AWHONN Perinatal Nursing Item Bank
Questions Complete With Correct
Answers
\.Inpatient obstetric care results in approximately what percentage of malpractice claims in
obstetrics and gynecology?
a. 25%
b. 50%
c. 70% - 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 - 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 - 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 - Answer-✔a. immediate intervention
\.Successful defense of malpractice claims is enhanced by following:
a. community standards
b. national professional standards
c. trends in practice - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - Answer-✔a. how tachysystole is
identified and treated
Process measures of patient safety include
Questions Complete With Correct
Answers
\.Inpatient obstetric care results in approximately what percentage of malpractice claims in
obstetrics and gynecology?
a. 25%
b. 50%
c. 70% - 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 - 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 - 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 - Answer-✔a. immediate intervention
\.Successful defense of malpractice claims is enhanced by following:
a. community standards
b. national professional standards
c. trends in practice - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - Answer-✔a. how tachysystole is
identified and treated
Process measures of patient safety include
