AWHONN POEP FINAL EXAM UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Swiss cheese is often used as the paradigm for explaining medical error. In this model, the holes
in the cheese represent - CORRECT ANSWER - latent weakness
Implantation of the embryo outside the uterus is called - CORRECT ANSWER - ectopic
pregnancy
Full term newborns that are asymptomatic & born to a woman who was pretreated for GBS with
penicillin may be observed in the normal newborn nursery. A limited diagnostic evaluation &
antibiotic therapy is indicated in which of the following circumstances? - CORRECT
ANSWER - rupture of membranes occurred 18 hours prior to birth
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. - CORRECT ANSWER - normalization of deviance
A shared understanding of what is going on & what is likely to happen next is known as -
CORRECT 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 - CORRECT ANSWER - sentinel event
Which tool is used when an adverse event has occurred to identify variations in
performance that led to the outcome? - CORRECT ANSWER - root cause analysis
,Yearly objectives developed by The Joint Commission that focus on problems in healthcare
safety are known as - CORRECT ANSWER - National patient safety goals
Authoritative statements of the duties that all registered nurses, regardless of role, population, or
specialty are expected to perform competently are defined - CORRECT ANSWER -
standards of care
Position statements are recommendations for - CORRECT 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 - CORRECT ANSWER - near miss
All of the following are elements of good documentation EXCEPT - CORRECT
ANSWER - inclusion of nursing opinion as to causes of error.
Which of the following is NOT a component of the risk reduction strategy known as closed loop
communication? - CORRECT 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 -
CORRECT ANSWER - institute the chain of communication.
Team training is an effective risk management strategy because it - CORRECT
ANSWER - outlines effective communication tools and techniques.
Which two medications frequently used in the perinatal setting are identified as high-risk
medications by the Institute for Safe Medication Practices (ISMP)? - CORRECT
ANSWER - magnesium sulfate & oxytocin
, Successful defense against malpractice claims is enhanced by which of the following? -
CORRECT ANSWER - Following national professional standards.
One of the MOST common and well documented risk factors for preterm labor is - CORRECT
ANSWER - previous history of preterm birth
Ms. Linghu arrived at the obstetric care unit for a labor evaluation. She is 28 weeks gestation and
is complaining of a lower back ache and cramping. The physician has asked for assistance in
obtaining a sample to assess for fetal fibronectin (fFN). Which statement about fFN is MOST
accurate? - CORRECT ANSWER - fFN is a strong predictor or marker for identification
of preterm labor.
A cerclage placed in women with documented shortened cervical length by ultrasound
examination is called - CORRECT ANSWER - ultrasound indicated cerclage
Current recommendations for antenatal glucocorticoid administration for acceleration of fetal
lung maturation is appropriate - CORRECT ANSWER - for women at 24 0/7-33 6/7
weeks gestation at risk for preterm birth within 7 days.
Which of the following is a contraindication for magnesium sulfate administration? - CORRECT
ANSWER - nifedipine
Amniotic band syndrome is associated with what complication in pregnancy? - CORRECT
ANSWER - rupture of membranes
Risk factors for placenta previa include - CORRECT ANSWER - previous uterine surgery,
smoking, and hypertension.
Classic signs of placenta previa are - CORRECT ANSWER - painless bright red bleeding
ACTUAL Exam Questions and CORRECT
Answers
Swiss cheese is often used as the paradigm for explaining medical error. In this model, the holes
in the cheese represent - CORRECT ANSWER - latent weakness
Implantation of the embryo outside the uterus is called - CORRECT ANSWER - ectopic
pregnancy
Full term newborns that are asymptomatic & born to a woman who was pretreated for GBS with
penicillin may be observed in the normal newborn nursery. A limited diagnostic evaluation &
antibiotic therapy is indicated in which of the following circumstances? - CORRECT
ANSWER - rupture of membranes occurred 18 hours prior to birth
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. - CORRECT ANSWER - normalization of deviance
A shared understanding of what is going on & what is likely to happen next is known as -
CORRECT 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 - CORRECT ANSWER - sentinel event
Which tool is used when an adverse event has occurred to identify variations in
performance that led to the outcome? - CORRECT ANSWER - root cause analysis
,Yearly objectives developed by The Joint Commission that focus on problems in healthcare
safety are known as - CORRECT ANSWER - National patient safety goals
Authoritative statements of the duties that all registered nurses, regardless of role, population, or
specialty are expected to perform competently are defined - CORRECT ANSWER -
standards of care
Position statements are recommendations for - CORRECT 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 - CORRECT ANSWER - near miss
All of the following are elements of good documentation EXCEPT - CORRECT
ANSWER - inclusion of nursing opinion as to causes of error.
Which of the following is NOT a component of the risk reduction strategy known as closed loop
communication? - CORRECT 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 -
CORRECT ANSWER - institute the chain of communication.
Team training is an effective risk management strategy because it - CORRECT
ANSWER - outlines effective communication tools and techniques.
Which two medications frequently used in the perinatal setting are identified as high-risk
medications by the Institute for Safe Medication Practices (ISMP)? - CORRECT
ANSWER - magnesium sulfate & oxytocin
, Successful defense against malpractice claims is enhanced by which of the following? -
CORRECT ANSWER - Following national professional standards.
One of the MOST common and well documented risk factors for preterm labor is - CORRECT
ANSWER - previous history of preterm birth
Ms. Linghu arrived at the obstetric care unit for a labor evaluation. She is 28 weeks gestation and
is complaining of a lower back ache and cramping. The physician has asked for assistance in
obtaining a sample to assess for fetal fibronectin (fFN). Which statement about fFN is MOST
accurate? - CORRECT ANSWER - fFN is a strong predictor or marker for identification
of preterm labor.
A cerclage placed in women with documented shortened cervical length by ultrasound
examination is called - CORRECT ANSWER - ultrasound indicated cerclage
Current recommendations for antenatal glucocorticoid administration for acceleration of fetal
lung maturation is appropriate - CORRECT ANSWER - for women at 24 0/7-33 6/7
weeks gestation at risk for preterm birth within 7 days.
Which of the following is a contraindication for magnesium sulfate administration? - CORRECT
ANSWER - nifedipine
Amniotic band syndrome is associated with what complication in pregnancy? - CORRECT
ANSWER - rupture of membranes
Risk factors for placenta previa include - CORRECT ANSWER - previous uterine surgery,
smoking, and hypertension.
Classic signs of placenta previa are - CORRECT ANSWER - painless bright red bleeding
