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Exam (elaborations)

AWHONN PEOP Perinatal Final Review 2024 Questions and Answers

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AWHONN PEOP Perinatal Final Review 2024 Questions and Answers Swiss cheese is often used as the paradigm for explaining medical error. In this model, the holes in the cheese represent - ANSWER-latent weaknesses You are assigned to a patient who is at 38 weeks and 6 days gestation. She is being ...

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  • October 29, 2024
  • 57
  • 2024/2025
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  • Questions & answers
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©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




AWHONN PEOP Perinatal Final Review

2024 Questions and Answers


Swiss cheese is often used as the paradigm for explaining medical error. In this model, the holes in the

cheese represent - ANSWER✔✔-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 - ANSWER✔✔-normalization of deviance


Which of the following has been noted among the top three root causes of sentinel events for over 10

years? - ANSWER✔✔-Communication


A shared understanding of what is going on and what is likely to happen next is known as - ANSWER✔✔-

situational awareness




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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 - ANSWER✔✔-a sentinel event


Which tool is used when an adverse event has occurred to identify variations in performance that led to

the outcome? - ANSWER✔✔-Root cause analysis


Yearly objectives developed by The Joint Commission that focus on problems in healthcare safety are

known as - ANSWER✔✔-National Patient Safety Goals


The Perinatal Care Core Measures include all of the following EXCEPT - ANSWER✔✔-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 - ANSWER✔✔-Standards of Care


Position statements are recommendations for - 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 - ANSWER✔✔-near miss


All of the following are elements of good documentation EXCEPT - ANSWER✔✔-inclusion of nursing

opinion as to causes of error



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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? -

ANSWER✔✔-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? - 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 - ANSWER✔✔-institute the

chain of communication


Team training is an effective risk management strategy because it - ANSWER✔✔-outlines effective

communication tools and techniques


One of the leading causes of obstetric liability is - ANSWER✔✔-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)? - ANSWER✔✔-Magnesium sulfate and oxytocin



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Successful defense against malpractice claims is enhanced by which of the following? - ANSWER✔✔-

Following national professional standards


The innermost layer of the uterus is called the - ANSWER✔✔-endometrium


Fertilization occurs in the - ANSWER✔✔-fallopian tube


During the proliferative phase of the menstrual cycle, which is NOT true? - ANSWER✔✔-Menstruation

occurs


The corpus luteum produces ___________ to prepare the uterus to nurture the fertilized egg. -

ANSWER✔✔-progesterone


In the early menstrual cycle phase, which gland sends a signal telling the ovaries to prepare to release an

egg? - ANSWER✔✔-Pituitary


After ovulation, the ovarian follicle produces - ANSWER✔✔-progesterone


Implantation of a fertilized ovum occurs ______ days after ovulation. - ANSWER✔✔-7-10


Average viability for male sperm within the female reproductive tract is - ANSWER✔✔-2-3 days


For a healthy, 30-year-old woman, the chance of conception is approximately __ per cycle. -

ANSWER✔✔-20%




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