AWHONN PEOP Perinatal Final Review 2022 (Answered 100% Correctly)

AWHONN PEOP Perinatal Final Review 2022 (Answered 100% Correctly) Swiss cheese is often used as the paradigm for explaining medical error. In this model, the holes in the cheese represent latent weaknesses 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. This scenario is an example of normalization of deviance Which of the following has been noted among the top three root causes of sentinel events for over 10 years? Communication A shared understanding of what is going on and what is likely to happen next is known as 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 a sentinel event Which tool is used when an adverse event has occurred to identify variations in performance that led to the outcome? Root cause analysis Yearly objectives developed by The Joint Commission that focus on problems in healthcare safety are known as National Patient Safety Goals The Perinatal Care Core Measures include all of the following EXCEPT use of the NICHD nomenclature for electronic fetal monitoring. Authoritative statements of the duties that all registered nurses, regardless of role, population, or specialty are expected to perform competently are defined Standards of Care Position statements are recommendations for 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 near miss All of the following are elements of good documentation EXCEPT inclusion of nursing opinion as to causes of error Mrs. Johnson is a primipara at 34 weeks gestation who has been admitted to your unit with increasing blood pressures. You have a discussion with the physician about her reports of headache and blurred vision. What actions should surround the documentation of this conversation in the medical record? Document the date, time, person spoken to, and objective details of what was said in the medical record. Which of the following is NOT a component of the risk reduction strategy known as closed loop communication? 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 institute the chain of communication Team training is an effective risk management strategy because it outlines effective communication tools and techniques One of the leading causes of obstetric liability is oxytocin administration leading to tachysystole Which two medications frequently used in the perinatal setting are identified as high-risk medications by the Institute for Safe Medication Practices (ISMP)? Magnesium sulfate and oxytocin Successful defense against malpractice claims is enhanced by which of the following? Following national professional standards The innermost layer of the uterus is called the endometrium Fertilization occurs in the fallopian tube During the proliferative phase of the menstrual cycle, which is NOT true? Menstruation occurs The corpus luteum produces ___________ to prepare the uterus to nurture the fertilized egg. progesterone In the early menstrual cycle phase, which gland sends a signal telling the ovaries to prepare to release an egg? Pituitary After ovulation, the ovarian follicle produces progesterone Implantation of a fertilized ovum occurs ______ days after ovulation. 7-10 Average viability for male sperm within the female reproductive tract is 2-3 days For a healthy, 30-year-old woman, the chance of conception is approximately __ per cycle. 20% The best way for a woman with a regular menstrual cycle to predict ovulation is to record the first day of the LMP and count backward 14 days Which is NOT a characteristic of ovulation in the female? Decreased basal body temperature Infertility evaluation is recommended for women less than 35 years old who have not conceived after ___ months. 6 (but I think question is incorrectly worded should be 12 months; >35 y/o is 6 months) Starting at what age does female fertility decline?