Inpatient OB- Perinatal Patient Safety and Professional Liability Issues 33 Questions with Verified Answers
b. 50% - CORRECT ANSWER 1. Inpatient
... [Show More] obstetric care results in approximately what percentage of malpractice claims in obstetrics and gynecology?
a. 25%
b. 50%
c. 75%
a. American Nurses Association Code of Ethics for Nurses. - CORRECT ANSWER 2. Guidance for ethical nursing care is provided by the-
a. American Nurses Association Code of Ethics for Nurses
b. American Academy of Pediatrics (AAP) & American College of Obstetrics and Gynecologists (ACOG) Guidelines for Perinatal Care
c. American Medical Association Code of Medical Ethics
a. is often directly linked to clinical practice issues - CORRECT ANSWER 3. Disruptive clinician behavior
a. is often directly linked to clinical practice issues
b. rarely involves clinical practice issues
c. should be handled separately from clinical practice issues
a. immediate intervention - CORRECT ANSWER 4. The best approach for addressing disruptive clinician behavior is
a. immediate intervention
b. monitoring trends
c. peer review
b. national professional standards - CORRECT ANSWER 5. Successful defense malpractice claims is enhanced by following
a. community standards
b. national professional standards
c. trends in practice
a. a root-cause analysis should be conducted. - CORRECT ANSWER 6. When a sentinel event occurs, according to The Joint Commission (TJC),
a. a root-cause analysis should be conducted.
b. it must be reported to TJC within 60 days
c. those involved should be placed on administrative leave pending an investigation
c. Unanticipated death of a full-term infant - CORRECT ANSWER 7. Based on TJC criteria, which of the following clinical situations is a sentinel event?
a. Any unexplained adverse occurrence
b. birth of a baby with previously undiagnosed congenital abnormalities
c. Unanticipated death of a full-term infant
c. review potentially contributing systems - CORRECT ANSWER 8. The purpose of the root-cause analysis process is to
a. determine fault of the healthcare provider or hospital
b. examine institutional liability
c. review potentially contributing systems
a. adequate medical record documentation - CORRECT ANSWER 9. Professional nursing liability is most commonly increased by the absence of
a. adequate medical record documentation
b. annual competency validation
c. current unit policies and procedure
a. include "near misses" with potential for adverse outcomes - CORRECT ANSWER 10. An incident-management program will
a. include "near misses" with potential for adverse outcomes
b. identify and discipline those at fault
c. increase institutional and nursing liability
b. discussed with the patient's family - CORRECT ANSWER 11. Nurse/physician difference of opinion about patient management should be
a. considered unprofessional behavior
b. discussed with the patient's family
c. focused on the issue in question
a. consults with another physician in the unit - CORRECT ANSWER 12. 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
a. consults with another physician in the unit
b. institutes chain of command/chain of consultation
c. provides the intervention indicated
c. rates of maternal morbidity and mortality - CORRECT ANSWER 13. Outcome measures of patient safety include
a. how care is delivered
b. policies and procedures
c. rates of maternal morbidity and mortality
c. unit protocols - CORRECT ANSWER 14. Structure measures of patient safety include
a. the number of elective inductions of labor prior to 39 completed weeks of gestation
b. the rates of third and fourth-degree lacerations.
c. unit protocols
a. how tachysystole is identified and treated - CORRECT ANSWER 15. Process measures of patient safety include
a. how tachysystole is identified and treated
b. number of nurses who are certified in fetal monitoring
c. rates of cesarean birth for indeterminate fetal status
a. focus groups - CORRECT ANSWER 16.Qualitative measures of patient safety include
a. focus groups
b. number of sentinel events per year
c. policies and procedures consistent with national standards and guidelines
effective leadership, shared philosophy, professional behavior, excellence in key clinical practices - CORRECT ANSWER 17. Essential criteria for safe care include--
(4 things)
fetal assessment, labor induction, second-stage labor management. - CORRECT ANSWER 18. The areas of clinical practice that are most commonly involved in perinatal patient harm are--
(3 things)
clinical practice will be based on the cumulative body of evidence and national standards and guidelines - CORRECT ANSWER 19. In a high-reliability unit, there is an agreement that--
AAP; American College of Nurse-Midwives (ACNM); ACOG; ASA; AWHONN; CDC; US FDA; Joint Commission (JCAHO) - CORRECT ANSWER 20. Standards and guidelines from professional organizations and regulatory agencies should guide clinical practice. These organizations and agencies include--
attempting VBAC - CORRECT ANSWER 21. According to ACOG (2009) misoprostol is not recommended for women --
39 completed weeks' gestation - CORRECT ANSWER 22. Elective labor induction should not occur prior to --
electronic fetal monitoring - CORRECT ANSWER 23. According to ACOG (2009), the preferred method of fetal assessment during labor for women with high-risk conditions is--
the women feels the urge to push; nulliparous; multiparous - CORRECT ANSWER 24. Second-stage pushing should be initiated when --- or when more than 2 hours have passed since complete dilation for --- women or more than 1 hour has passed since complete dilation for --- women.
NICHD - CORRECT ANSWER 25. ACOG and AWHONN recommend use of the --- definitions for fetal assessment during labor.
EMTALA - CORRECT ANSWER 26. Triage for pregnant women who present for care should be based on guidelines from the ----.
lawsuits/ litigation/ "suits" - CORRECT ANSWER 27. Communication between patients and health-care providers can be protective against---
retrospective. - CORRECT ANSWER 28. During clinical emergencies, the timing of medical record documentation is often ----.
outdated; error - CORRECT ANSWER 29. The practice of duplicate documentation on the fetal monitoring strip and the medical record is -----, and it contributes to ----.
Sentinel event. - CORRECT ANSWER 30. A serious adverse event is defined by TJC as a -----.
1 : 1 - CORRECT ANSWER 31. The recommended nurse-to-patient ratio during oxytocin administration is ------.
1 : 1 - CORRECT ANSWER 32. The recommended nurse-to-patient ratio in the second stage of labor is ----.
chain of command/chain of consultation - CORRECT ANSWER 33. Notifying the charge nurse when the staff nurse remains concerned about a physician's plan of care after appropriate attempts to resolve the issues is an example of implementing the ------. [Show Less]