2026/2027
"Outcome measures" of patient safety include - Answers rates of maternal morbidity and
mortality
"Structure measures" of patient safety include - Answers unit protocols
"Process measures" of patient safety include - Answers How tachysystole is identified and
treated
"Qualitative Measures" of patient safety include - Answers focus groups
Essential criteria for safe care include - Answers effective leadership, shared philosophy,
professional behavior, excellence in key, clinical practices
The ares of clinical practice that are most commonly involved in perinatal patient harm are -
Answers fetal assessment, labor inductions, second-stage labor management
In a high-reliability unit, the is an agreement that - Answers 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 guid
clinical practice. this organizations and agencies include - Answers AAP; American College of
Nurse -Midwives (ACNM); ACOG; ASA; AWHONN; CDC;FDA; JCAHO
According to ACOG (2009) misoprostol is not recommended for women - Answers attempting
VBAC
Elective labor induction should not occur prior to - Answers 39 completed weeks gestation
According to ACOG (2009), the preferred method of fetal assessment during labor for woman
with high-risk conditions are - Answers electronic fetal monitoring
Second stage pushing should be initiated when _______ or when more than 2 hrs have passed
since complete dilation for _______ women or more than 1 hr has passed since complete dilation
for _______ women. - Answers the woman feels the urge to push; nulliparous; multiparous
ACOG and Association of Women's Health, Obstetric and Neonatal Nurse (AWHONN)
recommend use of the _________ definitions for fetal assessment during labor. - Answers NICHD
Triage of pregnant women who present for care should be based on guidelines from the _______.
- Answers EMTALA
Communication between patients and health care providers can be protective against _________.
- Answers lawsuits/ litigation/ suits
, During clinical emergencies, the timing of medical record documentation is often - Answers
retrospective
The practice of duplicate documentation on the fetal monitoring strip and the medical record is
__________, and it contributes to ____________. - Answers outdated; error
A serious adverts event is defined by TJC as a _________. - Answers sentinel event
The recommended nurse to nurse ration during oxytocin administration is: - Answers 1:1
What happens to maternal PaO2 and PaCO2 levels during pregnancy - Answers PaO2 increases
and PaCO2 decreases
The slight pH that occurs during pregnancy is due to - Answers an increase in ventilatory rate
During pregnancy, serum urea and creatine levels - Answers decrease
Which of the following coagulation factors does not increase during pregnancy - Answers
platelets
Which of the following increases during pregnancy
a. colloid oncotic pressure
b. glomerular filtration rate
c. serum osmolality - Answers b. glomerular filtration rate
The respiratory system parameter that decreases during pregnancy is the - Answers functional
residual capacity
metabolic change characteristic of late pregnancy is decreases - Answers insulin sensitivity
cardiac output during pregnancy increases to approximately - Answers 30-50%
the volume of the maternal auto transfusion immediately after birth is approximately - Answers
1,000 ml
by 28-34 weeks gestation in a normal pregnancy, blood volume has increased by - Answers 30-
50%
Metabolic changes are characterized by _______ during the first half of pregnancy and _________
during the second half. - Answers anabolism; catabolism
The greater increase in plasma volume than in red blood cell volume results in ___________. -
Answers hemodilution
Maternal weight gain during the first half of pregnancy is primarily due to changes in the weight