AWHONN PEOP Perinatal Final Review with Verified Answers
1. latent weaknesses Swiss cheese is often used as the
paradigm for explaining medical error.
In this model, the holes in the cheese
represent
2. normalization of deviance You are assigned to a patient who is at
38 weeks and 6 days gestation. She is
being admitted for an elective induc-
tion 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 re-
sponds 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
3. Communication Which of the following has been noted
among the top three root causes of
sentinel events for over 10 years?
4. situational awareness A shared understanding of what is go-
ing on and what is likely to happen
next is known as
5. a sentinel event A patient safety event, unrelated to
the natural course of the underlying
illness, that reaches a patient and re-
sults in death, permanent harm, or se-
vere temporary harm with intervention
required to sustain life is an example
of
, AWHONN PEOP Perinatal Final Review with Verified Answers
6. Root cause analysis Which tool is used when an adverse
event has occurred to identify varia-
tions in performance that led to the
outcome?
7. National Patient Safety Goals Yearly objectives developed by The
Joint Commission that focus on prob-
lems in healthcare safety are known
as
8. use of the NICHD nomenclature for The Perinatal Care Core Measures in-
electronic fetal monitoring. clude all of the following EXCEPT
9. Standards of Care Authoritative statements of the duties
that all registered nurses, regardless
of role, population, or specialty are
expected to perform competently are
defined
10. a pathway of action regarding a Position statements are recommen-
particular issue dations for
11. near miss 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
12. inclusion of nursing opinion as to All of the following are elements of
causes of error good documentation EXCEPT
13. Document the date, time, person Mrs. Johnson is a primipara at 34
spoken to, and objective details weeks gestation who has been admit-
of what was said in the medical ted to your unit with increasing blood
record. pressures. You have a discussion with
the physician about her reports of
headache and blurred vision. What
actions should surround the docu-
mentation of this conversation in the
medical record?
, AWHONN PEOP Perinatal Final Review with Verified Answers
14. Is only used in emergency patient Which of the following is NOT a com-
care situations ponent of the risk reduction strate-
gy known as closed loop communica-
tion?
15. institute the chain of communica- You are a nurse on the mother/baby
tion unit caring for a woman who is 12
hours postpartum from an operative
vaginal delivery with midline episioto-
my. 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. Un-
der these circumstances it is appropri-
ate to
16. outlines effective communication Team training is an effective risk man-
tools and techniques agement strategy because it
17. oxytocin administration leading to One of the leading causes of obstetric
tachysystole liability is
18. Magnesium sulfate and oxytocin Which two medications frequently
used in the perinatal setting are iden-
tified as high-risk medications by the
Institute for Safe Medication Practices
(ISMP)?
19. Following national professional Successful defense against malprac-
standards tice claims is enhanced by which of
the following?
20. endometrium The innermost layer of the uterus is
called the
21. fallopian tube Fertilization occurs in the
22. Menstruation occurs During the proliferative phase of the
menstrual cycle, which is NOT true?
, AWHONN PEOP Perinatal Final Review with Verified Answers
23. progesterone The corpus luteum produces
to prepare the uterus to
nurture the fertilized egg.
24. Pituitary In the early menstrual cycle phase,
which gland sends a signal telling the
ovaries to prepare to release an egg?
25. progesterone After ovulation, the ovarian follicle pro-
duces
26. 7-10 Implantation of a fertilized ovum oc-
curs days after ovulation.
27. 2-3 days Average viability for male sperm within
the female reproductive tract is
28. 20% For a healthy, 30-year-old woman, the
chance of conception is approximate-
ly per cycle.
29. count backward 14 days The best way for a woman with a reg-
ular menstrual cycle to predict ovula-
tion is to record the first day of the
LMP and
30. Decreased basal body temperature Which is NOT a characteristic of ovu-
lation in the female?
31. 6 (but I think question is incorrectly Infertility evaluation is recommended
worded should be 12 months; >35 for women less than 35 years old who
y/o is 6 months) have not conceived after months.
32. 32 Starting at what age does female fer-
tility decline?
33. Painful periods Which is NOT a symptom of polycystic
ovarian syndrome?
1. latent weaknesses Swiss cheese is often used as the
paradigm for explaining medical error.
In this model, the holes in the cheese
represent
2. normalization of deviance You are assigned to a patient who is at
38 weeks and 6 days gestation. She is
being admitted for an elective induc-
tion 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 re-
sponds 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
3. Communication Which of the following has been noted
among the top three root causes of
sentinel events for over 10 years?
4. situational awareness A shared understanding of what is go-
ing on and what is likely to happen
next is known as
5. a sentinel event A patient safety event, unrelated to
the natural course of the underlying
illness, that reaches a patient and re-
sults in death, permanent harm, or se-
vere temporary harm with intervention
required to sustain life is an example
of
, AWHONN PEOP Perinatal Final Review with Verified Answers
6. Root cause analysis Which tool is used when an adverse
event has occurred to identify varia-
tions in performance that led to the
outcome?
7. National Patient Safety Goals Yearly objectives developed by The
Joint Commission that focus on prob-
lems in healthcare safety are known
as
8. use of the NICHD nomenclature for The Perinatal Care Core Measures in-
electronic fetal monitoring. clude all of the following EXCEPT
9. Standards of Care Authoritative statements of the duties
that all registered nurses, regardless
of role, population, or specialty are
expected to perform competently are
defined
10. a pathway of action regarding a Position statements are recommen-
particular issue dations for
11. near miss 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
12. inclusion of nursing opinion as to All of the following are elements of
causes of error good documentation EXCEPT
13. Document the date, time, person Mrs. Johnson is a primipara at 34
spoken to, and objective details weeks gestation who has been admit-
of what was said in the medical ted to your unit with increasing blood
record. pressures. You have a discussion with
the physician about her reports of
headache and blurred vision. What
actions should surround the docu-
mentation of this conversation in the
medical record?
, AWHONN PEOP Perinatal Final Review with Verified Answers
14. Is only used in emergency patient Which of the following is NOT a com-
care situations ponent of the risk reduction strate-
gy known as closed loop communica-
tion?
15. institute the chain of communica- You are a nurse on the mother/baby
tion unit caring for a woman who is 12
hours postpartum from an operative
vaginal delivery with midline episioto-
my. 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. Un-
der these circumstances it is appropri-
ate to
16. outlines effective communication Team training is an effective risk man-
tools and techniques agement strategy because it
17. oxytocin administration leading to One of the leading causes of obstetric
tachysystole liability is
18. Magnesium sulfate and oxytocin Which two medications frequently
used in the perinatal setting are iden-
tified as high-risk medications by the
Institute for Safe Medication Practices
(ISMP)?
19. Following national professional Successful defense against malprac-
standards tice claims is enhanced by which of
the following?
20. endometrium The innermost layer of the uterus is
called the
21. fallopian tube Fertilization occurs in the
22. Menstruation occurs During the proliferative phase of the
menstrual cycle, which is NOT true?
, AWHONN PEOP Perinatal Final Review with Verified Answers
23. progesterone The corpus luteum produces
to prepare the uterus to
nurture the fertilized egg.
24. Pituitary In the early menstrual cycle phase,
which gland sends a signal telling the
ovaries to prepare to release an egg?
25. progesterone After ovulation, the ovarian follicle pro-
duces
26. 7-10 Implantation of a fertilized ovum oc-
curs days after ovulation.
27. 2-3 days Average viability for male sperm within
the female reproductive tract is
28. 20% For a healthy, 30-year-old woman, the
chance of conception is approximate-
ly per cycle.
29. count backward 14 days The best way for a woman with a reg-
ular menstrual cycle to predict ovula-
tion is to record the first day of the
LMP and
30. Decreased basal body temperature Which is NOT a characteristic of ovu-
lation in the female?
31. 6 (but I think question is incorrectly Infertility evaluation is recommended
worded should be 12 months; >35 for women less than 35 years old who
y/o is 6 months) have not conceived after months.
32. 32 Starting at what age does female fer-
tility decline?
33. Painful periods Which is NOT a symptom of polycystic
ovarian syndrome?
