AWHONN PEOP Perinatal Final Review 2024 Q
g g g g g g
uestions with Complete Solutions | 100% pass
g g g g g g
Swissgcheesegisgoftengusedgasgthegparadigmgforgexplaininggmedicalgerror.gIngthisgmodel,gthegholesgingth
egcheesegrepresentg-g✔✔latentgweaknesses
Yougaregassignedgtogagpatientgwhogisgatg38gweeksgandg6gdaysggestation.gShegisgbeinggadmittedgforgange
lectiveginductiongofglaborgbecausegherghusbandgisggoinggongangextendedgbusinessgtripging2gdaysgandghe
gwantsgtogbegpresentgforgthegdelivery.gTheghospitalghasgnogpolicygregardinggelectiveginduction,gbutgyou
gknowgthatgthegAWHONNg"GogthegFullg40"gcampaigngdoesn'tgsupportgearlygelectiveginduction.gYougapp
roachgthegphysiciangwithgyourgconcerns.gHegrespondsgthatghe'sgbeengdoinggthisgforg30gyearsgandghasgn
everghadgagbadgoutcomegfromgangelectiveginductiongatgthisggestation.
Thisgscenariogisgangexamplegofg-g✔✔normalizationgofgdeviance
Whichgofgthegfollowingghasgbeengnotedgamonggthegtopgthreegrootgcausesgofgsentinelgeventsgforgoverg1
0gyears?g-g✔✔Communication
Agsharedgunderstandinggofgwhatgisggoinggongandgwhatgisglikelygtoghappengnextgisgknowngasg-
✔✔situationalgawareness
Agpatientgsafetygevent,gunrelatedgtogthegnaturalgcoursegofgthegunderlyinggillness,gthatgreachesgagpatien
tgandgresultsgingdeath,gpermanentgharm,gorgseveregtemporarygharmgwithginterventiongrequiredgtogsust
ainglifegisgangexamplegofg-g✔✔agsentinelgevent
,Whichgtoolgisgusedgwhengangadversegeventghasgoccurredgtogidentifygvariationsgingperformancegthatgledg
togthegoutcome?g-g✔✔Rootgcauseganalysis
YearlygobjectivesgdevelopedgbygThegJointgCommissiongthatgfocusgongproblemsginghealthcaregsafetygareg
knowngasg-g✔✔NationalgPatientgSafetygGoals
ThegPerinatalgCaregCoregMeasuresgincludegallgofgthegfollowinggEXCEPTg-
g✔✔usegofgthegNICHDgnomenclaturegforgelectronicgfetalgmonitoring.
Authoritativegstatementsgofgthegdutiesgthatgallgregisteredgnurses,gregardlessgofgrole,gpopulation,gorgspe
cialtygaregexpectedgtogperformgcompetentlygaregdefinedg-g✔✔StandardsgofgCare
Positiongstatementsgaregrecommendationsgforg-g✔✔agpathwaygofgactiongregardinggagparticulargissue
Inghealthgcare,gangunplannedgeventgthatgdidgNOTgresultginginjury,gillness,gorgdamagegbutghadgthegpotent
ialgtogdogsogisgreferredgtogasgag-g✔✔neargmiss
AllgofgthegfollowinggaregelementsgofggoodgdocumentationgEXCEPTg-
g✔✔inclusiongofgnursinggopiniongasgtogcausesgofgerror
Mrs.gJohnsongisgagprimiparagatg34gweeksggestationgwhoghasgbeengadmittedgtogyourgunitgwithgincreasing
gbloodgpressures.gYoughavegagdiscussiongwithgthegphysiciangaboutghergreportsgofgheadachegandgblurred
gvision.gWhatgactionsgshouldgsurroundgthegdocumentationgofgthisgconversationgingthegmedicalgrecord?g-
✔✔Documentgthegdate,gtime,gpersongspokengto,gandgobjectivegdetailsgofgwhatgwasgsaidgingthegmedicalg
record.
,WhichgofgthegfollowinggisgNOTgagcomponentgofgthegriskgreductiongstrategygknowngasgclosedgloopgcomm
unication?g-g✔✔Isgonlygusedgingemergencygpatientgcaregsituations
Yougaregagnursegongthegmother/babygunitgcaringgforgagwomangwhogisg12ghoursgpostpartumgfromgangop
erativegvaginalgdeliverygwithgmidlinegepisiotomy.gThegwomanghasgseveregrectalgpaingandgreportsginabili
tygtogurinate.gYougsuspectgagvaginalghematomagandgcallghergphysiciangtogrequestgangevaluation.gThegph
ysiciangdoesgnotgrespond.gUndergthesegcircumstancesgitgisgappropriategtog-
g✔✔institutegthegchaingofgcommunication
Teamgtraininggisgangeffectivegriskgmanagementgstrategygbecausegitg-
g✔✔outlinesgeffectivegcommunicationgtoolsgandgtechniques
Onegofgthegleadinggcausesgofgobstetricgliabilitygisg-g✔✔oxytocingadministrationgleadinggtogtachysystole
Whichgtwogmedicationsgfrequentlygusedgingthegperinatalgsettinggaregidentifiedgasghigh-
riskgmedicationsgbygthegInstitutegforgSafegMedicationgPracticesg(ISMP)?g-
g✔✔Magnesiumgsulfategandgoxytocin
Successfulgdefensegagainstgmalpracticegclaimsgisgenhancedgbygwhichgofgthegfollowing?g-
g✔✔Followinggnationalgprofessionalgstandards
Theginnermostglayergofgtheguterusgisgcalledgtheg-g✔✔endometrium
Fertilizationgoccursgingtheg-g✔✔fallopiangtube
, Duringgthegproliferativegphasegofgthegmenstrualgcycle,gwhichgisgNOTgtrue?g-g✔✔Menstruationgoccurs
Thegcorpusgluteumgproducesg togpreparegtheguterusgtognurturegthegfertilizedgegg.g-
✔✔progesterone
Ingthegearlygmenstrualgcyclegphase,gwhichgglandgsendsgagsignalgtellinggthegovariesgtogpreparegtogreleaseg
angegg?g-g✔✔Pituitary
Aftergovulation,gthegovariangfolliclegproducesg-g✔✔progesterone
Implantationgofgagfertilizedgovumgoccurs ______ daysgaftergovulation.g-g✔✔7-10
Averagegviabilitygforgmalegspermgwithingthegfemalegreproductivegtractgisg-g✔✔2-3gdays
Forgaghealthy,g30-year-oldgwoman,gthegchancegofgconceptiongisgapproximatelyg pergcycle.g-g✔✔20%
Thegbestgwaygforgagwomangwithgagregulargmenstrualgcyclegtogpredictgovulationgisgtogrecordgthegfirstgda
ygofgthegLMPgandg-g✔✔countgbackwardg14gdays
WhichgisgNOTgagcharacteristicgofgovulationgingthegfemale?g-g✔✔Decreasedgbasalgbodygtemperature
Infertilitygevaluationgisgrecommendedgforgwomenglessgthang35gyearsgoldgwhoghavegnotgconceivedgafter
months.g-
g✔✔6g(butgIgthinkgquestiongisgincorrectlygwordedgshouldgbeg12gmonths;g>35gy/ogisg6gmonths)
g g g g g g
uestions with Complete Solutions | 100% pass
g g g g g g
Swissgcheesegisgoftengusedgasgthegparadigmgforgexplaininggmedicalgerror.gIngthisgmodel,gthegholesgingth
egcheesegrepresentg-g✔✔latentgweaknesses
Yougaregassignedgtogagpatientgwhogisgatg38gweeksgandg6gdaysggestation.gShegisgbeinggadmittedgforgange
lectiveginductiongofglaborgbecausegherghusbandgisggoinggongangextendedgbusinessgtripging2gdaysgandghe
gwantsgtogbegpresentgforgthegdelivery.gTheghospitalghasgnogpolicygregardinggelectiveginduction,gbutgyou
gknowgthatgthegAWHONNg"GogthegFullg40"gcampaigngdoesn'tgsupportgearlygelectiveginduction.gYougapp
roachgthegphysiciangwithgyourgconcerns.gHegrespondsgthatghe'sgbeengdoinggthisgforg30gyearsgandghasgn
everghadgagbadgoutcomegfromgangelectiveginductiongatgthisggestation.
Thisgscenariogisgangexamplegofg-g✔✔normalizationgofgdeviance
Whichgofgthegfollowingghasgbeengnotedgamonggthegtopgthreegrootgcausesgofgsentinelgeventsgforgoverg1
0gyears?g-g✔✔Communication
Agsharedgunderstandinggofgwhatgisggoinggongandgwhatgisglikelygtoghappengnextgisgknowngasg-
✔✔situationalgawareness
Agpatientgsafetygevent,gunrelatedgtogthegnaturalgcoursegofgthegunderlyinggillness,gthatgreachesgagpatien
tgandgresultsgingdeath,gpermanentgharm,gorgseveregtemporarygharmgwithginterventiongrequiredgtogsust
ainglifegisgangexamplegofg-g✔✔agsentinelgevent
,Whichgtoolgisgusedgwhengangadversegeventghasgoccurredgtogidentifygvariationsgingperformancegthatgledg
togthegoutcome?g-g✔✔Rootgcauseganalysis
YearlygobjectivesgdevelopedgbygThegJointgCommissiongthatgfocusgongproblemsginghealthcaregsafetygareg
knowngasg-g✔✔NationalgPatientgSafetygGoals
ThegPerinatalgCaregCoregMeasuresgincludegallgofgthegfollowinggEXCEPTg-
g✔✔usegofgthegNICHDgnomenclaturegforgelectronicgfetalgmonitoring.
Authoritativegstatementsgofgthegdutiesgthatgallgregisteredgnurses,gregardlessgofgrole,gpopulation,gorgspe
cialtygaregexpectedgtogperformgcompetentlygaregdefinedg-g✔✔StandardsgofgCare
Positiongstatementsgaregrecommendationsgforg-g✔✔agpathwaygofgactiongregardinggagparticulargissue
Inghealthgcare,gangunplannedgeventgthatgdidgNOTgresultginginjury,gillness,gorgdamagegbutghadgthegpotent
ialgtogdogsogisgreferredgtogasgag-g✔✔neargmiss
AllgofgthegfollowinggaregelementsgofggoodgdocumentationgEXCEPTg-
g✔✔inclusiongofgnursinggopiniongasgtogcausesgofgerror
Mrs.gJohnsongisgagprimiparagatg34gweeksggestationgwhoghasgbeengadmittedgtogyourgunitgwithgincreasing
gbloodgpressures.gYoughavegagdiscussiongwithgthegphysiciangaboutghergreportsgofgheadachegandgblurred
gvision.gWhatgactionsgshouldgsurroundgthegdocumentationgofgthisgconversationgingthegmedicalgrecord?g-
✔✔Documentgthegdate,gtime,gpersongspokengto,gandgobjectivegdetailsgofgwhatgwasgsaidgingthegmedicalg
record.
,WhichgofgthegfollowinggisgNOTgagcomponentgofgthegriskgreductiongstrategygknowngasgclosedgloopgcomm
unication?g-g✔✔Isgonlygusedgingemergencygpatientgcaregsituations
Yougaregagnursegongthegmother/babygunitgcaringgforgagwomangwhogisg12ghoursgpostpartumgfromgangop
erativegvaginalgdeliverygwithgmidlinegepisiotomy.gThegwomanghasgseveregrectalgpaingandgreportsginabili
tygtogurinate.gYougsuspectgagvaginalghematomagandgcallghergphysiciangtogrequestgangevaluation.gThegph
ysiciangdoesgnotgrespond.gUndergthesegcircumstancesgitgisgappropriategtog-
g✔✔institutegthegchaingofgcommunication
Teamgtraininggisgangeffectivegriskgmanagementgstrategygbecausegitg-
g✔✔outlinesgeffectivegcommunicationgtoolsgandgtechniques
Onegofgthegleadinggcausesgofgobstetricgliabilitygisg-g✔✔oxytocingadministrationgleadinggtogtachysystole
Whichgtwogmedicationsgfrequentlygusedgingthegperinatalgsettinggaregidentifiedgasghigh-
riskgmedicationsgbygthegInstitutegforgSafegMedicationgPracticesg(ISMP)?g-
g✔✔Magnesiumgsulfategandgoxytocin
Successfulgdefensegagainstgmalpracticegclaimsgisgenhancedgbygwhichgofgthegfollowing?g-
g✔✔Followinggnationalgprofessionalgstandards
Theginnermostglayergofgtheguterusgisgcalledgtheg-g✔✔endometrium
Fertilizationgoccursgingtheg-g✔✔fallopiangtube
, Duringgthegproliferativegphasegofgthegmenstrualgcycle,gwhichgisgNOTgtrue?g-g✔✔Menstruationgoccurs
Thegcorpusgluteumgproducesg togpreparegtheguterusgtognurturegthegfertilizedgegg.g-
✔✔progesterone
Ingthegearlygmenstrualgcyclegphase,gwhichgglandgsendsgagsignalgtellinggthegovariesgtogpreparegtogreleaseg
angegg?g-g✔✔Pituitary
Aftergovulation,gthegovariangfolliclegproducesg-g✔✔progesterone
Implantationgofgagfertilizedgovumgoccurs ______ daysgaftergovulation.g-g✔✔7-10
Averagegviabilitygforgmalegspermgwithingthegfemalegreproductivegtractgisg-g✔✔2-3gdays
Forgaghealthy,g30-year-oldgwoman,gthegchancegofgconceptiongisgapproximatelyg pergcycle.g-g✔✔20%
Thegbestgwaygforgagwomangwithgagregulargmenstrualgcyclegtogpredictgovulationgisgtogrecordgthegfirstgda
ygofgthegLMPgandg-g✔✔countgbackwardg14gdays
WhichgisgNOTgagcharacteristicgofgovulationgingthegfemale?g-g✔✔Decreasedgbasalgbodygtemperature
Infertilitygevaluationgisgrecommendedgforgwomenglessgthang35gyearsgoldgwhoghavegnotgconceivedgafter
months.g-
g✔✔6g(butgIgthinkgquestiongisgincorrectlygwordedgshouldgbeg12gmonths;g>35gy/ogisg6gmonths)
