communication
Team training is an effective risk management strategy because it - ✔✔outlines effective communication
tools and techniques
One of the leading causes of obstetric liability is - ✔✔oxytocin administration leading to tachysystole
,Which two medications frequently used in the perinatal setting are identified as high-risk medications by
the Institute for Safe Medication Practices (ISMP)? - ✔✔Magnesium sulfate and oxytocin
Successful defense against malpractice claims is enhanced by which of the following? - ✔✔Following
national professional standards
The innermost layer of the uterus is called the - ✔✔endometrium
Fertilization occurs in the - ✔✔fallopian tube
During the proliferative phase of the menstrual cycle, which is NOT true? - ✔✔Menstruation occurs
The corpus luteum produces ___________ to prepare the uterus to nurture the fertilized egg. -
✔✔progesterone
In the early menstrual cycle phase, which gland sends a signal telling the ovaries to prepare to release an
egg? - ✔✔Pituitary
After ovulation, the ovarian follicle produces - ✔✔progesterone
Implantation of a fertilized ovum occurs ______ days after ovulation. - ✔✔7-10
Average viability for male sperm within the female reproductive tract is - ✔✔2-3 days
For a healthy, 30-year-old woman, the chance of conception is approximately __ per cycle. - ✔✔20%
The best way for a woman with a regular menstrual cycle to predict ovulation is to record the first day of
the LMP and - ✔✔count backward 14 days
, Which is NOT a characteristic of ovulation in the female? - ✔✔Decreased basal body temperature
Infertility evaluation is recommended for women less than 35 years old who have not conceived after
___ months. - ✔✔6 (but I think question is incorrectly worded should be 12 months; >35 y/o is 6
months)
Starting at what age does female fertility decline? - ✔✔32
Which is NOT a symptom of polycystic ovarian syndrome? - ✔✔Painful periods
What is the best way to confirm the diagnosis of endometriosis? - ✔✔Laparoscopy
At ovulation, the cervical mucus becomes clear and stretchy. This facilitates - ✔✔sperm to pass through
the cervical canal
Which of the following uterine abnormalities may be surgically corrected to improve fertility? - ✔✔All
the above (Endometrial polyps, Myomas, Uterine septum)
Which test is the best predictor of a woman's ovarian reserve? - ✔✔Antral follicle count
When is the best time of the menstrual cycle to perform hysterosalpingography? - ✔✔Day 7-12
Standards for semen analysis have been designated to maintain consistency and quality control by -
✔✔World Health Organization
Pregnancy outcomes associated with ART include - ✔✔all the above (early pregnancy loss,
multiple gestation pregnancy,
preterm birth)
