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AWHONN Perinatal Nursing Item Bank Questions And Answers (A+)
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AWHONN Perinatal Nursing Item Bank QuestionsAnd Answers (A+)
Quiz :Inpatient obstetric care results in approximately what percentage of
malpractice claims in obstetrics and gynecology?
a. 25%
b. 50%
c. 70% - Answer :b. 50%
Quiz :Guidance for ethical nursing care is provided by the:
a. American Nurses Association Code of Ethics for Nurses
b. American Academy of Pediatrics (AAP) & American College of Obstetricians
and Gynecologists (ACOG) Guidelines for Perinatal Care
c. American Medical Association Code of Medical Ethics - Answer :a. American
Nurses Association Code of Ethics for Nurses
Quiz :Disruptive clinician behavior:
a. is often directly linked to clinical practice issues
b. rarely involves clinical practice issues
c. should be handled separately from clinical practice issues - Answer :a. is
often directly linked to clinical practice issues
Quiz :The best approach for addressing disruptive clinician behavior is
a. immediate intervention
b. monitoring trends
c. peer review - Answer :a. immediate intervention
Quiz :Successful defense of malpractice claims is enhanced by following:
a. community standards
b. national professional standards
c. trends in practice - Answer :b. national professional standards
Quiz :When a sentinel event occurs, according to The joint Commission (TJC),
a. a root-cause analysis should be conducted
,b. it must be reported to TJC within 60 days
c. those involved should be placed on administrative leave pending an
investigation - Answer :a. a root-cause analysis should be conducted
Quiz :Based on TJC criteria, which of the following clinical situations is a
sentinel event?
a. any unexplained adverse occurrence
b. birth of a baby with previously undiagnosed congenital abnormalities
c. unanticipated death of a full turn infant - Answer :c. unanticipated death of
a full turn infant
Quiz :The purpose of the root-cause analysis process is to
a. determine fault of the healthcare provider or hospital
b. examine institutional liability
c. review potentially contributing systems - Answer :c. review potentially
contributing systems
Quiz :Professional nursing liability is most commonly increased by the absence
of
a. adequate medical record documentation
b. annual competency validation
c. current unit policies and procedures - Answer :a. adequate medical record
documentation
Quiz :An incident-management program will
a. include near misses with potential for adverse outcomes
b. identify and discipline those at fault
c. increase institutional and nursing liablity - Answer :a. include near misses
with potential for adverse outcomes
Quiz :Nurse/physician difference of opinion about patient management should
be
a. considered unprofessional behavior
b. discussed with the patient's family
,c. focused on the issue in question - Answer :b. discussed with the patient's
family
Quiz :Despite repeated requests to a physician to come to the bedside to
evaluate a deteriorating maternal condition, the physician has failed to
respond. the nurse appropriately
a. consults with another physician in the unit
b. institutes the chain of command/chain of consultation
c. provides the intervention indicated - Answer :a. consults with another
physician in the unit
Quiz :Outcome measures of patient safety include
a. how care is delivered
b. policies and procedures
c. rates of maternal morbidity and mortality - Answer :c. rates of maternal
morbidity and mortality
Quiz :Structure measures of patient safety include
a. the number of elective inductions of labor prior to 39 competed weeks
gestation
b. the rates of third and fourth degree laceration
c. unit protocols - Answer :c. unit protocols
Quiz :a. how tachysystole is identified and treated
b. number of nurses who are certified in fetal monitoring
c. rate of cesarean birth for indeterminate fetal status - Answer :a. how
tachysystole is identified and treated
Process measures of patient safety include
Quiz :Qualitative measures of patient safety include
a. focus groups
b. number of sentinel events per year
c. policies and procedures consistent with national standards and guidelines -
Answer :a. focus groups
, Quiz :According to ACOG (2009) misoprostol is not recommended for women
who are:
a. nulliparous
b. hypertensive
c. attempting VBAC - Answer :c. attempting VBAC
Quiz :Second-state pushing should be initiated when _____________
or when more than 2 hours have passed since complete dilation for
____________ women or more than 1 hour has passed since complete dilation
for ___________women
a. the woman feels the urge to push; nulliparous; multiparous
b. the women feels the urge to void; multiparous; nulliparous
c. the woman has an epidural; nulliparous, multiparous - Answer :a. the
woman feels the urge to push; nulliparous; multiparous
Quiz :Triage for a pregnant women who present for care should be based on
guidelines from
a. AWHONN
b. EMTALA
C. ACOG - Answer :b. EMTALA
Quiz :A 25-year-old Vietnamese woman admitted to the birthing unit requests
that her husband stay in the waiting area until after she gives birth. The
appropriate response is based on the nurse's knowledge that:
a. all husbands should be present during labor and birth
b. the husband may fear his response to his wife giving birth
c. the woman's request should be honored - Answer :c. the woman's request
should be honored
Quiz :Wang Din Wah, a Laotian mother who is 24 hours postpartum, rejects
the nurse's instruction to bring the newborn back by the 7th day of life for PKU
test. Wang's reasons for this refusal are most likely based on
a. her lack of recognition of appropriate healthcare for the baby
b. the baby's early care being provided largely by the maternal grandmother
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