Question 1

An advanced practitioner (AP) wishes to add sonography to their clinical practice. Which is the first action the AP should take before adding this service?

Accepted Answer

The first action should be to explore the state's nurse practice act or state laws related to sonography to ensure that the practice is within the legal scope of practice for the AP.

Question 2

What impact do the 2018 American Institute of Ultrasound in Medicine (AIUM) practice parameter revisions have on the advanced practitioner's (AP) role?

Accepted Answer

The 2018 AIUM practice parameter revisions recognize the role of advanced practitioners in conducting point of care ultrasound exams, expanding their responsibilities in this area.

Question 3

After the physical assessment of the pregnant woman, late in the third trimester of pregnancy, the advanced practitioner (AP) questions the fetal presentation. Which American College of Obstetricians and Gynecologists (ACOG) category of ultrasound examination should the AP use to verify the fetal presentation?

Accepted Answer

A limited examination is used to answer specific clinical questions, such as verifying fetal presentation, especially in the third trimester.

Question 4

Which of the following is unique to the American College of Nurse-Midwives (ACNM) position on ultrasound practice?

Accepted Answer

The answer of Which of the following is unique to...

Question 5

The advanced practitioner (AP) decides to pursue clinical competency in obstetric sonography post-graduation. Which of the following is most likely to present as a challenge to the practitioner?

Accepted Answer

The answer of The advanced practitioner (AP) decides to pursue...

Question 6

The advanced practitioner (AP) is attending a training session for ultrasound certification using live patients. Which of the following should the AP expect prior to initiating any ultrasound on the live patient? Select all that apply.

Accepted Answer

The patient should be screened to prevent unexpected findings (B), the primary obstetrician should be notified (C), and there should be predetermined actions for incidental findings (E).

Question 7

The advanced practitioner is preparing to perform a medically indicated ultrasound of the fetus. The parents ask for a keepsake picture to be taken during the ultrasound. Which is the best response?

Accepted Answer

Providing a keepsake image to the parents after the ultrasound is the best response because it allows the parents to have a memento of their child's ultrasound without compromising the medical integrity of the procedure.

Question 8

The nurse-midwife is considering ways to reduce liability concerns as ultrasound is added as a point of care (POC) tool in the clinic setting. Which of the following would be appropriate to include? Select all that apply.

Accepted Answer

The answer of The nurse-midwife is considering ways to reduce...

Question 9

Litigation is not avoided by informing patients that not all essential information may be shown on the ultrasound.

Accepted Answer

The answer of Litigation is not avoided by informing patients...

Question 10

The practitioner has completed an ultrasound examination. Which aspects should be documented in the patient record? Select all that apply.

Accepted Answer

The answer of The practitioner has completed an ultrasound examination....

Quiz 1: Ultrasound Guidelines, Education, and Professional Responsibility