AWHONN Perinatal Nursing Item Bank Questions multiple

AWHONN Perinatal Nursing Item Bank Questions (multiple choice questions only) well Answered

• 50% - Correct Answer Inpatient obstetric care results in approximately what percentage of

malpractice claims in obstetrics and gynecology?

• 25%
• 50%
• 70%
• American Nurses Association Code of Ethics for Nurses - Correct Answer Guidance for ethical nursing

care is provided by the:

• American Nurses Association Code of Ethics for Nurses
• American Academy of Pediatrics (AAP) & American College of Obstetricians and Gynecologists (ACOG)

Guidelines for Perinatal Care

• American Medical Association Code of Medical Ethics
• is often directly linked to clinical practice issues - Correct Answer Disruptive clinician behavior:
• is often directly linked to clinical practice issues
• rarely involves clinical practice issues
• should be handled separately from clinical practice issues
• immediate intervention - Correct Answer The best approach for addressing disruptive clinician

behavior is

• immediate intervention
• monitoring trends
• peer review 1 / 4

• national professional standards - Correct Answer Successful defense of malpractice claims is

enhanced by following:

• community standards
• national professional standards
• trends in practice
• a root-cause analysis should be conducted - Correct Answer When a sentinel event occurs, according

to The joint Commission (TJC),

• a root-cause analysis should be conducted
• it must be reported to TJC within 60 days
• those involved should be placed on administrative leave pending an investigation
• unanticipated death of a full turn infant - Correct Answer Based on TJC criteria, which of the following

clinical situations is a sentinel event?

• any unexplained adverse occurrence
• birth of a baby with previously undiagnosed congenital abnormalities
• unanticipated death of a full turn infant
• review potentially contributing systems - Correct Answer The purpose of the root-cause analysis

process is to

• determine fault of the healthcare provider or hospital
• examine institutional liability
• review potentially contributing systems
• adequate medical record documentation - Correct Answer Professional nursing liability is most

commonly increased by the absence of 2 / 4

• adequate medical record documentation
• annual competency validation
• current unit policies and procedures
• include near misses with potential for adverse outcomes - Correct Answer An incident-management

program will

• include near misses with potential for adverse outcomes
• identify and discipline those at fault
• increase institutional and nursing liablity
• discussed with the patient's family - Correct Answer Nurse/physician difference of opinion about

patient management should be

• considered unprofessional behavior
• discussed with the patient's family
• focused on the issue in question
• consults with another physician in the unit - Correct Answer Despite repeated requests to a physician

to come to the bedside to evaluate a deteriorating maternal condition, the physician has failed to respond. the nurse appropriately

• consults with another physician in the unit
• institutes the chain of command/chain of consultation
• provides the intervention indicated
• rates of maternal morbidity and mortality - Correct Answer Outcome measures of patient safety

include 3 / 4

• how care is delivered
• policies and procedures
• rates of maternal morbidity and mortality
• unit protocols - Correct Answer Structure measures of patient safety include
• the number of elective inductions of labor prior to 39 competed weeks gestation
• the rates of third and fourth degree laceration
• unit protocols
• how tachysystole is identified and treated

Process measures of patient safety include - Correct Answer a. how tachysystole is identified and treated

• number of nurses who are certified in fetal monitoring
• rate of cesarean birth for indeterminate fetal status
• focus groups - Correct Answer Qualitative measures of patient safety include
• focus groups
• number of sentinel events per year
• policies and procedures consistent with national standards and guidelines
• attempting VBAC - Correct Answer According to ACOG (2009) misoprostol is not recommended for

women who are:

• nulliparous
• hypertensive
• attempting VBAC
• / 4