AWHONN Perinatal Nursing Item Bank Q
g g g g g
uestions (multiple choice questions onl
g g g g
y)Already Graded A+ g g
b.g50%g-
gAnswergInpatientgobstetricgcaregresultsgingapproximatelygwhatgpercentagegofgmalpra
cticegclaimsgingobstetricsgandggynecology?
a.g25%
b.g50%
c.g70%
a.gAmericangNursesgAssociationgCodegofgEthicsgforgNursesg-
gAnswergGuidancegforgethicalgnursinggcaregisgprovidedgbygthe:
a.gAmericangNursesgAssociationgCodegofgEthicsgforgNurses
b.gAmericangAcademygofgPediatricsg(AAP)g&gAmericangCollegegofgObstetriciansgand
gGynecologistsg(ACOG)gGuidelinesgforgPerinatalgCare
c.gAmericangMedicalgAssociationgCodegofgMedicalgEthics
a.gisgoftengdirectlyglinkedgtogclinicalgpracticegissuesg-
gAnswergDisruptivegcliniciangbehavior:
a.gisgoftengdirectlyglinkedgtogclinicalgpracticegissues
b.grarelyginvolvesgclinicalgpracticegissues
c.gshouldgbeghandledgseparatelygfromgclinicalgpracticegissues
a.gimmediateginterventiong-
gAnswergThegbestgapproachgforgaddressinggdisruptivegcliniciangbehaviorgis
a.gimmediategintervention
b.gmonitoringgtrends
c.gpeergreview
b.gnationalgprofessionalgstandardsg-
gAnswergSuccessfulgdefensegofgmalpracticegclaimsgisgenhancedgbygfollowing:
a.gcommunitygstandards
b.gnationalgprofessionalgstandards
c.gtrendsgingpractice
a.gagroot-causeganalysisgshouldgbegconductedg-
gAnswergWhengagsentinelgeventgoccurs,gaccordinggtogThegjointgCommissiong(TJC),
a.gagroot-causeganalysisgshouldgbegconducted
b.gitgmustgbegreportedgtogTJCgwithing60gdays
c.gthoseginvolvedgshouldgbegplacedgongadministrativegleavegpendingganginvestigation
,AWHONN Perinatal Nursing Item Bank Q
g g g g g
uestions (multiple choice questions onl
g g g g
y)Already Graded A+ g g
c.gunanticipatedgdeathgofgagfullgturnginfantg-
gAnswergBasedgongTJCgcriteria,gwhichgofgthegfollowinggclinicalgsituationsgisgagsentinel
gevent?
a.ganygunexplainedgadversegoccurrence
b.gbirthgofgagbabygwithgpreviouslygundiagnosedgcongenitalgabnormalities
c.gunanticipatedgdeathgofgagfullgturnginfant
c.greviewgpotentiallygcontributinggsystemsg-gAnswergThegpurposegofgthegroot-
causeganalysisgprocessgisgto
a.gdeterminegfaultgofgtheghealthcaregprovidergorghospital
b.gexamineginstitutionalgliability
c.greviewgpotentiallygcontributinggsystems
a.gadequategmedicalgrecordgdocumentationg-
gAnswergProfessionalgnursinggliabilitygisgmostgcommonlygincreasedgbygthegabsencego
fg
a.gadequategmedicalgrecordgdocumentation
b.gannualgcompetencygvalidation
c.gcurrentgunitgpoliciesgandgprocedures
a.gincludegneargmissesgwithgpotentialgforgadversegoutcomesg-gAnswergAngincident-
managementgprogramgwill
a.gincludegneargmissesgwithgpotentialgforgadversegoutcomes
b.gidentifygandgdisciplinegthosegatgfault
c.gincreaseginstitutionalgandgnursinggliablity
b.gdiscussedgwithgthegpatient'sgfamilyg-
gAnswergNurse/physiciangdifferencegofgopiniongaboutgpatientgmanagementgshouldgbe
a.gconsideredgunprofessionalgbehavior
b.gdiscussedgwithgthegpatient'sgfamily
c.gfocusedgongthegissuegingquestion
a.gconsultsgwithganothergphysiciangingthegunitg-
gAnswergDespitegrepeatedgrequestsgtogagphysiciangtogcomegtogthegbedsidegtogevalua
tegagdeterioratinggmaternalgcondition,gthegphysicianghasgfailedgtogrespond.gthegnurseg
appropriately
a.gconsultsgwithganothergphysiciangingthegunit
b.ginstitutesgthegchaingofgcommand/chaingofgconsultation
c.gprovidesgtheginterventiongindicated
,AWHONN Perinatal Nursing Item Bank Q
g g g g g
uestions (multiple choice questions onl
g g g g
y)Already Graded A+ g g
c.gratesgofgmaternalgmorbiditygandgmortalityg-
gAnswergOutcomegmeasuresgofgpatientgsafetyginclude
a.ghowgcaregisgdelivered
b.gpoliciesgandgprocedures
c.gratesgofgmaternalgmorbiditygandgmortality
c.gunitgprotocolsg-gAnswergStructuregmeasuresgofgpatientgsafetygincludeg
a.gthegnumbergofgelectiveginductionsgofglaborgpriorgtog39gcompetedgweeksggestationg
b.gthegratesgofgthirdgandgfourthgdegreeglaceration
c.gunitgprotocols
a.ghowgtachysystolegisgidentifiedgandgtreated
Processgmeasuresgofgpatientgsafetygincludeg-
gAnswerga.ghowgtachysystolegisgidentifiedgandgtreated
b.gnumbergofgnursesgwhogaregcertifiedgingfetalgmonitoring
c.grategofgcesareangbirthgforgindeterminategfetalgstatus
a.gfocusggroupsg-gAnswergQualitativegmeasuresgofgpatientgsafetyginclude
a.gfocusggroups
b.gnumbergofgsentinelgeventsgpergyear
c.gpoliciesgandgproceduresgconsistentgwithgnationalgstandardsgandgguidelines
c.gattemptinggVBACg-
gAnswergAccordinggtogACOGg(2009)gmisoprostolgisgnotgrecommendedgforgwomengw
hogare:
a.gnulliparousg
b.ghypertensive
c.gattemptinggVBAC
a.gthegwomangfeelsgthegurgegtogpush;gnulliparous;gmultiparousg-gAnswergSecond-
stategpushinggshouldgbeginitiatedgwheng_____________
orgwhengmoregthang2ghoursghavegpassedgsincegcompletegdilationgforg____________g
womengorgmoregthang1ghourghasgpassedgsincegcompletegdilationgforg___________w
omen
a.gthegwomangfeelsgthegurgegtogpush;gnulliparous;gmultiparous
b.gthegwomengfeelsgthegurgegtogvoid;gmultiparous;gnulliparous
c.gthegwomanghasgangepidural;gnulliparous,gmultiparous
b.gEMTALAg-
gAnswergTriagegforgagpregnantgwomengwhogpresentgforgcaregshouldgbegbasedgonggui
delinesgfrom
, AWHONN Perinatal Nursing Item Bank Q
g g g g g
uestions (multiple choice questions onl
g g g g
y)Already Graded A+ g g
a.gAWHONN
b.gEMTALA
C.gACOG
c.gthegwoman'sgrequestgshouldgbeghonoredg-gAnswergAg25-year-
oldgVietnamesegwomangadmittedgtogthegbirthinggunitgrequestsgthatgherghusbandgstay
gingthegwaitinggareaguntilgaftergsheggivesgbirth.gThegappropriategresponsegisgbasedgo
ngthegnurse'sgknowledgegthat:g
a.gallghusbandsgshouldgbegpresentgduringglaborgandgbirth
b.gtheghusbandgmaygfearghisgresponsegtoghisgwifeggivinggbirth
c.gthegwoman'sgrequestgshouldgbeghonored
c.gtheg1stgmonthgaftergbirthgbeinggconsideredgagtimegforgconfinementgandgrestg-
gAnswergWanggDingWah,gagLaotiangmothergwhogisg24ghoursgpostpartum,grejectsgtheg
nurse'sginstructiongtogbringgthegnewborngbackgbygtheg7thgdaygofglifegforgPKUgtest.gWa
ng'sgreasonsgforgthisgrefusalgaregmostglikelygbasedgon
a.gherglackgofgrecognitiongofgappropriateghealthcaregforgthegbaby
gb.gthegbaby'sgearlygcaregbeinggprovidedglargelygbygthegmaternalggrandmother
c.gtheg1stgmonthgaftergbirthgbeinggconsideredgagtimegforgconfinementgandgrest
a.gkeepinggthegplacentagingagleak-proofgcontainerg-
gAnswergBertagWolfgCreekgisg4ghoursgpostpartumgandgrequestsgpermissiongtogtakegh
ergplacentaghomegwithgher.gAppropriateginstructiongbygthegnursegwouldginclude:
a.gkeepinggthegplacentagingagleak-proofgcontainer
b.grequiringgdisposalgofgthegplacentagbyginternmentg(burial)
c.gkeepinggthegplacentagfrozenguntilgburial
b.gassessgthegsignificancegofgMaria'sgmother'sgadviceg-gAnswergMariagOchoa,gag23-
year-
oldgFilipinogAmerican,gisg18gweeksgpregnant.gAftergreceivinggagprescriptiongforgprena
talgvitamins,gshegtellsgthegnursegthatghergmotherghasgwarnedghergtogtakegonlygherbalg
medicationgduringgpregnancy.gthegnursegappropriately:g
a.gadvisesgMariagthatgthegpillsgaregonlygvitaminsgandgnotgconsideredgmedication
b.gassessgthegsignificancegofgMaria'sgmother'sgadvice
c.gremindsghergthatgthegvitaminsgweregorderedgbygthegnurse-midwife
b.g13%g-
gAnswergThegpercentagegofgthegU.S.gpopulationgwhogaregAfricangAmericangorgblackgi
sgnearly:
a.g6%
g g g g g
uestions (multiple choice questions onl
g g g g
y)Already Graded A+ g g
b.g50%g-
gAnswergInpatientgobstetricgcaregresultsgingapproximatelygwhatgpercentagegofgmalpra
cticegclaimsgingobstetricsgandggynecology?
a.g25%
b.g50%
c.g70%
a.gAmericangNursesgAssociationgCodegofgEthicsgforgNursesg-
gAnswergGuidancegforgethicalgnursinggcaregisgprovidedgbygthe:
a.gAmericangNursesgAssociationgCodegofgEthicsgforgNurses
b.gAmericangAcademygofgPediatricsg(AAP)g&gAmericangCollegegofgObstetriciansgand
gGynecologistsg(ACOG)gGuidelinesgforgPerinatalgCare
c.gAmericangMedicalgAssociationgCodegofgMedicalgEthics
a.gisgoftengdirectlyglinkedgtogclinicalgpracticegissuesg-
gAnswergDisruptivegcliniciangbehavior:
a.gisgoftengdirectlyglinkedgtogclinicalgpracticegissues
b.grarelyginvolvesgclinicalgpracticegissues
c.gshouldgbeghandledgseparatelygfromgclinicalgpracticegissues
a.gimmediateginterventiong-
gAnswergThegbestgapproachgforgaddressinggdisruptivegcliniciangbehaviorgis
a.gimmediategintervention
b.gmonitoringgtrends
c.gpeergreview
b.gnationalgprofessionalgstandardsg-
gAnswergSuccessfulgdefensegofgmalpracticegclaimsgisgenhancedgbygfollowing:
a.gcommunitygstandards
b.gnationalgprofessionalgstandards
c.gtrendsgingpractice
a.gagroot-causeganalysisgshouldgbegconductedg-
gAnswergWhengagsentinelgeventgoccurs,gaccordinggtogThegjointgCommissiong(TJC),
a.gagroot-causeganalysisgshouldgbegconducted
b.gitgmustgbegreportedgtogTJCgwithing60gdays
c.gthoseginvolvedgshouldgbegplacedgongadministrativegleavegpendingganginvestigation
,AWHONN Perinatal Nursing Item Bank Q
g g g g g
uestions (multiple choice questions onl
g g g g
y)Already Graded A+ g g
c.gunanticipatedgdeathgofgagfullgturnginfantg-
gAnswergBasedgongTJCgcriteria,gwhichgofgthegfollowinggclinicalgsituationsgisgagsentinel
gevent?
a.ganygunexplainedgadversegoccurrence
b.gbirthgofgagbabygwithgpreviouslygundiagnosedgcongenitalgabnormalities
c.gunanticipatedgdeathgofgagfullgturnginfant
c.greviewgpotentiallygcontributinggsystemsg-gAnswergThegpurposegofgthegroot-
causeganalysisgprocessgisgto
a.gdeterminegfaultgofgtheghealthcaregprovidergorghospital
b.gexamineginstitutionalgliability
c.greviewgpotentiallygcontributinggsystems
a.gadequategmedicalgrecordgdocumentationg-
gAnswergProfessionalgnursinggliabilitygisgmostgcommonlygincreasedgbygthegabsencego
fg
a.gadequategmedicalgrecordgdocumentation
b.gannualgcompetencygvalidation
c.gcurrentgunitgpoliciesgandgprocedures
a.gincludegneargmissesgwithgpotentialgforgadversegoutcomesg-gAnswergAngincident-
managementgprogramgwill
a.gincludegneargmissesgwithgpotentialgforgadversegoutcomes
b.gidentifygandgdisciplinegthosegatgfault
c.gincreaseginstitutionalgandgnursinggliablity
b.gdiscussedgwithgthegpatient'sgfamilyg-
gAnswergNurse/physiciangdifferencegofgopiniongaboutgpatientgmanagementgshouldgbe
a.gconsideredgunprofessionalgbehavior
b.gdiscussedgwithgthegpatient'sgfamily
c.gfocusedgongthegissuegingquestion
a.gconsultsgwithganothergphysiciangingthegunitg-
gAnswergDespitegrepeatedgrequestsgtogagphysiciangtogcomegtogthegbedsidegtogevalua
tegagdeterioratinggmaternalgcondition,gthegphysicianghasgfailedgtogrespond.gthegnurseg
appropriately
a.gconsultsgwithganothergphysiciangingthegunit
b.ginstitutesgthegchaingofgcommand/chaingofgconsultation
c.gprovidesgtheginterventiongindicated
,AWHONN Perinatal Nursing Item Bank Q
g g g g g
uestions (multiple choice questions onl
g g g g
y)Already Graded A+ g g
c.gratesgofgmaternalgmorbiditygandgmortalityg-
gAnswergOutcomegmeasuresgofgpatientgsafetyginclude
a.ghowgcaregisgdelivered
b.gpoliciesgandgprocedures
c.gratesgofgmaternalgmorbiditygandgmortality
c.gunitgprotocolsg-gAnswergStructuregmeasuresgofgpatientgsafetygincludeg
a.gthegnumbergofgelectiveginductionsgofglaborgpriorgtog39gcompetedgweeksggestationg
b.gthegratesgofgthirdgandgfourthgdegreeglaceration
c.gunitgprotocols
a.ghowgtachysystolegisgidentifiedgandgtreated
Processgmeasuresgofgpatientgsafetygincludeg-
gAnswerga.ghowgtachysystolegisgidentifiedgandgtreated
b.gnumbergofgnursesgwhogaregcertifiedgingfetalgmonitoring
c.grategofgcesareangbirthgforgindeterminategfetalgstatus
a.gfocusggroupsg-gAnswergQualitativegmeasuresgofgpatientgsafetyginclude
a.gfocusggroups
b.gnumbergofgsentinelgeventsgpergyear
c.gpoliciesgandgproceduresgconsistentgwithgnationalgstandardsgandgguidelines
c.gattemptinggVBACg-
gAnswergAccordinggtogACOGg(2009)gmisoprostolgisgnotgrecommendedgforgwomengw
hogare:
a.gnulliparousg
b.ghypertensive
c.gattemptinggVBAC
a.gthegwomangfeelsgthegurgegtogpush;gnulliparous;gmultiparousg-gAnswergSecond-
stategpushinggshouldgbeginitiatedgwheng_____________
orgwhengmoregthang2ghoursghavegpassedgsincegcompletegdilationgforg____________g
womengorgmoregthang1ghourghasgpassedgsincegcompletegdilationgforg___________w
omen
a.gthegwomangfeelsgthegurgegtogpush;gnulliparous;gmultiparous
b.gthegwomengfeelsgthegurgegtogvoid;gmultiparous;gnulliparous
c.gthegwomanghasgangepidural;gnulliparous,gmultiparous
b.gEMTALAg-
gAnswergTriagegforgagpregnantgwomengwhogpresentgforgcaregshouldgbegbasedgonggui
delinesgfrom
, AWHONN Perinatal Nursing Item Bank Q
g g g g g
uestions (multiple choice questions onl
g g g g
y)Already Graded A+ g g
a.gAWHONN
b.gEMTALA
C.gACOG
c.gthegwoman'sgrequestgshouldgbeghonoredg-gAnswergAg25-year-
oldgVietnamesegwomangadmittedgtogthegbirthinggunitgrequestsgthatgherghusbandgstay
gingthegwaitinggareaguntilgaftergsheggivesgbirth.gThegappropriategresponsegisgbasedgo
ngthegnurse'sgknowledgegthat:g
a.gallghusbandsgshouldgbegpresentgduringglaborgandgbirth
b.gtheghusbandgmaygfearghisgresponsegtoghisgwifeggivinggbirth
c.gthegwoman'sgrequestgshouldgbeghonored
c.gtheg1stgmonthgaftergbirthgbeinggconsideredgagtimegforgconfinementgandgrestg-
gAnswergWanggDingWah,gagLaotiangmothergwhogisg24ghoursgpostpartum,grejectsgtheg
nurse'sginstructiongtogbringgthegnewborngbackgbygtheg7thgdaygofglifegforgPKUgtest.gWa
ng'sgreasonsgforgthisgrefusalgaregmostglikelygbasedgon
a.gherglackgofgrecognitiongofgappropriateghealthcaregforgthegbaby
gb.gthegbaby'sgearlygcaregbeinggprovidedglargelygbygthegmaternalggrandmother
c.gtheg1stgmonthgaftergbirthgbeinggconsideredgagtimegforgconfinementgandgrest
a.gkeepinggthegplacentagingagleak-proofgcontainerg-
gAnswergBertagWolfgCreekgisg4ghoursgpostpartumgandgrequestsgpermissiongtogtakegh
ergplacentaghomegwithgher.gAppropriateginstructiongbygthegnursegwouldginclude:
a.gkeepinggthegplacentagingagleak-proofgcontainer
b.grequiringgdisposalgofgthegplacentagbyginternmentg(burial)
c.gkeepinggthegplacentagfrozenguntilgburial
b.gassessgthegsignificancegofgMaria'sgmother'sgadviceg-gAnswergMariagOchoa,gag23-
year-
oldgFilipinogAmerican,gisg18gweeksgpregnant.gAftergreceivinggagprescriptiongforgprena
talgvitamins,gshegtellsgthegnursegthatghergmotherghasgwarnedghergtogtakegonlygherbalg
medicationgduringgpregnancy.gthegnursegappropriately:g
a.gadvisesgMariagthatgthegpillsgaregonlygvitaminsgandgnotgconsideredgmedication
b.gassessgthegsignificancegofgMaria'sgmother'sgadvice
c.gremindsghergthatgthegvitaminsgweregorderedgbygthegnurse-midwife
b.g13%g-
gAnswergThegpercentagegofgthegU.S.gpopulationgwhogaregAfricangAmericangorgblackgi
sgnearly:
a.g6%
