CANADIAN Edition Keenan Lindsay Chapter 1
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Maternal Child Nursing Care 3rd CANADIAN Edition Keenan
Lindsay Test Bank
Chapter 01: Contemporary Perinatal and Pediatric Nursing in Canada
Keenan-Lindsay: Perry’s Maternal Child Nursing Care in Canada, 3rd Edition
MULTIPLE CHOICE
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 child-bearing 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 evidence-informed 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
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
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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
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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11. Which /iof /ithe /ifollowing /iwas /ihighlighted /iin /ithe /iTruth /iand /iReconciliation /iReport /i(2015)?
a. Increased /itransportation /ifor /iIndigenous /ipeople /ito /itravel /ito /itertiary /icare
/icentres /ifor/ihealth /icare.
b. Recognize /ithe /ivalue /iof /iIndigenous /ihealing /ipractices /iand /itheir /iuse /iin
/ithe /ihealth /c
i are /isystem.
c. Treat /ihealth /iconcerns /iof /iIndigenous /ipeople /iwith /iWestern /iways /iof /ihealing.
d. Educate /ihealth /icare /iproviders /iabout /iIndigenous /ihealing /ipractices /ito
/ieliminate /ithe /ri ole /iof /ithe /iElder.
ANS: / i B
The /iTRC /i(2015) /ifinal /ireport /icalls /ion /ihealth /icare /iproviders /ito /irecognize /ithe /ivalue /iof /iIndigenous /ihealing /ipractices
/iand /ito /i use /ithem /iin t/i he /itreatment /iof /iIndigenous /ipatients /iin /icollaboration /iwith /iIndigenous /ihealers /iand /iElders /iwhere
/irequested /iby /iIndigenous /ipatients. /iIt /i is /i imperative /ithat /i health /icare /i providers /i become /i knowledgeable /iin
/iIndigenous /i healing /i practices, /i not /ito /i eliminate /ithe /i role /i of /i the /i Elder /ibut /ito /iwork /icollaboratively /iwith /iElders.
/iHealth /icare /iservices /ineed /ito /ibe /iavailable /iwhere /iIndigenous /ipeople /iwork /iand /ilive /iand /i not /irequire /iincreased
/itransportation /ito /itertiary /icare /icentres /ifor /ihealth /icare.
DIF: /i /i /i /i Cognitive /iLevel: /iComprehension OBJ: /i /i / i 5 KEY: /i Nursing /iProcess: /iPlanning
12. Which /ihas /idirectly /iincreased /ithe /ilife /iexpectancy /iof /ichildren /iexperiencing /ia /ichronic /idisease?
a. Early /ipostpartum /idischarges
b. Enhanced /itechnology
c. The /ireduction /iin /iacceptable /igenetic /iscreening /ioptions
d. Rural /ihealth /iservices /idelivered /ivia /itelehealth
ANS: / i B
Enhanced /itechnology /ihas /iincreased /ithe /ilife /iexpectancy /iof /imany /ichildren /iwith /ichronic /idiseases. /iEarly /ipostpartum
/idischarges /iand /i genetic /iscreening /ioptions /ihave /inot /iincreased /ithe /ilife /iexpectancy /iof /ichildren /iwith /ichronic /idisease.
/iRural /ihealth /iservices /idelivered /i via /itelehealth /iare /ialtering /ihow /iservices /iare /idelivered /iand /imay /iindirectly /iincrease
/ilife /iexpectancy, /ibut /iit /iis /inot /ia /idirect /icontributing /if actor.
DIF: /i /i /i /i Cognitive /iLevel: /iAnalysis OBJ:
/i1/K
i EY: / i Nursing /iProcess: /iImplementation
13. Which /iis /ithe /ifocus /iof /ithe /iCode /iof /iEthics /ifor /iRegistered /iNurses?
a. Collegiality
b. Dependent /irole
c. Evaluation
d. Accountability
ANS: / i D
The /i Code /i of /i Ethics /ifor /i Registered /i Nurses, /i by /i the /i Canadian /i Nurses /i Association /i(CNA), /i provides /i the
/iframework /i and /icore /i responsibilities /i for /i nursing /i practice. /i The /i Code /i of /i Ethics /i focuses /i on /ithe /i nurse's
/iaccountability /i and /iresponsibility /ito /i the /i patient /i (CNA, /i2017) /iand /iemphasizes /ithe /inursing /irole /ias /ian
/iindependent /iprofessional, /ione /ithat /iupholds /iits /iown /ilegal /iliability. /iCollegiality /ri efers /i to /i a /i working /i relationship /i with
/ione’s /icolleagues. /i Evaluation /i refers /ito /i examination /i of /ithe /i effectiveness /i of /i interventions /iin /i relation /ito
/iexpected /i outcomes.
DIF: /i /i /i /i Cognitive /iLevel: /iEvaluation OBJ: /i /i / i 9 KEY: /i Nursing /iProcess: /iN/A
14. Which /ireflects /ia /ifuture /igoal /ifor /iperinatal /iand /ipediatric /inursing?
a. Limiting /iinterprofessional /iteams
b. Maintaining /iexisting /ipower /istructures
c. Advocating /ifor /ian /iincreased /inumber /iof /iCaesarean /ibirths
d. Addressing /ihealth /iinequities /iby /iengaging /iin /ipolicy /ianalysis /iand /iadvocacy
ANS: / i D
Addressing /i health /iinequities /i by /i creating /i health /i policy /i and /iservices /ithat /i focus /i on /i both /iresources /i needed /i for
/ihealth /i and /i access /ito /i health /iservices /i is /i a /i future /i goal /i of /i perinatal /i nurses. /i Nurses /i should /i be /i expanding
/iinterprofessional /iteams /i rather /ithan /ilimiting /itheir /i existence. /iExisting /ipower /istructures /iand /ipractices /ineed /ito /ibe
/idisrupted /irather /ithan /imaintained. /iAdvocating /ifor /ian /iincreased /inumber /io f /iCaesarean /ibirths /iis /inot /i a /ifuture /i goal /ifor
/iperinatal /i nursing.
DIF: /i /i /i /i Cognitive /iLevel: /iKnowledge OBJ: /i /i / i 1 KEY: /i Nursing /iProcess: /iN/A
15. What /iis /ithe /imost /iimportant /iaspect /iof /itrauma-informed /icare?
a. Providing /icounselling /ito /ipatients /iwho /ihave /ibe /itraumatized
b. Minimize /ithe /ipotential /ifor /iharm /iand /ire-traumatization
c. Asking /iall /ipatients /iabout /iprevious /itrauma /iin /itheir /ilife
d. To /iprovide /ia /icontrolling /ienvironment /ifor /ithe /ipatient
ANS: / i B
The /i focus /i of /i trauma /i and /iviolence-informed /i approaches /i are /i to /i minimize /i the /i potential /i for /i harm /i and /i re-
traumatization, /i and /i to /i enhance /isafety, /icontrol /iand /iresilience /ifor /iall /iclients. /iWhile /ipatients /ishould /ibe /iasked /iabout
/itrauma /iin /itheir /ilife /ithis /iis /inot /ithe /imost /iimportant /ipoint /ias /inot /iall /ipatients /iwill /idisclose /ithe /itrauma. /iIt /iis /ialso
/iimportant /ito /ienhance /itheir /iown /icontrol /iover /ithe /i situation /iand /inot /ifor /ihealth /icare /iproviders /ito /icontrol /ithe /isituation.
/iProviding /icounselling /imay /ibe /iappropriate /ifor /isome /ipatients /ibut /iit /iis /inot /ithe /i focus /iof /itrauma-informed /icare.
DIF: /i /i /i /i Cognitive /iLevel: /iApplication OBJ:
/i4/K
i EY: / i Nursing /iProcess: /iImplementation
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