AWHONN NEONATAL TEST PAPER
COMPLETE QUESTIONS AND ACCURATE
ANSWERS PREMIUM REVIEW SHEET
●● 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
Answer: normalization of deviance
●● Which of the following has been noted among the top three root
causes of sentinel events for over 10 years?
Answer: Communication
●● A shared understanding of what is going on and what is likely to
happen next is known as
Answer: 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
Answer: a sentinel event
●● Which tool is used when an adverse event has occurred to identify
variations in performance that led to the outcome?
Answer: Root cause analysis
●● Yearly objectives developed by The Joint Commission that focus on
problems in healthcare safety are known as
Answer: National Patient Safety Goals
●● The Perinatal Care Core Measures include all of the following
EXCEPT
Answer: 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
Answer: Standards of Care
●● Position statements are recommendations for
,Answer: 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
Answer: near miss
●● All of the following are elements of good documentation EXCEPT
Answer: 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?
Answer: 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?
Answer: 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
Answer: institute the chain of communication
●● Team training is an effective risk management strategy because it
Answer: outlines effective communication tools and techniques
●● One of the leading causes of obstetric liability is
Answer: 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)?
Answer: Magnesium sulfate and oxytocin
●● Successful defense against malpractice claims is enhanced by which
of the following?
Answer: Following national professional standards
●● The innermost layer of the uterus is called the
Answer: endometrium
●● Fertilization occurs in the
COMPLETE QUESTIONS AND ACCURATE
ANSWERS PREMIUM REVIEW SHEET
●● 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
Answer: normalization of deviance
●● Which of the following has been noted among the top three root
causes of sentinel events for over 10 years?
Answer: Communication
●● A shared understanding of what is going on and what is likely to
happen next is known as
Answer: 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
Answer: a sentinel event
●● Which tool is used when an adverse event has occurred to identify
variations in performance that led to the outcome?
Answer: Root cause analysis
●● Yearly objectives developed by The Joint Commission that focus on
problems in healthcare safety are known as
Answer: National Patient Safety Goals
●● The Perinatal Care Core Measures include all of the following
EXCEPT
Answer: 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
Answer: Standards of Care
●● Position statements are recommendations for
,Answer: 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
Answer: near miss
●● All of the following are elements of good documentation EXCEPT
Answer: 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?
Answer: 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?
Answer: 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
Answer: institute the chain of communication
●● Team training is an effective risk management strategy because it
Answer: outlines effective communication tools and techniques
●● One of the leading causes of obstetric liability is
Answer: 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)?
Answer: Magnesium sulfate and oxytocin
●● Successful defense against malpractice claims is enhanced by which
of the following?
Answer: Following national professional standards
●● The innermost layer of the uterus is called the
Answer: endometrium
●● Fertilization occurs in the
