Test Bank For Leifer's Introduction To Maternity And Pediatric Nursing In Canada 1St Edition By Leifer. Questions With Correct And Verified Answers. A+ Grade.

Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition MULTIPLE CHOICE 1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and for her labour. What does the RM’s scope of practice include? a. Independent comprehensive practice b. Prenatal care only c. Attendance at only low-risk births d. Only present for home births ANS: A The RM provides comprehensive independent prenatal, labour, and postpartum care for up to 6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs are regulated health professions who have a 4-year university degree. DIF: Cognitive Level: Comprehension REF: 7 OBJ: 3 TOP: Collaborative Care KEY: Nursing Process Step: N/A 2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada? a. World Health Organization (WHO) b. Breastfeeding Committee for Canada (BCC) c. UNICEF d. Public Health Agency of Canada (PHAC)N MURSINGTB. CO ANS: B The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10 Steps and WHO Code Outcome Indicators for Hospitals and Community Health Services, which sets the international standards for the WHO/UNICEF global criteria within the Canadian context. DIF: Cognitive Level: Knowledge REF: 7 OBJ: 3 | 9 TOP: The Past KEY: Nursing Process Step: N/A 3. A pregnant woman who has recently immigrated Canada comments to a nurse, “I am afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response reflecting cultural safety? a. “Maternal mortality in Canada is extremely low.” b. “Anesthesia is available to relieve pain during labour and childbirth.” c. “Tell me why you are afraid of childbirth.” d. “Your condition will be monitored during labour and birth.” ANS: C Asking the patient about her concerns helps promote understanding and individualizes patient care. DIF: Cognitive Level: Application REF: 11 OBJ: 7 TOP: Culturally Safe Care KEY: Nursing Process Step: Implementation 4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide? a. Maternal and infant deaths per 100,000 live births per year b. Deaths of fetuses weighing more than 500 g per 10,000 births per year c. Deaths of infants up to 1 year of age per 1000 live births per year d. Fetal and neonatal deaths per 1000 live births per year ANS: D The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year. DIF: Cognitive Level: Comprehension REF: 8 OBJ: 10 TOP: Statistics KEY: Nursing Process Step: Assessment 5. What is the focus of current perinatal care? a. Hospital births for the majority of women b. The traditional family unit c. Care in a labour room and then a birthing room d. A high-quality family experience for each patient ANS: D Current maternity practice focuses on a high-quality family experience for all families. DIF: Cognitive Level: Comprehension REF: 7 | 8 OBJ: 2 | 8 TOP: Perinatal Care KEY: Nursing Process Step: N/A N MURSINGTB.CO 6. Which organization offers certification for nurses in specialty areas? a. CNA b. CAPWHN c. CANN d. CAPN ANS: A The Canadian Nurses Association offers certification exams for registered nurses in specialty areas including perinatal, community, neonatal, and pediatric intensive care. CAPWHN, CANN, and CAPN are specialty organizations for nursing groups in Canada. DIF: Cognitive Level: Knowledge REF: 10 OBJ: 2 | 3 TOP: Nursing Certification KEY: Nursing Process Step: N/A 7. Which of the following requires self-reflection and discovery in order to provide care that is culturally appropriate? a. Cultural safety b. Cultural awareness c. Cultural humility d. Cultural competence ANS: C Cultural humility is the precursor to providing culturally appropriate care. It is a process of self-reflection and discovery to understand one’s own assumptions, biases, and values and how one’s background and social environment have shaped one’s experience DIF: Cognitive Level: Knowledge REF: 4 OBJ: 1 | 7 TOP: Cultural Humility KEY: Nursing Process Step: Evaluation 8. In 2015, the WHO developed the Sustainable Development Goals (SDGs). What issues do the new SDG’s include that the Millennium Development Goals (MDGs) did not include? a. Climate change and environmental protection b. Combating HIV and malaria c. Eradicating poverty and hunger d. Achieving universal primary education ANS: A Climate change and environmental protection are new goals of the SDGs. All other options are part of the MDGs DIF: Cognitive Level: Knowledge REF: 13 OBJ: 16 TOP: Sustainable Development Goals KEY: Nursing Process Step: N/A 9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from different areas of care provision? a. Clinical pathways b. Nursing outcome criteria c. Standards of care d. Nursing care plan N MURSINGTB.CO ANS: A Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define patient care across disciplines. Expected progress within a specified timeline is identified. DIF: Cognitive Level: Knowledge REF: 12 OBJ: 13 TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A 10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected admission data. What is the next step the student will take to develop a nursing care plan for this child? a. Identify measurable outcomes with a timeline. b. Choose specific nursing interventions for the child. c. Determine appropriate nursing diagnoses. d. State nursing actions related to the child’s medical diagnosis. ANS: C The nurse uses assessment data to develop appropriate nursing diagnoses. Outcomes and interventions are then developed to address the relevant nursing diagnoses. DIF: Cognitive Level: Application REF: 11 OBJ: 10 TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis 11. A nursing student on a maternal–newborn rotation questions the floor nurse about the definition of the practical nurse scope of practice. What resource can the nurse suggest to the student? a. Canadian Nurses Association b. Provincial regulatory board c. Federal government d. Canadian Association of Perinatal & Women’s Health Nursing ANS: B The scope of practice of the practical nurse is determined by the provincial board of nursing. DIF: Cognitive Level: Comprehension REF: 3 OBJ: 2 TOP: Standards of Practice KEY: Nursing Process Step: Implementation 12. Which social determinant of health (SDOH) is specifically related to Indigenous people’s health? a. Colonization b. Education c. Social support networks d. Employment and working conditions ANS: A All of the SDOH are important but the impact of colonization is related specifically to Indigenous people’s health. N MURSINGTB.CO DIF: Cognitive Level: Knowledge REF: 3 OBJ: 6 TOP: Social Determinants of Health KEY: Nursing Process Step: N/A 13. How does the clinical pathway or critical pathway improve quality of care? a. Lists diagnosis-specific implementations b. Outlines expected progress with stated timelines c. Prioritizes effective nursing diagnoses d. Describes common complications ANS: B Critical pathways outline expected progress with stated timelines. Any deviation from those timelines is called a variance. DIF: Cognitive Level: Comprehension REF: 12 OBJ: 13 TOP: Critical Pathway KEY: Nursing Process Step: Implementation 14. How does electronic charting ensure comprehensive charting more effectively than handwritten charting? a. Provides a uniform style of chart b. Requires certain responses before allowing the user to progress c. All documentation is reflective of the nursing care plan d. Requires a daily audit by the charge nurse ANS: B Comprehensive electronic documentation is ensured by requiring specific input in designated categories before the user can progress through the system. DIF: Cognitive Level: Comprehension REF: 12 OBJ: 14 TOP: Computerized Documentation KEY: Nursing Process Step: Implementation 15. The nurse reminds family members that the philosophy of family-centred care is to provide control to the family over health care decisions. What is the appropriate term for this type of control? a. Empowerment b. Insight c. Regulation d. Organization ANS: A The term empowerment refers to the control a family has over its own health care decisions. DIF: Cognitive Level: Knowledge REF: 6 OBJ: 13 TOP: Empowerment KEY: Nursing Process Step: Implementation 16. What is one major advantage to the application of critical thinking? a. Problem-free care b. Limitation of approaches to care c. Decreased need for assessment d. Problem prevention ANS: D N MURSINGTB.CO Critical thinking results in problem prevention in designing nursing care. DIF: Cognitive Level: Comprehension REF: 12 OBJ: 11 TOP: Critical Thinking KEY: Nursing Process Step: N/A 17. Practical nursing students are discussing developing nursing diagnosis in post conference on the acute care clinical setting. The students are aware that the role of the practical nurse with nursing diagnosis formulation is what? a. To initiate and identify nursing diagnosis specific to patient b. To update changes in nursing diagnosis as needed c. To have an understanding of nursing diagnosis terminology d. To accurately document nursing diagnosis on patient plan of care ANS: A The practical nurse is responsible for initiating nursing diagnosis specific to patients. DIF: Cognitive Level: Comprehension REF: 11 | 12 OBJ: 11 TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis TRUE/FALSE 1. The term morbidity refers to the rates of illness within a population within a time frame. ANS: T Morbidity rates show the incidence of disease in a specific population during a certain time frame. DIF: Cognitive Level: Knowledge REF: 8 OBJ: 1 TOP: Statistics KEY: Nursing Process Step: Data Collection MULTIPLE RESPONSE 1. What are some of the reasons that Indigenous people have poorer health outcomes? (Select all that apply.) a. Residential schools b. Lack of clean water c. Lack of understanding of modern medicine d. Remote geographical locations e. Fragmented healthcare funding ANS: A, B, D, E There are many reasons for poorer health outcomes for Indigenous people although their lack of understanding of modern medicine is not one. Health care providers often have a lack of Indigenous traditional therapies that are used to enhance health. DIF: Cognitive Level: Knowledge REF: 6 | 7 OBJ: 6 TOP: Indigenous Peoples Health KEY: Nursing Process Step: Data Collection 2. What developments in the early 20th century encouraged women to seek hospitalization for N MURSINGTB.CO childbirth? (Select all that apply.) a. Use of specialized obstetric instruments b. Use of anesthesia c. Physicians’ closer relationships with hospitals d. Focus on family-centred care e. Insurance coverage ANS: A, B, C In the early 1900s, the development of specialized obstetric instruments, better modes of anesthesia, and the physician’s reliance on hospital services were instrumental in encouraging women to seek hospitalization for childbirth. DIF: Cognitive Level: Comprehension REF: 2 OBJ: 2 TOP: Hospitalization for Childbirth KEY: Nursing Process Step: N/A 3. What non–family-centred policies were prevalent in the 1960s? (Select all that apply.) a. Waiting room for fathers b. Sedation of mother during labour c. Delay of reunion of mother and infant d. Lenient visiting hours e. Restrictions of visitations by minor children ANS: A, B, C, E Hospital policies in the 1960s provided a separate waiting room for fathers while the mother went through labour in a sedated state on her own. The reunion of mother and infant was delayed for several hours because of the sedation. Visiting hours were rigid and disallowed the visitation of minor children. DIF: Cognitive Level: Comprehension REF: 2 OBJ: 2 TOP: Family-centred Care KEY: Nursing Process Step: Implementation 4. A nurse is aware that there is a legal responsibility to report certain diseases and conditions to the public health authorities. Which would be included? (Select all that apply.) a. Tuberculosis b. Child abuse c. Industrial accidents d. Sexually transmitted infections e. Foodborne infections ANS: A, B, D, E The nurse has a legal responsibility to report communicable diseases (such as tuberculosis and sexually transmitted infections), foodborne infections, child abuse, and threats of suicide. DIF: Cognitive Level: Comprehension REF: 3 OBJ: 4 TOP: Reportable Diseases KEY: Nursing Process Step: Planning 5. Practical nursing students are using critical-thinking skills to study for an upcoming test. What will these students include when studying? (Select all that apply.) a. Memorization of facts firstN MU RSINGTB.CO b. Prioritizing information c. Relating facts to other facts d. Making assumptions e. Reviewing before the test ANS: B, C Using critical thinking when studying involves understanding facts before memorizing, prioritizing information to be memorized, relating facts to other facts, using all five senses, and reading critically. Critical thinking does not involve making assumption as does general thinking. DIF: Cognitive Level: Comprehension REF: 12 OBJ: 12 TOP: Critical Thinking KEY: Nursing Process Step: Evaluation 6. What are the pillars of the Medical Care Act of 1968? (Select all that apply.) a. Comprehensive b. Includes dental care c. Able to travel between provinces d. Covers everyone e. Publicly administered ANS: A, C, D, E All of the options except dental care are part of the Medical Care Act. Some provinces include dental care, but it is not part of the Act. DIF: Cognitive Level: Comprehension REF: 2 OBJ: 2 TOP: Medical Care Act KEY: Nursing Process Step: N/A 7. A home health nurse is providing specialized care to patients in the home setting. What kind of specialized care may this nurse be providing? (Select all that apply.) a. Glucose monitoring b. Heparin therapy c. Family therapy d. Total parenteral nutrition e. Provision of referral services ANS: A, B, D Glucose monitoring, heparin therapy, and total parenteral nutrition are categorized as specialized care that may be provided by the home health nurse. Family therapy is a specialized form of therapy that requires certification and providing referrals would be care provided by advance practice nurses or physicians. DIF: Cognitive Level: Application REF: 11 OBJ: 15 TOP: Community Health KEY: Nursing Process Step: Implementation N MURSINGTB.CO Chapter 02: The Nurse’s Role in Women’s Health Care Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition MULTIPLE CHOICE 1. The nurse is preparing a community education program on preventive health care for women. What common screening test will the nurse plan on explaining to the women attending the program? a. Clinical breast examination (CBE) by a health professional b. Breast self-examination (BSE) c. Breast biopsy d. Mammography ANS: D Mammography is a screening test used to detect breast cancer. CBE by a qualified health care provider can be used to check for abnormalities, although it has not been shown to be an effective screening tool and is not recommended in women with low risk for breast cancer. BSE is not recommended as regular practice. A breast biopsy is a diagnostic test versus a test performed for basic screening purposes. DIF: Cognitive Level: Comprehension REF: 20 OBJ: 2 TOP: Mammography KEY: Nursing Process Step: Planning 2. Which of the following strategies is a secondary prevention strategy? a. Mammogram MNURSINGTB.CO b. Smoking cessation c. HPV vaccination d. Learning how to manage diabetes ANS: A Secondary prevention is the early detection of diseases and trying to prevent the disease from developing further. Mammogram screening is an example of secondary prevention. Vaccinations and smoking cessation are primary prevention and learning how to manage disease is a tertiary strategy. DIF: Cognitive Level: Knowledge REF: 20 OBJ: 2 TOP: Health Promotion KEY: Nursing Process Step: Implementation 3. A woman asks the nurse, “How do oral contraceptives prevent pregnancy?” What will the nurse explain about the combination of estrogen and progesterone in oral contraceptives? a. Makes cervical mucus hostile to sperm b. Prevents ovulation c. Prohibits implantation of the egg d. Acts as a barrier by destroying sperm ANS: B Oral contraceptives contain a combination of estrogen and progesterone that suppresses ovulation. DIF: Cognitive Level: Comprehension REF: 29 | 30 OBJ: 6 TOP: Oral Contraceptives KEY: Nursing Process Step: Implementation 4. What should a woman expect after insertion of an intrauterine device (IUD)? a. Menstrual flow will be lighter b. Menstrual cramps will be eliminated c. A string should be felt in the vagina d. The device should be changed every 2 years ANS: C A woman should feel for the string every 4 weeks to confirm the presence of the IUD. DIF: Cognitive Level: Comprehension REF: 31 OBJ: 6 TOP: Intrauterine Contraceptives KEY: Nursing Process Step: Implementation 5. What information will the nurse provide when educating a woman about the correct use of a diaphragm? a. Use of a spermicidal cream or jelly is not recommended b. Leave in place for at least 6 hours after intercourse c. Remove immediately after intercourse for douching d. It is effective for up to 48 hours if positioned properly ANS: B To act as a barrier, the diaphragm must be left in place for at least 6 hours after intercourse and can be left in place up to, but no more than 24 hours. N MURSINGTB.CO DIF: Cognitive Level: Comprehension REF: 32 OBJ: 6 TOP: Diaphragm KEY: Nursing Process Step: Evaluation 6. The nurse is providing sexual education to a group of high school students. What will the nurse explain is the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases? a. Abstain from sex b. Use the male condom c. Use the female condom d. Use the barrier method ANS: A Abstinence is 100% effective in preventing pregnancy and sexually transmitted diseases. DIF: Cognitive Level: Comprehension REF: 29 OBJ: 6 TOP: Abstinence KEY: Nursing Process Step: Implementation 7. On day 13 of a 28-day cycle, a woman’s basal body temperature is 36.5° C. What will her temperature measurement most likely be if ovulation takes place on day 14? a. 35.9° C b. 36.3° C c. 36.7° C d. 37.0° C ANS: D After ovulation, body temperature will increase slightly, about 0.5° C. DIF: Cognitive Level: Analysis REF: 28 OBJ: 7 TOP: Natural Family Planning KEY: Nursing Process Step: Implementation 8. The nurse teaches a woman who is trying to conceive to check her cervical mucus for changes. What will she expect the characteristic of cervical mucus to be a few days before ovulation? a. Cloudy and tacky b. Scant and thick c. Thin and white d. Clear and slippery ANS: D Within a few days of ovulation, cervical mucus will become clear and slippery to aid the passage of sperm into the cervix. DIF: Cognitive Level: Knowledge REF: 29 OBJ: 7 TOP: Natural Family Planning KEY: Nursing Process Step: Implementation 9. The nurse is discussing cervical mucus changes with a woman who wishes to use natural family-planning methods. What information about cervical mucus at ovulation will the woman indicate to the nurse, demonstrating that learning has taken place? a. Cervical mucus enhances the motility of the sperm b. Cervical mucus indicates endometrial readiness for implantation c. Cervical mucus facilitates movement of the ovum through the fallopian tubeN MURSINGTB.CO d. Cervical mucus provides vaginal lubrication during intercourse ANS: A Around the time of ovulation, the slippery, clear cervical mucus enhances the motility of the sperm. DIF: Cognitive Level: Comprehension REF: 29 OBJ: 7 TOP: Natural Family Planning KEY: Nursing Process Step: Evaluation 10. In the week before her menstrual period, a woman experiences irritability, anxiety, and difficulty concentrating. What remedy might the nurse suggest to relieve these symptoms? a. Drink tea or hot chocolate before going to bed b. Take a daily folic acid and vitamin C supplement c. Include complex carbohydrates and fibre in the diet d. Avoid exercise when symptoms occur ANS: C A diet rich in complex carbohydrates and fibre is recommended for premenstrual syndrome. DIF: Cognitive Level: Application REF: 22 OBJ: 4 TOP: Premenstrual Syndrome KEY: Nursing Process Step: Implementation