AWHONN Perinatal Nursing- MNN|2023 LATEST UPDATE|GUARANTEED SUCCESS

"Outcome measures" of patient safety include rates of maternal morbidity and mortality "Structure measures" of patient safety include unit protocols "Process measures" of patient safety include How tachysystole is identified and treated "Qualitative Measures" of patient safety include focus groups Essential criteria for safe care include 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 fetal assessment, labor inductions, second-stage labor management In a high-reliability unit, the is an agreement that 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 AAP; American College of Nurse -Midwives (ACNM); ACOG; ASA; AWHONN; CDC;FDA; JCAHO According to ACOG (2009) misoprostol is not recommended for women attempting VBAC Elective labor induction should not occur prior to 39 completed weeks gestation According to ACOG (2009), the preferred method of fetal assessment during labor for woman with high-risk conditions are 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. 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. NICHD Triage of pregnant women who present for care should be based on guidelines from the _______. EMTALA Communication between patients and health care providers can be protective against _________. lawsuits/ litigation/ suits During clinical emergencies, the timing of medical record documentation is often retrospective The practice of duplicate documentation on the fetal monitoring strip and the medical record is __________, and it contributes to ____________. outdated; error A serious adverts event is defined by TJC as a _________. sentinel event The recommended nurse to nurse ration during oxytocin administration is: 1:1 What happens to maternal PaO2 and PaCO2 levels during pregnancy PaO2 increases and PaCO2 decreases The slight pH that occurs during pregnancy is due to an increase in ventilatory rate During pregnancy, serum urea and creatine levels decrease Which of the following coagulation factors does not increase during pregnancy platelets Which of the following increases during pregnancy a. colloid oncotic pressure b. glomerular filtration rate c. serum osmolality b. glomerular filtration rate The respiratory system parameter that decreases during pregnancy is the functional residual capacity metabolic change characteristic of late pregnancy is decreases insulin sensitivity cardiac output during pregnancy increases to approximately 30-50% the volume of the maternal auto transfusion immediately after birth is approximately 1,000 ml by 28-34 weeks gestation in a normal pregnancy, blood volume has increased by 30-50% Metabolic changes are characterized by _______ during the first half of pregnancy and _________ during the second half. anabolism; catabolism The greater increase in plasma volume than in red blood cell volume results in ___________. hemodilution Maternal weight gain during the first half of pregnancy is primarily due to changes in the weight of the ___________. mother Both maternal metabolic rate and thyroid hormone levels ___________ during pregnancy. increases The primary determinant of volume hemostasis is ____________. renal sodium The renal clearance of many substances is increased during pregnancy due to the ___________. increased glomerular filtration rate Normal stretching of the skin and hormonal changes during gestation may produce "stretch marks" that are called _________. striae gravidarum The hormone released from the anterior pituitary that is responsible for initiating lactation is _________. prolactin The increased maternal intestinal absorption of calcium is due to increased _______. Vitamin D (or calciferol) Compared to non pregnant women, a pregnant woman is the third trimester has a _________ initial fasting glucose. lower The hormone responsible for maintaining progesterone and estrogen production by the ovaries until the placenta is established is ___________. Hcg Human chorionic gonadotropin Placental production of the hormone __________ requires interaction of the mother, fetus, and placenta. estriol Increase in plasma volume and red cell mass result in an increase in __________ during pregnancy. blood volume Cardiac output progressively decreases postpartum and returns to non pregnant levels by _________. 6-12 weeks postpartum The __________ accommodates one third of the additional maternal blood volume at term. uterus The hormone _________ produces relaxation of smooth muscle and vasodilation. progesterone BP reaches it lowest point at _______ weeks. 24-32 During pregnancy, the woman become resistant to the pressor effects of _________. angiotensin II Pregnant is considered a _________ state due to the increases of several essential coagulation factors. hyper coagulable The pregnant woman is at increased risk fo venous thrombus formation due to ________ and _______. coagulation changes; venus stasis ________ are potent vasodilators that affect smooth muscle contractility and play an important role in labor onset, myocetrial contractility, and cervical ripening. prostaglandins