Deck 1: Ultrasound Guidelines, Education, and Professional Responsibility

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?

A) Ask the hospital to establish policies and procedures for sonography.
B) Identify the legal and risk management issues for sonography practice.
C) Explore the state's nurse practice act or state laws related to sonography.
D) Ensure a means to verify clinical competency is available for sonographers.

Answer 1

C

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?

A) An AP is authorized to use the AIUM guidelines to implement ultrasound testing.
B) An AP is provided with medical indications for ultrasound in the pregnant patient.
C) The AP is accepted as one who is conducting point of care (POC) ultrasound exams.
D) The AP is allowed to order ultrasound examination as part of the patient assessment.

Answer 2

C

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?

A) Limited examination
B) Standard examination
C) Specialized examination
D) Comprehensive examination

Answer 3

A

Question 4

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

A) Practitioners can obtain education specific to their clinical practice needs.
B) Practitioners are not given a specified number of clinical education hours.
C) Practitioners' clinical practicum is completed with a competent ultrasound professional.
D) Practitioners are deemed competent in ultrasound practice by their supervising professional.

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?

A) The ability to obtain clinical experience under a competent professional.
B) The impact of financial barriers to sonography education beyond graduation.
C) The ability to get adequate practice experience while reducing exposure to patients.
D) The impact of available didactic courses to meet educational needs for sonography.

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.

A) The patients are chosen from a group consisting of patients in the first trimester of pregnancy.
B) The patient has been screened to prevent unexpected findings during the training.
C) The patient's primary obstetrician has been notified of the patient's participation.
D) The trainer has determined the minimum number of ultrasounds to demonstrate competency.
E) The training organization has predetermined actions that will be taken for incidental findings

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?

A) Provide a keepsake image to the parents after the ultrasound.
B) Obtain informed consent for the keepsake image to be provided.
C) Inform the parents that keepsake images are not appropriate practice.
D) Encourage parents to seek a company that provides keepsake images.

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.

A) Ensure routine maintenance is performed on the equipment.
B) Adhere to professional organization guidelines for ultrasound testing.
C) Confirm appropriate training of the individual who performs ultrasounds.
D) Ask a physician to oversee the practice of ultrasound testing in the clinic.
E) Inform patients that an ultrasound may not show all essential information.

Question 9

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

A) The practitioner can charge a higher fee for conducting ultrasound examinations.
B) The patient is receiving the same level of care as that of a perinatologist sonologist.
C) The practitioner is protected from legal liability due to missing conditions on exam.
D) The patient can be assured the practitioner has skills beyond the basic competencies.

Question 10

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

A) Findings of the ultrasound examination.
B) Still images from the ultrasound examination.
C) The indication for the ultrasound examination.
D) The patient's questions about the ultrasound examination.
E) The patient's ability to be compliant with follow-up visits.