AWHONN PEOP Perinatal Final Review
Questions With Verified Answers
Swiss cheese is often used as the paradigm for explaining medical error. In this model, the holes
in the cheese represent - Answers✔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 - Answers✔normalization of deviance
Which of the following has been noted among the top three root causes of sentinel events for
over 10 years? - Answers✔Communication
A shared understanding of what is going on and what is likely to happen next is known as -
Answers✔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 - Answers✔a sentinel event
Which tool is used when an adverse event has occurred to identify variations in performance that
led to the outcome? - Answers✔Root cause analysis
Yearly objectives developed by The Joint Commission that focus on problems in healthcare
safety are known as - Answers✔National Patient Safety Goals
The Perinatal Care Core Measures include all of the following EXCEPT - Answers✔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 - Answers✔Standards of Care
Position statements are recommendations for - Answers✔a pathway of action regarding a
particular issue
All of the following are elements of good documentation EXCEPT - Answers✔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? - Answers✔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? - Answers✔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 -
Answers✔institute the chain of communication
Team training is an effective risk management strategy because it - Answers✔outlines effective
communication tools and techniques
One of the leading causes of obstetric liability is - Answers✔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)? - Answers✔Magnesium
sulfate and oxytocin
Successful defense against malpractice claims is enhanced by which of the following? -
Answers✔Following national professional standards
The innermost layer of the uterus is called the - Answers✔endometrium
Fertilization occurs in the - Answers✔fallopian tube
During the proliferative phase of the menstrual cycle, which is NOT true? -
Answers✔Menstruation occurs
The corpus luteum produces ___________ to prepare the uterus to nurture the fertilized egg. -
Answers✔progesterone
In the early menstrual cycle phase, which gland sends a signal telling the ovaries to prepare to
release an egg? - Answers✔Pituitary
After ovulation, the ovarian follicle produces - Answers✔progesterone
Average viability for male sperm within the female reproductive tract is - Answers✔2-3 days
For a healthy, 30-year-old woman, the chance of conception is approximately __ per cycle. -
Answers✔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 - Answers✔count backward 14 days
Which is NOT a characteristic of ovulation in the female? - Answers✔Decreased basal body
temperature
Infertility evaluation is recommended for women less than 35 years old who have not conceived
after ___ months. - Answers✔6 (but I think question is incorrectly worded should be 12 months;
>35 y/o is 6 months)
Starting at what age does female fertility decline? - Answers✔32
Which is NOT a symptom of polycystic ovarian syndrome? - Answers✔Painful periods
What is the best way to confirm the diagnosis of endometriosis? - Answers✔Laparoscopy
At ovulation, the cervical mucus becomes clear and stretchy. This facilitates - Answers✔sperm
to pass through the cervical canal
Which of the following uterine abnormalities may be surgically corrected to improve fertility? -
Answers✔All the above (Endometrial polyps, Myomas, Uterine septum)
Which test is the best predictor of a woman's ovarian reserve? - Answers✔Antral follicle count
When is the best time of the menstrual cycle to perform hysterosalpingography? - Answers✔Day
7-12
Standards for semen analysis have been designated to maintain consistency and quality control
by - Answers✔World Health Organization
Pregnancy outcomes associated with ART include - Answers✔all the above (early pregnancy
loss,
multiple gestation pregnancy,
preterm birth)
Which is NOT true about ovarian hyperstimulation syndrome? - Answers✔Not an assisted
reproductive technologies (ART) risk
The MOST common form of ART for a woman with cervical factor infertility is -
Answers✔intrauterine insemination (IUI)
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