AWHONN Perinatal Nursing Item Bank Questions and answers 2025.

AWHONN Perinatal Nursing Item Bank
Questions and answers 2025




Inpatient .obstetric .care .results .in .approximately .what .percentage .of .malpractice
.claims .in .obstetrics .and .gynecology?




a. .25%
b. .50%
c. .70% .- .CORRECT .ANSWER-b. .50%


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 .- .CORRECT .ANSWER-
a. .American .Nurses .Association .Code .of .Ethics .for .Nurses


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 .- .CORRECT
.ANSWER-a. .is .often .directly .linked .to .clinical .practice .issues




The .best .approach .for .addressing .disruptive .clinician .behavior .is


a. .immediate .intervention
b. .monitoring .trends

,c. .peer .review .- .CORRECT .ANSWER-a. .immediate .intervention


Successful .defense .of .malpractice .claims .is .enhanced .by .following:


a. .community .standards
b. .national .professional .standards
c. .trends .in .practice .- .CORRECT .ANSWER-b. .national .professional .standards


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 .- .CORRECT .ANSWER-a. .a .root-cause .analysis .should .be
.conducted




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 .- .CORRECT .ANSWER-c.
.unanticipated .death .of .a .full .turn .infant




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 .- .CORRECT .ANSWER-c. .review
.potentially .contributing .systems




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 .- .CORRECT .ANSWER-a. .adequate
.medical .record .documentation

,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 .- .CORRECT .ANSWER-a. .include
.near .misses .with .potential .for .adverse .outcomes




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 .- .CORRECT .ANSWER-b. .discussed .with .the
.patient's .family




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 .- .CORRECT .ANSWER-a. .consults .with
.another .physician .in .the .unit




Outcome .measures .of .patient .safety .include


a. .how .care .is .delivered
b. .policies .and .procedures
c. .rates .of .maternal .morbidity .and .mortality .- .CORRECT .ANSWER-c. .rates .of
.maternal .morbidity .and .mortality




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 .- .CORRECT .ANSWER-c. .unit .protocols


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 .- .CORRECT .ANSWER-a.
.how .tachysystole .is .identified .and .treated
Process .measures .of .patient .safety .include


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 .-
.CORRECT .ANSWER-a. .focus .groups




According .to .ACOG .(2009) .misoprostol .is .not .recommended .for .women .who
.are:




a. .nulliparous .
b. .hypertensive
c. .attempting .VBAC .- .CORRECT .ANSWER-c. .attempting .VBAC


Second-state .pushing .should .be .initiated .when ._____________
or .when .more .than .2 .hours .have .passed .since .complete .dilation .for
.____________ .women .or .more .than .1 .hour .has .passed .since .complete .dilation
.for .___________women




a. .the .woman .feels .the .urge .to .push; .nulliparous; .multiparous
b. .the .women .feels .the .urge .to .void; .multiparous; .nulliparous
c. .the .woman .has .an .epidural; .nulliparous, .multiparous .- .CORRECT .ANSWER-a.
.the .woman .feels .the .urge .to .push; .nulliparous; .multiparous




Triage .for .a .pregnant .women .who .present .for .care .should .be .based .on
.guidelines .from




a. .AWHONN
b. .EMTALA
C. .ACOG .- .CORRECT .ANSWER-b. .EMTALA


A .25-year-old .Vietnamese .woman .admitted .to .the .birthing .unit .requests .that .her
.husband .stay .in .the .waiting .area .until .after .she .gives .birth. .The .appropriate
.response .is .based .on .the .nurse's .knowledge .that: .