AWHONN POEP FINAL EXAM
QUESTIONS & ACTUAL CORRECT
ANSWERS ALL PASSED
Swiss cheese is often used as the paradigm for explaining medical error. In this model,
the holes in the cheese represent - CORRECT ANSWER latent weakness
Implantation of the embryo outside the uterus is called - CORRECT ANSWER ectopic
pregnancy
Full term newborns that are asymptomatic & born to a woman who was pretreated for
GBS with penicillin may be observed in the normal newborn nursery. A limited
diagnostic evaluation & antibiotic therapy is indicated in which of the following
circumstances? - CORRECT ANSWER rupture of membranes occurred 18 hours prior
to birth
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. - CORRECT
ANSWER normalization of deviance
A shared understanding of what is going on & what is likely to happen next is known as
- CORRECT ANSWER 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 - CORRECT ANSWER sentinel
event
Which tool is used when an adverse event has occurred to identify variations in
performance that led to the outcome? - CORRECT ANSWER root cause analysis
Yearly objectives developed by The Joint Commission that focus on problems in
healthcare safety are known as - CORRECT ANSWER National patient safety goals
,Authoritative statements of the duties that all registered nurses, regardless of role,
population, or specialty are expected to perform competently are defined - CORRECT
ANSWER standards of care
Position statements are recommendations for - CORRECT ANSWER 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 - CORRECT ANSWER near miss
All of the following are elements of good documentation EXCEPT - CORRECT
ANSWER inclusion of nursing opinion as to causes of error.
Which of the following is NOT a component of the risk reduction strategy known as
closed loop communication? - CORRECT ANSWER 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 - CORRECT ANSWER institute the chain of
communication.
Team training is an effective risk management strategy because it - CORRECT
ANSWER outlines effective communication tools and techniques.
Which two medications frequently used in the perinatal setting are identified as high-risk
medications by the Institute for Safe Medication Practices (ISMP)? - CORRECT
ANSWER magnesium sulfate & oxytocin
Successful defense against malpractice claims is enhanced by which of the following? -
CORRECT ANSWER Following national professional standards.
One of the MOST common and well documented risk factors for preterm labor is -
CORRECT ANSWER previous history of preterm birth
Ms. Linghu arrived at the obstetric care unit for a labor evaluation. She is 28 weeks
gestation and is complaining of a lower back ache and cramping. The physician has
asked for assistance in obtaining a sample to assess for fetal fibronectin (fFN). Which
statement about fFN is MOST accurate? - CORRECT ANSWER fFN is a strong
predictor or marker for identification of preterm labor.
A cerclage placed in women with documented shortened cervical length by ultrasound
examination is called - CORRECT ANSWER ultrasound indicated cerclage
, Current recommendations for antenatal glucocorticoid administration for acceleration of
fetal lung maturation is appropriate - CORRECT ANSWER for women at 24 0/7-33 6/7
weeks gestation at risk for preterm birth within 7 days.
Which of the following is a contraindication for magnesium sulfate administration? -
CORRECT ANSWER nifedipine
Amniotic band syndrome is associated with what complication in pregnancy? -
CORRECT ANSWER rupture of membranes
Risk factors for placenta previa include - CORRECT ANSWER previous uterine
surgery, smoking, and hypertension.
Classic signs of placenta previa are - CORRECT ANSWER painless bright red
bleeding
Clinical signs of velamentous insertion of the cord include - CORRECT ANSWER FHR
bradycardia
Mrs. Jordan has arrived to the unit for a labor evaluation. She is 39 weeks pregnant and
is complaining of continuous abdominal pain and "port wine" vaginal bleeding. She is
having high frequency, low amplitude contractions and the fetal heart pattern shows
minimal variability. You suspect that Mrs. Jordan may have a - CORRECT ANSWER
placental abruption
Couvelaire uterus is associated with what condition? - CORRECT ANSWER placental
abruption
You are caring for Mrs. Henderson, G2 P2 had a vaginal birth three hours ago. The
nursing student obtained Mrs Henderson's vital signs and reported the following: heart
rate of 124 bpm, respirations 24, temperature of 97.8°F, and blood pressure 92/62. The
nursing student also commented that Mrs. Henderson appeared "agitated." Given the
vital sign assessment that you received from the nursing student, what should you
consider? - CORRECT ANSWER Mrs Henderson may be experiencing a postpartum
hemorrhage and will need immediate further examination.
Which of the following complications may predispose a pregnant woman to
disseminated intravascular coagulopathy (DIC). (Select all that apply.) - CORRECT
ANSWER concealed placental abruption, intrauterine fetal demise, preeclampsia
An ova that is fertilized by one sperm and then divides into two zygotes results in -
CORRECT ANSWER monozygotic gestation.
Because of the decreased lower esophageal sphincter tone of pregnancy and
increasing mechanical pressure due to the rapidly growing uterus in the women
QUESTIONS & ACTUAL CORRECT
ANSWERS ALL PASSED
Swiss cheese is often used as the paradigm for explaining medical error. In this model,
the holes in the cheese represent - CORRECT ANSWER latent weakness
Implantation of the embryo outside the uterus is called - CORRECT ANSWER ectopic
pregnancy
Full term newborns that are asymptomatic & born to a woman who was pretreated for
GBS with penicillin may be observed in the normal newborn nursery. A limited
diagnostic evaluation & antibiotic therapy is indicated in which of the following
circumstances? - CORRECT ANSWER rupture of membranes occurred 18 hours prior
to birth
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. - CORRECT
ANSWER normalization of deviance
A shared understanding of what is going on & what is likely to happen next is known as
- CORRECT ANSWER 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 - CORRECT ANSWER sentinel
event
Which tool is used when an adverse event has occurred to identify variations in
performance that led to the outcome? - CORRECT ANSWER root cause analysis
Yearly objectives developed by The Joint Commission that focus on problems in
healthcare safety are known as - CORRECT ANSWER National patient safety goals
,Authoritative statements of the duties that all registered nurses, regardless of role,
population, or specialty are expected to perform competently are defined - CORRECT
ANSWER standards of care
Position statements are recommendations for - CORRECT ANSWER 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 - CORRECT ANSWER near miss
All of the following are elements of good documentation EXCEPT - CORRECT
ANSWER inclusion of nursing opinion as to causes of error.
Which of the following is NOT a component of the risk reduction strategy known as
closed loop communication? - CORRECT ANSWER 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 - CORRECT ANSWER institute the chain of
communication.
Team training is an effective risk management strategy because it - CORRECT
ANSWER outlines effective communication tools and techniques.
Which two medications frequently used in the perinatal setting are identified as high-risk
medications by the Institute for Safe Medication Practices (ISMP)? - CORRECT
ANSWER magnesium sulfate & oxytocin
Successful defense against malpractice claims is enhanced by which of the following? -
CORRECT ANSWER Following national professional standards.
One of the MOST common and well documented risk factors for preterm labor is -
CORRECT ANSWER previous history of preterm birth
Ms. Linghu arrived at the obstetric care unit for a labor evaluation. She is 28 weeks
gestation and is complaining of a lower back ache and cramping. The physician has
asked for assistance in obtaining a sample to assess for fetal fibronectin (fFN). Which
statement about fFN is MOST accurate? - CORRECT ANSWER fFN is a strong
predictor or marker for identification of preterm labor.
A cerclage placed in women with documented shortened cervical length by ultrasound
examination is called - CORRECT ANSWER ultrasound indicated cerclage
, Current recommendations for antenatal glucocorticoid administration for acceleration of
fetal lung maturation is appropriate - CORRECT ANSWER for women at 24 0/7-33 6/7
weeks gestation at risk for preterm birth within 7 days.
Which of the following is a contraindication for magnesium sulfate administration? -
CORRECT ANSWER nifedipine
Amniotic band syndrome is associated with what complication in pregnancy? -
CORRECT ANSWER rupture of membranes
Risk factors for placenta previa include - CORRECT ANSWER previous uterine
surgery, smoking, and hypertension.
Classic signs of placenta previa are - CORRECT ANSWER painless bright red
bleeding
Clinical signs of velamentous insertion of the cord include - CORRECT ANSWER FHR
bradycardia
Mrs. Jordan has arrived to the unit for a labor evaluation. She is 39 weeks pregnant and
is complaining of continuous abdominal pain and "port wine" vaginal bleeding. She is
having high frequency, low amplitude contractions and the fetal heart pattern shows
minimal variability. You suspect that Mrs. Jordan may have a - CORRECT ANSWER
placental abruption
Couvelaire uterus is associated with what condition? - CORRECT ANSWER placental
abruption
You are caring for Mrs. Henderson, G2 P2 had a vaginal birth three hours ago. The
nursing student obtained Mrs Henderson's vital signs and reported the following: heart
rate of 124 bpm, respirations 24, temperature of 97.8°F, and blood pressure 92/62. The
nursing student also commented that Mrs. Henderson appeared "agitated." Given the
vital sign assessment that you received from the nursing student, what should you
consider? - CORRECT ANSWER Mrs Henderson may be experiencing a postpartum
hemorrhage and will need immediate further examination.
Which of the following complications may predispose a pregnant woman to
disseminated intravascular coagulopathy (DIC). (Select all that apply.) - CORRECT
ANSWER concealed placental abruption, intrauterine fetal demise, preeclampsia
An ova that is fertilized by one sperm and then divides into two zygotes results in -
CORRECT ANSWER monozygotic gestation.
Because of the decreased lower esophageal sphincter tone of pregnancy and
increasing mechanical pressure due to the rapidly growing uterus in the women
