AWHONN POEP FINAL EXAM
QUESTIONS AND VERIFIED CORRECT
SOLUTIONS || 100% GUARANTEED PASS
BRAND NEW VERSION
Swiss cheese is often used as the paradigm for explaining medical error. In this model,
the holes in the cheese represent -ANSWER✅✅✅✅latent weakness
Implantation of the embryo outside the uterus is called -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? -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. -
ANSWER✅✅✅✅normalization of deviance
A shared understanding of what is going on & 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✅✅✅✅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
,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.
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.
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 & oxytocin
Successful defense against malpractice claims is enhanced by which of the following? -
ANSWER✅✅✅✅Following national professional standards.
One of the MOST common and well documented risk factors for preterm labor is -
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? -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 -ANSWER✅✅✅✅ultrasound indicated cerclage
Current recommendations for antenatal glucocorticoid administration for acceleration of
fetal lung maturation is appropriate -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? -
ANSWER✅✅✅✅nifedipine
Amniotic band syndrome is associated with what complication in pregnancy? -
ANSWER✅✅✅✅rupture of membranes
Risk factors for placenta previa include -ANSWER✅✅✅✅previous uterine surgery,
smoking, and hypertension.
Classic signs of placenta previa are -ANSWER✅✅✅✅painless bright red bleeding
Clinical signs of velamentous insertion of the cord include -ANSWER✅✅✅✅FHR
bradycardia
Mrs. Jordan has arrived to the unit for a labor evaluation. She is 39 weeks pregnant and
is complaining of continuous abdominal pain and "port wine" vaginal bleeding. She is
having high frequency, low amplitude contractions and the fetal heart pattern shows
minimal variability. You suspect that Mrs. Jordan may have a -
ANSWER✅✅✅✅placental abruption
Couvelaire uterus is associated with what condition? -ANSWER✅✅✅✅placental
abruption
You are caring for Mrs. Henderson, G2 P2 had a vaginal birth three hours ago. The
nursing student obtained Mrs Henderson's vital signs and reported the following: heart
rate of 124 bpm, respirations 24, temperature of 97.8°F, and blood pressure 92/62. The
nursing student also commented that Mrs. Henderson appeared "agitated." Given the
vital sign assessment that you received from the nursing student, what should you
consider? -ANSWER✅✅✅✅Mrs Henderson may be experiencing a postpartum
hemorrhage and will need immediate further examination.
Which of the following complications may predispose a pregnant woman to
disseminated intravascular coagulopathy (DIC). (Select all that apply.) -
ANSWER✅✅✅✅concealed placental abruption, intrauterine fetal demise,
preeclampsia
An ova that is fertilized by one sperm and then divides into two zygotes results in -
ANSWER✅✅✅✅monozygotic gestation.
, Because of the decreased lower esophageal sphincter tone of pregnancy and
increasing mechanical pressure due to the rapidly growing uterus in the women
pregnant with multiples, she is at risk for -ANSWER✅✅✅✅gastroesophageal reflux.
Which feature is recommended when monitoring twin gestations to differentiate
between fetal heart rates and maternal heart rate? -ANSWER✅✅✅✅maternal pulse
oximetry
Karen, G1P0, 34 weeks gestation with twins presents to the OB triage with complaints
of severe itching on her hands and feet. Your first suspicion is that Karen may have -
ANSWER✅✅✅✅intrahepatic cholestasis.
The MOST common postpartum complication for mothers with higher-order multiples is
-ANSWER✅✅✅✅postpartum hemorrhage
Roberta, a 29 year-old, G3P2, arrives in the OB triage. Her significant other Jose
reported Roberta's complaints of severe heartburn. He shared that the pain started after
they had lunch. You noticed Roberta was not speaking for herself. What would your
next course of action be? -ANSWER✅✅✅✅Ask Roberta what her preferred spoken
language is and provide an interpreter as needed.
Tammy, a 32 year-old, G2P1 with chronic hypertension, is being seen in the OB triage
with complaints of an unrelieved headache after taking acetaminophen. The provider
order labs including uric acid. The uric acid result was 4.5-6.0 mg/dL. -
ANSWER✅✅✅✅tammy may have superimposed preeclampsia
Proteinuria may indicate worsening underlying renal disease or preeclampsia when 24-
hour urine levels exceed -ANSWER✅✅✅✅300 mg/dL
Treating hypertension with vasodilating agents during pregnancy may be associated
with -ANSWER✅✅✅✅decreased uteroplacental blood flow.
Sandy, a new nurse to the L&D unit, asks you why the provider ordered a 24-hour urine
for protein when you have the supplies needed on the unit to perform a urine dip stick
for protein. Your best response is? -ANSWER✅✅✅✅There is potential for a high
false-positive when performing a urine dipstick for protein.
You are caring for Tish, a 32 year-old G4P3 who was admitted to the antepartum unit
with gestational hypertension. Antihypertensive therapy was initiated four hours ago.
Tish current vital signs are BP 144/92 mm Hg, heart rate 122 bpm, respirations 22 bpm,
temperature 98.9°F. Given Tish's current vital signs, what could potentially be
happening? -ANSWER✅✅✅✅Because of the tachycardia, Tish may be experiencing
decreased cardiac output and pulmonary edema.
QUESTIONS AND VERIFIED CORRECT
SOLUTIONS || 100% GUARANTEED PASS
BRAND NEW VERSION
Swiss cheese is often used as the paradigm for explaining medical error. In this model,
the holes in the cheese represent -ANSWER✅✅✅✅latent weakness
Implantation of the embryo outside the uterus is called -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? -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. -
ANSWER✅✅✅✅normalization of deviance
A shared understanding of what is going on & 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✅✅✅✅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
,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.
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.
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 & oxytocin
Successful defense against malpractice claims is enhanced by which of the following? -
ANSWER✅✅✅✅Following national professional standards.
One of the MOST common and well documented risk factors for preterm labor is -
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? -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 -ANSWER✅✅✅✅ultrasound indicated cerclage
Current recommendations for antenatal glucocorticoid administration for acceleration of
fetal lung maturation is appropriate -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? -
ANSWER✅✅✅✅nifedipine
Amniotic band syndrome is associated with what complication in pregnancy? -
ANSWER✅✅✅✅rupture of membranes
Risk factors for placenta previa include -ANSWER✅✅✅✅previous uterine surgery,
smoking, and hypertension.
Classic signs of placenta previa are -ANSWER✅✅✅✅painless bright red bleeding
Clinical signs of velamentous insertion of the cord include -ANSWER✅✅✅✅FHR
bradycardia
Mrs. Jordan has arrived to the unit for a labor evaluation. She is 39 weeks pregnant and
is complaining of continuous abdominal pain and "port wine" vaginal bleeding. She is
having high frequency, low amplitude contractions and the fetal heart pattern shows
minimal variability. You suspect that Mrs. Jordan may have a -
ANSWER✅✅✅✅placental abruption
Couvelaire uterus is associated with what condition? -ANSWER✅✅✅✅placental
abruption
You are caring for Mrs. Henderson, G2 P2 had a vaginal birth three hours ago. The
nursing student obtained Mrs Henderson's vital signs and reported the following: heart
rate of 124 bpm, respirations 24, temperature of 97.8°F, and blood pressure 92/62. The
nursing student also commented that Mrs. Henderson appeared "agitated." Given the
vital sign assessment that you received from the nursing student, what should you
consider? -ANSWER✅✅✅✅Mrs Henderson may be experiencing a postpartum
hemorrhage and will need immediate further examination.
Which of the following complications may predispose a pregnant woman to
disseminated intravascular coagulopathy (DIC). (Select all that apply.) -
ANSWER✅✅✅✅concealed placental abruption, intrauterine fetal demise,
preeclampsia
An ova that is fertilized by one sperm and then divides into two zygotes results in -
ANSWER✅✅✅✅monozygotic gestation.
, Because of the decreased lower esophageal sphincter tone of pregnancy and
increasing mechanical pressure due to the rapidly growing uterus in the women
pregnant with multiples, she is at risk for -ANSWER✅✅✅✅gastroesophageal reflux.
Which feature is recommended when monitoring twin gestations to differentiate
between fetal heart rates and maternal heart rate? -ANSWER✅✅✅✅maternal pulse
oximetry
Karen, G1P0, 34 weeks gestation with twins presents to the OB triage with complaints
of severe itching on her hands and feet. Your first suspicion is that Karen may have -
ANSWER✅✅✅✅intrahepatic cholestasis.
The MOST common postpartum complication for mothers with higher-order multiples is
-ANSWER✅✅✅✅postpartum hemorrhage
Roberta, a 29 year-old, G3P2, arrives in the OB triage. Her significant other Jose
reported Roberta's complaints of severe heartburn. He shared that the pain started after
they had lunch. You noticed Roberta was not speaking for herself. What would your
next course of action be? -ANSWER✅✅✅✅Ask Roberta what her preferred spoken
language is and provide an interpreter as needed.
Tammy, a 32 year-old, G2P1 with chronic hypertension, is being seen in the OB triage
with complaints of an unrelieved headache after taking acetaminophen. The provider
order labs including uric acid. The uric acid result was 4.5-6.0 mg/dL. -
ANSWER✅✅✅✅tammy may have superimposed preeclampsia
Proteinuria may indicate worsening underlying renal disease or preeclampsia when 24-
hour urine levels exceed -ANSWER✅✅✅✅300 mg/dL
Treating hypertension with vasodilating agents during pregnancy may be associated
with -ANSWER✅✅✅✅decreased uteroplacental blood flow.
Sandy, a new nurse to the L&D unit, asks you why the provider ordered a 24-hour urine
for protein when you have the supplies needed on the unit to perform a urine dip stick
for protein. Your best response is? -ANSWER✅✅✅✅There is potential for a high
false-positive when performing a urine dipstick for protein.
You are caring for Tish, a 32 year-old G4P3 who was admitted to the antepartum unit
with gestational hypertension. Antihypertensive therapy was initiated four hours ago.
Tish current vital signs are BP 144/92 mm Hg, heart rate 122 bpm, respirations 22 bpm,
temperature 98.9°F. Given Tish's current vital signs, what could potentially be
happening? -ANSWER✅✅✅✅Because of the tachycardia, Tish may be experiencing
decreased cardiac output and pulmonary edema.
