AWHONN PEOP Perinatal Final Review 2022 (Answered 100% Correctly)
Swiss cheese is often used as the paradigm for explaining medical error. In this
model... [Show More] , the holes in the cheese represent
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
normalization of deviance
Which of the following has been noted among the top three root causes of sentinel
events for over 10 years?
Communication
A shared understanding of what is going on and what is likely to happen next is
known as
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
a sentinel event
Which tool is used when an adverse event has occurred to identify variations in
performance that led to the outcome?
Root cause analysis
Yearly objectives developed by The Joint Commission that focus on problems in
healthcare safety are known as
National Patient Safety Goals
The Perinatal Care Core Measures include all of the following EXCEPT
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
Standards of Care
Position statements are recommendations for
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
near miss
All of the following are elements of good documentation EXCEPT
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?
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?
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
institute the chain of communication
Team training is an effective risk management strategy because it
outlines effective communication tools and techniques
One of the leading causes of obstetric liability is
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)?
Magnesium sulfate and oxytocin
Successful defense against malpractice claims is enhanced by which of the
following?
Following national professional standards
The innermost layer of the uterus is called the
endometrium
Fertilization occurs in the
fallopian tube
During the proliferative phase of the menstrual cycle, which is NOT true?
Menstruation occurs
The corpus luteum produces ___________ to prepare the uterus to nurture the
fertilized egg.
progesterone
In the early menstrual cycle phase, which gland sends a signal telling the ovaries to
prepare to release an egg?
Pituitary
After ovulation, the ovarian follicle produces
progesterone
Implantation of a fertilized ovum occurs ______ days after ovulation.
7-10
Average viability for male sperm within the female reproductive tract is
2-3 days
For a healthy, 30-year-old woman, the chance of conception is approximately __
per cycle.
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
count backward 14 days
Which is NOT a characteristic of ovulation in the female?
Decreased basal body temperature
Infertility evaluation is recommended for women less than 35 years old who have
not conceived after ___ months.
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? [Show Less]
