AWHONN FINAL REVIEWS WITH
CORRECT ANSWERS
Swiss cheese is often used as the paradigm for explaining
medical error. In this model, the holes in the cheese represent -
CORRECT ANSWER-latent weaknesses
You are assigned to a patient who is at 38 weeks and 6 days
gestation. She is being admitte...
Swiss cheese is often used as the paradigm for explaining
medical error. In this model, the holes in the cheese represent -
CORRECT ANSWER-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 - CORRECT ANSWER-
normalization of deviance
Which of the following has been noted among the top three root
causes of sentinel events for over 10 years? - CORRECT
ANSWER-Communication
A shared understanding of what is going on and what is likely to
happen next is known as - CORRECT ANSWER-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 - CORRECT ANSWER-
a sentinel event
Which tool is used when an adverse event has occurred to
identify variations in performance that led to the outcome? -
CORRECT ANSWER-Root cause analysis
Yearly objectives developed by The Joint Commission that
focus on problems in healthcare safety are known as -
CORRECT ANSWER-National Patient Safety Goals
The Perinatal Care Core Measures include all of the following
EXCEPT - CORRECT ANSWER-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 - CORRECT ANSWER-
Standards of Care
Position statements are recommendations for - CORRECT
ANSWER-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 - CORRECT ANSWER-near miss
All of the following are elements of good documentation
EXCEPT - CORRECT ANSWER-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? -
CORRECT ANSWER-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? - CORRECT
ANSWER-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 - CORRECT ANSWER-institute the chain of communication
Team training is an effective risk management strategy
because it - CORRECT ANSWER-outlines effective
communication tools and techniques
One of the leading causes of obstetric liability is - CORRECT
ANSWER-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)? - CORRECT ANSWER-
Magnesium sulfate and oxytocin
Successful defense against malpractice claims is enhanced by
which of the following? - CORRECT ANSWER-Following
national professional standards
The innermost layer of the uterus is called the - CORRECT
ANSWER-endometrium
Fertilization occurs in the - CORRECT ANSWER-fallopian tube
, During the proliferative phase of the menstrual cycle, which is
NOT true? - CORRECT ANSWER-Menstruation occurs
The corpus luteum produces ___________ to prepare the
uterus to nurture the fertilized egg. - CORRECT ANSWER-
progesterone
In the early menstrual cycle phase, which gland sends a signal
telling the ovaries to prepare to release an egg? - CORRECT
ANSWER-Pituitary
After ovulation, the ovarian follicle produces - CORRECT
ANSWER-progesterone
Implantation of a fertilized ovum occurs ______ days after
ovulation. - CORRECT ANSWER-7-10
Average viability for male sperm within the female reproductive
tract is - CORRECT ANSWER-2-3 days
For a healthy, 30-year-old woman, the chance of conception is
approximately __ per cycle. - CORRECT ANSWER-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 -
CORRECT ANSWER-count backward 14 days
Which is NOT a characteristic of ovulation in the female? -
CORRECT ANSWER-Decreased basal body temperature
Infertility evaluation is recommended for women less than 35
years old who have not conceived after ___ months. -
CORRECT ANSWER-6 (but I think question is incorrectly
worded should be 12 months; >35 y/o is 6 months)
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