Chapter 1 Perinatal Nursing (4th ed) Bank 33 Questions with Verified Answers
Inpatient obstetric care results in approximately what percentage of
... [Show More] malpractice claims in obstetrics and gynecology? - CORRECT ANSWER 50%
Guidance for ethical nursing care is provided by the - CORRECT ANSWER American Nurses Association Code of Ethics for Nurses
Disruptive clinician behavior - CORRECT ANSWER is often directly linked to clinical practice issues
The best approach for addressing disruptive clinician behavior is - CORRECT ANSWER immediate intervention
Successful defense of malpractice claims is enhanced by following - CORRECT ANSWER national professional standards
When a sentinel event occurs, according to The Joint Commission - CORRECT ANSWER a root-cause analysis should be conducted
Based on TJC criteria, which of the following clinical situations is a sentinel event?
Any unexplained adverse occurrence
Birth of a baby with previously undiagnosed congenital abnormalities
Unanticipated death of a full-term infant - CORRECT ANSWER Unanticipated death of a full-term infant
The purpose of the root-cause analysis process is to - CORRECT ANSWER review potentially contributing systems
Professional nursing liability is most commonly increased by the absence of - CORRECT ANSWER adequate medical record documentation
An incident-management program will - CORRECT ANSWER include "near misses" with potential for adverse outcomes
Nurse/physician difference of opinion about patient management should be - CORRECT ANSWER discussed with the patient's family
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 - CORRECT ANSWER consults with another physician in the unit
Outcome of measures of patient safety include - CORRECT ANSWER rates of maternal morbidity and mortality
Structure measures of patient safety include - CORRECT ANSWER unit protocols
Process measure of patient safety include - CORRECT ANSWER how tachysystole is identified and treated
Qualitative measure of patient safety include - CORRECT ANSWER focus groups
Essential criteria for safe care include - CORRECT ANSWER -effective leadership
-shared philosophy
-professional behavior
-excellence in key clinical practices
The areas of clinical practice that are most commonly involved in perinatal patient harm are - CORRECT ANSWER -fetal assessment
-labor induction
-second-stage labor management
In a high-reliability unit, there is an agreement that - CORRECT ANSWER clinical practice will be based on the cumulative body of evidence and national standards and guidelines
Standards and guidelines from professional organizations and regulatory agencies should guide clinical practice. These organizations and agencies include - CORRECT ANSWER -AAP
-American College of Nurse-Midwives (ACNM)
-ACOG
-ASA
-AWHONN
-CDC
-US Food and Drug Administration (FDA)
-Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
According to ACOG (2009) misprostol is not recommended for women - CORRECT ANSWER attempting VBAC
Elective labor induction should not occur - CORRECT ANSWER prior to 39 weeks completed gestation
According to ACOG (2009), the preferred method of fetal assessment during labor for women with high-risk conditions is - CORRECT ANSWER electronic fetal monitoring
Second-stage pushing should be initiated when ____________ or when more than 2 hours have passed since complete dilation for _____________ women of more than 1 hour has passed since complete dilation for _____________ women - CORRECT ANSWER -the women feels the urge to push
-nulliparous
-multiparous
ACOG and AWHONN recommend use of the _________________ definitions for fetal assessment during labor - CORRECT ANSWER NICHD
Triage for pregnant women who present for care should be based on guidelines from the _________________ - CORRECT ANSWER EMTALA
Communication between patients and healthcare providers can be protective against - CORRECT ANSWER lawsuits/litigation/"suits"
During clinical emergencies, the timing of medical record documentation is often - CORRECT ANSWER retrospective
The practice of duplicate documentation on the fetal monitoring strip and the medical record is ________________, and it contributes to ____________________ - CORRECT ANSWER -outdated
-error
A serious adverse event is defined by TJC as a - CORRECT ANSWER sentinel event
The recommended nurse-to-patient ratio during oxytocin administration is - CORRECT ANSWER 1:1
The recommended nurse-to-patient ratio in the second stage of labor is - CORRECT ANSWER 1:1
Notifying the charge nurse when the stage nurse remains concerned about a physician's plan of care after appropriate attempts to resolve the issues is an example of implementing the - CORRECT ANSWER chain of command/chain of consultation [Show Less]