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AWHONN PEOP Perinatal Final Review 2024- Questions and Answers
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AWHONN PEOP Perinatal Final Review 2024- Questions and Answers
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AWHONN PEOP Perinatal Final Review 2024- Questionsand Answers
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 Ans-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 Ans-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 Ans-institute the chain of communication
Swiss cheese is often used as the paradigm for explaining medical error. In this model, the
holes in the cheese represent Correct Ans-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
, AWHONN PEOP Perinatal Final Review 2024- Questions
and Answers
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 Ans-normalization of deviance
Which of the following has been noted among the top three root causes of sentinel events for
over 10 years? Correct Ans-Communication
A shared understanding of what is going on and what is likely to happen next is known as
Correct Ans-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 Ans-a sentinel event
Which tool is used when an adverse event has occurred to identify variations in performance
that led to the outcome? Correct Ans-Root cause analysis
Yearly objectives developed by The Joint Commission that focus on problems in healthcare
safety are known as Correct Ans-National Patient Safety Goals
The Perinatal Care Core Measures include all of the following EXCEPT Correct Ans-use of
the NICHD nomenclature for electronic fetal monitoring.
, AWHONN PEOP Perinatal Final Review 2024- Questions
and Answers
Authoritative statements of the duties that all registered nurses, regardless of role,
population, or specialty are expected to perform competently are defined Correct Ans-
Standards of Care
Position statements are recommendations for Correct Ans-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 Ans-near miss
All of the following are elements of good documentation EXCEPT Correct Ans-inclusion of
nursing opinion as to causes of error
Team training is an effective risk management strategy because it Correct Ans-outlines
effective communication tools and techniques
One of the leading causes of obstetric liability is Correct Ans-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 Ans-Magnesium
sulfate and oxytocin
, AWHONN PEOP Perinatal Final Review 2024- Questions
and Answers
Successful defense against malpractice claims is enhanced by which of the following?
Correct Ans-Following national professional standards
The innermost layer of the uterus is called the Correct Ans-endometrium
Fertilization occurs in the Correct Ans-fallopian tube
During the proliferative phase of the menstrual cycle, which is NOT true? Correct Ans-
Menstruation occurs
The corpus luteum produces ___________ to prepare the uterus to nurture the fertilized egg.
Correct Ans-progesterone
In the early menstrual cycle phase, which gland sends a signal telling the ovaries to prepare to
release an egg? Correct Ans-Pituitary
After ovulation, the ovarian follicle produces Correct Ans-progesterone
Implantation of a fertilized ovum occurs ______ days after ovulation. Correct Ans-7-10
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