CHILD NURSING CARE IN CANADA, 3RD
EDITION
1.Which is true regarding perinatal nurses?
a. They provide care for only childbearing persons and babies.
b. They require advanced practice education beyond an entry to practice degree.
c. They work with patients and families from preconception throughout the
childbearing year.
d. They provide care for families with children up to age 18 years.
ANS: C
Perinatal nurses are those nurses who work collaboratively with patients and
families from the preconception period throughout the child-bearing year.
Pediatric nurses care for children from birth up to age 18 years. Perinatal or
pediatric nurses also provide care for the family. Perinatal nurses often do
have advanced education, but this is not a requirement.
DIF: Cognitive Level: Knowledge OBJ: 1 KEY: Nursing Process: N/A
2 Which is true regarding pediatric nurses?
a. They provide care for children up to and including 13 years of age.
b. They require advanced practice education beyond an entry to practice degree.
c. They work with patients and families throughout the child-bearing year.
d. They provide care for children and families up to age 18 years.
ANS: D
, Pediatric nurses care for children from birth up to age 18 years. Perinatal
nurses are those nurses who work collaboratively with patients and families
from the preconception period throughout the child-bearing year. Perinatal
and pediatric nurses also provide care for the family. Pediatric nurses often
do have advanced education, but this is not a requirement.
DIF: Cognitive Level: Knowledge OBJ: 1 KEY: Nursing Process: N/A
3 Which of the following would not be included in a discussion of the social determinants
of health (SDOH)?
a. Racism
b. Daily exercise
c. Chronic illness
d. Presence of playgrounds
ANS: C
Chronic illness is not considered a SDOH. Racism, healthy behaviours (exercise) and
healthy outdoor spaces (playgrounds) can all impact a person’s health.
DIF: Cognitive Level:
Application
OBJ
: 3 KEY: Nursing Process: Assessment
4. An Indigenous patient is pregnant with their first child. Which evidenceinformed
intervention is most important for the nurse to implement? a. Perform a nutrition
assessment.
b. Refer the patient to a social worker.
c. Advise the patient to see an obstetrician, not a midwife.
d. Explain to the patient the importance of keeping their prenatal care appointments.
ANS: D
Consistent prenatal care is associated with healthier infants. Nutritional status
is an important modifiable risk factor, but it is not the most important action a
nurse should take in this situation. The patient may need assistance from a
social worker at some time during the pregnancy, but a referral to a social
worker is not the most important aspect the nurse should address at this
time. If the patient has identifiable high-risk problems, their health care may
need to be provided by a physician. However, it cannot be assumed that all
Indigenous patients have high-risk issues. In addition, advising the patient to
see an obstetrician is not the most important aspect on which the nurse
should focus at this time.
DIF: Cognitive Level: Application OBJ: 1 KEY: Nursing Process: Planning
5. Which social determinant of health has the greatest influence on health status
and behaviours?
a. Education and literacy
b. Income and social status
c. Employment and working conditions
d. Biology and genetic endowment
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, ANS: B
Income and social status has the greatest influence on health status and
behaviours and use of health care services. Lower-income Canadians have
poorer health, with more chronic illness and earlier death, than that of higher-
income Canadians, regardless of age, gender, culture, race, or residence.
DIF: Cognitive Level:
Application
OBJ
: 3 KEY: Nursing Process: Assessment
6. Which is an example of invisible poverty?
a. Insufficient clothing
b. Limited employment opportunities
c. Poor sanitation
d. Deteriorating housing
ANS: B
Invisible poverty refers to social and cultural deprivation, such as limited
employment opportunities, inferior educational opportunities, lack of or inferior
medical services and health care facilities, and an absence of public services.
Visible poverty refers to lack of money or material resources, which includes
insufficient clothing, poor sanitation, and deteriorating housing.
DIF: Cognitive Level:
Knowledge
OBJ
: 3 KEY: Nursing Process: Assessment
7. What is the primary role of practicing nurses in the research process?
a. Designing research studies
b. Collecting data for other researchers
c. Identifying areas for further research
d. Seeking funding to support research studies
ANS: C
The primary role of the practicing nurse is to identify areas for further research in
the health and health care of women, children, and families.
When problems are identified, research can be conducted properly. Research of
health care issues leads to
evidence-informed practice guidelines. Designing research studies is only one
factor of the research process. Data collection is one factor of research.
Financial support is necessary to conduct research, but it is not the primary role
of the nurse in the research process.
DIF: Cognitive Level:
Comprehension
OBJ
: 6 KEY: Nursing Process: Implementation
8. Which event shifted the focus of the Public Health Agency of Canada
(PHAC) away from a population health and health promotion focus? a.
Shift to home births
b. Emergence of avian influenza
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, c. United Nations Sustainable Goals
d. Increase in the maternal mortality rate
ANS: B
The emergence of the avian influenza shifted the focus of the PHAC from
population health and a health promotion focus to a focus on planning for a
pandemic. There has been no shift to home births from hospital births in
Canada. The United Nations Millennium Goals did not cause a focal shift for
the PHAC. There has not been an increase in the maternal mortality rate.
DIF: Cognitive Level: Comprehension OBJ: 2 KEY: Nursing Process: N/A
9. The World Health Organization has identified which period as the most important for
overall development throughout a person’s lifetime?
a. Preconception
b. Early childhood
c. Young adult
d. Adolescence
ANS: B
The period from prenatal development to eight years of age is critical for
cognitive, social, emotional and physical development of the child. It is
important to identify where children are most at risk for adversity and to
intervene accordingly.
DIF: Cognitive Level:
Knowledge OBJ:
N/A KEY: Nursing Process:
Assessment
10. Which is a characteristic of integrative healing?
a. It replaces conventional Western modalities of treatment.
b. It is used by only a small number of Canadian adults.
c. It recognizes the value of patients’ input into their health care.
d. It focuses primarily on the disease an individual is experiencing.
ANS: C
Integrative healing encompasses complementary and alternative therapies
and healing modalities that offer human-centred care based on philosophies
that recognize the value of the patient’s input and honour the individual’s
beliefs, values, and desires.
Alternative and complementary therapies are part of an integrative approach to
health care.
DIF: Cognitive Level: Comprehension OBJ: 1 KEY: Nursing Process:
Planning
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