AWHONN PEOP Perinatal Final Review Questions
With Correct Answers
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? |- |✔✔32
Which |is |NOT |a |symptom |of |polycystic |ovarian |syndrome? |- |✔✔Painful |periods
What |is |the |best |way |to |confirm |the |diagnosis |of |endometriosis? |- |✔✔Laparoscopy
At |ovulation, |the |cervical |mucus |becomes |clear |and |stretchy. |This |facilitates |- |✔✔sperm |to |pass |through
|the |cervical |canal
Which |of |the |following |uterine |abnormalities |may |be |surgically |corrected |to |improve |fertility? |-
|✔✔All |the |above |(Endometrial |polyps, |Myomas, |Uterine |septum)
Which |test |is |the |best |predictor |of |a |woman's |ovarian |reserve? |- |✔✔Antral |follicle |count
When |is |the |best |time |of |the |menstrual |cycle |to |perform |hysterosalpingography? |- |✔✔Day |7-12
Standards |for |semen |analysis |have |been |designated |to |maintain |consistency |and |quality |control |by |-
✔✔World |Health |Organization
Pregnancy |outcomes |associated |with |ART |include |- |✔✔all |the |above |(early |pregnancy |loss,
multiple |gestation |pregnancy,
|
preterm |birth)
With Correct Answers
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? |- |✔✔32
Which |is |NOT |a |symptom |of |polycystic |ovarian |syndrome? |- |✔✔Painful |periods
What |is |the |best |way |to |confirm |the |diagnosis |of |endometriosis? |- |✔✔Laparoscopy
At |ovulation, |the |cervical |mucus |becomes |clear |and |stretchy. |This |facilitates |- |✔✔sperm |to |pass |through
|the |cervical |canal
Which |of |the |following |uterine |abnormalities |may |be |surgically |corrected |to |improve |fertility? |-
|✔✔All |the |above |(Endometrial |polyps, |Myomas, |Uterine |septum)
Which |test |is |the |best |predictor |of |a |woman's |ovarian |reserve? |- |✔✔Antral |follicle |count
When |is |the |best |time |of |the |menstrual |cycle |to |perform |hysterosalpingography? |- |✔✔Day |7-12
Standards |for |semen |analysis |have |been |designated |to |maintain |consistency |and |quality |control |by |-
✔✔World |Health |Organization
Pregnancy |outcomes |associated |with |ART |include |- |✔✔all |the |above |(early |pregnancy |loss,
multiple |gestation |pregnancy,
|
preterm |birth)
