AWHONN Perinatal Nursing Item Bank Questions (multiple choice questions only) with Correct Answers

AWHONN Perinatal Nursing Item Bank Questions (multiple choice questions only) with Correct Answers b. 50% - Inpatient obstetric care results in approximately what percentage of malpractice claims in obstetrics and gynecology? a. 25% b. 50% c. 70% a. American Nurses Association Code of Ethics for Nurses - Guidance for ethical nursing care is provided by the: a. American Nurses Association Code of Ethics for Nurses b. American Academy of Pediatrics (AAP) & American College of Obstetricians and Gynecologists (ACOG) Guidelines for Perinatal Care c. American Medical Association Code of Medical Ethics 2 | P a g e Katelyn Whitman© 2025, All Rights Reserved. a. is often directly linked to clinical practice issues - Disruptive clinician behavior: a. is often directly linked to clinical practice issues b. rarely involves clinical practice issues c. should be handled separately from clinical practice issues a. immediate intervention - The best approach for addressing disruptive clinician behavior is a. immediate intervention b. monitoring trends c. peer review b. national professional standards - Successful defense of malpractice claims is enhanced by following: a. community standards b. national professional standards c. trends in practice 3 | P a g e Katelyn Whitman© 2025, All Rights Reserved. a. a root-cause analysis should be conducted - When a sentinel event occurs, according to The joint Commission (TJC), a. a root-cause analysis should be conducted b. it must be reported to TJC within 60 days c. those involved should be placed on administrative leave pending an investigation c. unanticipated death of a full turn infant - Based on TJC criteria, which of the following clinical situations is a sentinel event? a. any unexplained adverse occurrence b. birth of a baby with previously undiagnosed congenital abnormalities c. unanticipated death of a full turn infant c. review potentially contributing systems - The purpose of the root-cause analysis process is to a. determine fault of the healthcare provider or hospital b. examine institutional liability c. review potentially contributing systems 4 | P a g e Katelyn Whitman© 2025, All Rights Reserved. a. adequate medical record documentation - Professional nursing liability is most commonly increased by the absence of a. adequate medical record documentation b. annual competency validation c. current unit policies and procedures a. include near misses with potential for adverse outcomes - An incident- management program will a. include near misses with potential for adverse outcomes b. identify and discipline those at fault c. increase institutional and nursing liablity b. discussed with the patient's family - Nurse/physician difference of opinion about patient management should be a. considered unprofessional behavior b. discussed with the patient's family c. focused on the issue in question 5 | P a g e Katelyn Whitman© 2025, All Rights Reserved. a. consults with another physician in the unit - Despite repeated requests to a physician to come to the bedside to evaluate a deteriorating maternal condition, the physician has failed to respond. the nurse appropriately a. consults with another physician in the unit b. institutes the chain of command/chain of consultation c. provides the intervention indicated c. rates of maternal morbidity and mortality - Outcome measures of patient safety include a. how care is delivered b. policies and procedures c. rates of maternal morbidity and mortality c. unit protocols - Structure measures of patient safety include a. the number of elective inductions of labor prior to 39 competed weeks gestation b. the rates of third and fourth degree laceration c. unit protocols 6 | P a g e Katelyn Whitman© 2025, All Rights Reserved. a. how tachysystole is identified and treated Process measures of patient safety include - a. how tachysystole is identified and treated b. number of nurses who are certified in fetal monitoring c. rate of cesarean birth for indeterminate fetal status a. focus groups - Qualitative measures of patient safety include a. focus groups b. number of sentinel events per year c. policies and procedures consistent with national standards and guidelines c. attempting VBAC - According to ACOG (2009) misoprostol is not recommended for women who are: a. nulliparous b. hypertensive c. attempting VBAC a. the woman feels the urge to push; nulliparous; multiparous - Second-state pushing should be initiated when ____________