EXAM QUESTIONS & VERIFIED
CORRECT ANSWERS PASSED
"Outcome measures" of patient safety include - CORRECT ANSWER rates of maternal
morbidity and mortality
"Structure measures" of patient safety include - CORRECT ANSWER unit protocols
"Process measures" of patient safety include - CORRECT ANSWER How tachysystole
is identified and treated
"Qualitative Measures" of patient safety include - CORRECT ANSWER focus groups
Essential criteria for safe care include - CORRECT ANSWER effective leadership,
shared philosophy, professional behavior, excellence in key, clinical practices
The ares of clinical practice that are most commonly involved in perinatal patient harm
are - CORRECT ANSWER fetal assessment, labor inductions, second-stage labor
management
In a high-reliability unit, the is an agreement that - CORRECT ANSWER clinical
practice will be based on the cumulative body of evidence and national standards and
guidelines
standards and guidelines from professional organizations and regulatory agencies
should guid clinical practice. this organizations and agencies include - CORRECT
ANSWER AAP; American College of Nurse -Midwives (ACNM); ACOG; ASA;
AWHONN; CDC;FDA; JCAHO
According to ACOG (2009) misoprostol is not recommended for women - CORRECT
ANSWER attempting VBAC
Elective labor induction should not occur prior to - CORRECT ANSWER 39 completed
weeks gestation
According to ACOG (2009), the preferred method of fetal assessment during labor for
woman with high-risk conditions are - CORRECT ANSWER electronic fetal monitoring
Second stage pushing should be initiated when _______ or when more than 2 hrs have
passed since complete dilation for _______ women or more than 1 hr has passed since
, complete dilation for _______ women. - CORRECT ANSWER the woman feels the
urge to push; nulliparous; multiparous
ACOG and Association of Women's Health, Obstetric and Neonatal Nurse (AWHONN)
recommend use of the _________ definitions for fetal assessment during labor. -
CORRECT ANSWER NICHD
Triage of pregnant women who present for care should be based on guidelines from the
_______. - CORRECT ANSWER EMTALA
Communication between patients and health care providers can be protective against
_________. - CORRECT ANSWER lawsuits/ litigation/ suits
During clinical emergencies, the timing of medical record documentation is often -
CORRECT ANSWER retrospective
The practice of duplicate documentation on the fetal monitoring strip and the medical
record is __________, and it contributes to ____________. - CORRECT ANSWER
outdated; error
A serious adverts event is defined by TJC as a _________. - CORRECT ANSWER
sentinel event
The recommended nurse to nurse ration during oxytocin administration is: - CORRECT
ANSWER 1:1
What happens to maternal PaO2 and PaCO2 levels during pregnancy - CORRECT
ANSWER PaO2 increases and PaCO2 decreases
The slight pH that occurs during pregnancy is due to - CORRECT ANSWER an
increase in ventilatory rate
During pregnancy, serum urea and creatine levels - CORRECT ANSWER decrease
Which of the following coagulation factors does not increase during pregnancy -
CORRECT ANSWER platelets
Which of the following increases during pregnancy
a. colloid oncotic pressure
b. glomerular filtration rate
c. serum osmolality - CORRECT ANSWER b. glomerular filtration rate
The respiratory system parameter that decreases during pregnancy is the - CORRECT
ANSWER functional residual capacity