TEST BANK FOR
PERRY’S MATERNAL CHILD NURSING CARE IN CANADA, 3RD EDITION
(KEENAN-LINDSAY, 2022), CHAPTER 1-55 | ALL CHAPTERS
,Table of Contents
Chapter 01: Contemporary Perinatal And Pediatric Nursing In Canada .................................................... 4
Chapter 02: The Family And Culture .......................................................................................................... 16
Chapter 03: Community Care ..................................................................................................................... 27
Chapter 04: Perinatal Nursing In Canada .................................................................................................. 37
Chapter 05: Health Promotion ................................................................................................................... 45
Chapter 06: Health Assessment ................................................................................................................. 55
Chapter 07: Reproductive Health .............................................................................................................. 63
Chapter 08: Infertility, Contraception, And Abortion ............................................................................... 86
Chapter 09: Genetics, Conception, And Fetal Development .................................................................. 104
Chapter 10: Anatomy And Physiology Of Pregnancy .............................................................................. 119
Chapter 11: Nursing Care Of The Family During Pregnancy ................................................................... 135
Chapter 12: Maternal Nutrition ............................................................................................................... 155
Chapter 13: Pregnancy Risk Factors And Assessment............................................................................. 169
Chapter 14: Pregnancy At Risk: Gestational Conditions ......................................................................... 183
Chapter 15: Pregnancy At Risk: Pre-Existing Conditions ......................................................................... 205
Chapter 16: Labour And Birth Processes ................................................................................................. 222
Chapter 17: Nursing Care Of The Family During Labour And Birth ........................................................ 238
Chapter 18: Maximizing Comfort During Labour And Birth .................................................................... 257
Chapter 19: Fetal Health Surveillance During Labour ............................................................................. 273
Chapter 20: Labour And Birth At Risk ...................................................................................................... 292
Chapter 21: Physiological Changes In The Postpartum Patient .............................................................. 307
Chapter 22: Nursing Care Of The Family During The Postpartum Period .............................................. 321
Chapter 23: Transition To Parenthood .................................................................................................... 335
Chapter 24: Postpartum Complications .................................................................................................. 349
Chapter 25: Physiological Adaptations Of The Newborn ....................................................................... 370
Chapter 26: Nursing Care Of The Newborn And Family.......................................................................... 388
Chapter 27: Newborn Nutrition And Feeding ......................................................................................... 402
Chapter 28: Infants With Gestational Age–Related Problems ............................................................... 420
Chapter 29: The Newborn At Risk: Acquired And Congenital Conditions .............................................. 433
Chapter 30: Pediatric Nursing In Canada ................................................................................................. 446
Chapter 31: Family, Social, And Cultural Influences On Children’s Health ............................................ 456
Chapter 32: Developmental Influences On Child Health Promotion...................................................... 461
,Chapter 33: Pediatric Health Assessment ............................................................................................... 476
Chapter 34: Pain Assessment And Management .................................................................................... 489
Chapter 35: Promoting Optimum Health During Childhood .................................................................. 498
Chapter 36: The Infant And Family .......................................................................................................... 520
Chapter 37: The Toddler And Family ....................................................................................................... 536
Chapter 38: The Preschooler And Family ................................................................................................ 547
Chapter 39: The School-Age Child And Family ........................................................................................ 555
Chapter 40: The Adolescent And Family ................................................................................................. 567
Chapter 41: Caring For The Child With A Chronic Illness And At The End-Of-Life ................................. 578
Chapter 42: Impact Of Intellectual Disability Or Sensory Impairment On The Child And Family ......... 598
Chapter 43: Family-Centred Care Of The Child During Illness And Hospitalization ............................... 616
Chapter 44: Pediatric Variations Of Nursing Interventions .................................................................... 628
Chapter 45: Respiratory Conditions......................................................................................................... 648
Chapter 46: Gastrointestinal Conditions ................................................................................................. 667
Chapter 47: Cardiovascular Conditions ................................................................................................... 688
Chapter 48: Hematological And Immunological Conditions ................................................................... 714
Chapter 49: Genitourinary Conditions..................................................................................................... 735
Chapter 50: Neurological Conditions ....................................................................................................... 754
Chapter 52: Integumentary Conditions ................................................................................................... 778
Chapter 53: Musculoskeletal Or Articular Conditions ............................................................................ 795
Chapter 54: Neuromuscular Or Muscular Conditions ............................................................................. 812
Chapter 51: Endocrine Conditions ........................................................................................................... 821
Chapter 55: Caring For The Mental, Emotional, And Behavioural Health Needs Of Children And Youth
.................................................................................................................................................................. 840
,Chapter 01: Contemporary Perinatal And Pediatric Nursing In Canada
Keenan-Lindsay: Perry’s Maternal Child Nursing Care In Canada, 3rd Edition
MULTIOLE 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.
ANSWER: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.
ANSWER: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
ANSWER: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.
ANSWER: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
,ANSWER: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
ANSWER: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
ANSWER: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
ANSWER: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
ANSWER: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.
PERRY’S MATERNAL CHILD NURSING CARE IN CANADA, 3RD EDITION
(KEENAN-LINDSAY, 2022), CHAPTER 1-55 | ALL CHAPTERS
,Table of Contents
Chapter 01: Contemporary Perinatal And Pediatric Nursing In Canada .................................................... 4
Chapter 02: The Family And Culture .......................................................................................................... 16
Chapter 03: Community Care ..................................................................................................................... 27
Chapter 04: Perinatal Nursing In Canada .................................................................................................. 37
Chapter 05: Health Promotion ................................................................................................................... 45
Chapter 06: Health Assessment ................................................................................................................. 55
Chapter 07: Reproductive Health .............................................................................................................. 63
Chapter 08: Infertility, Contraception, And Abortion ............................................................................... 86
Chapter 09: Genetics, Conception, And Fetal Development .................................................................. 104
Chapter 10: Anatomy And Physiology Of Pregnancy .............................................................................. 119
Chapter 11: Nursing Care Of The Family During Pregnancy ................................................................... 135
Chapter 12: Maternal Nutrition ............................................................................................................... 155
Chapter 13: Pregnancy Risk Factors And Assessment............................................................................. 169
Chapter 14: Pregnancy At Risk: Gestational Conditions ......................................................................... 183
Chapter 15: Pregnancy At Risk: Pre-Existing Conditions ......................................................................... 205
Chapter 16: Labour And Birth Processes ................................................................................................. 222
Chapter 17: Nursing Care Of The Family During Labour And Birth ........................................................ 238
Chapter 18: Maximizing Comfort During Labour And Birth .................................................................... 257
Chapter 19: Fetal Health Surveillance During Labour ............................................................................. 273
Chapter 20: Labour And Birth At Risk ...................................................................................................... 292
Chapter 21: Physiological Changes In The Postpartum Patient .............................................................. 307
Chapter 22: Nursing Care Of The Family During The Postpartum Period .............................................. 321
Chapter 23: Transition To Parenthood .................................................................................................... 335
Chapter 24: Postpartum Complications .................................................................................................. 349
Chapter 25: Physiological Adaptations Of The Newborn ....................................................................... 370
Chapter 26: Nursing Care Of The Newborn And Family.......................................................................... 388
Chapter 27: Newborn Nutrition And Feeding ......................................................................................... 402
Chapter 28: Infants With Gestational Age–Related Problems ............................................................... 420
Chapter 29: The Newborn At Risk: Acquired And Congenital Conditions .............................................. 433
Chapter 30: Pediatric Nursing In Canada ................................................................................................. 446
Chapter 31: Family, Social, And Cultural Influences On Children’s Health ............................................ 456
Chapter 32: Developmental Influences On Child Health Promotion...................................................... 461
,Chapter 33: Pediatric Health Assessment ............................................................................................... 476
Chapter 34: Pain Assessment And Management .................................................................................... 489
Chapter 35: Promoting Optimum Health During Childhood .................................................................. 498
Chapter 36: The Infant And Family .......................................................................................................... 520
Chapter 37: The Toddler And Family ....................................................................................................... 536
Chapter 38: The Preschooler And Family ................................................................................................ 547
Chapter 39: The School-Age Child And Family ........................................................................................ 555
Chapter 40: The Adolescent And Family ................................................................................................. 567
Chapter 41: Caring For The Child With A Chronic Illness And At The End-Of-Life ................................. 578
Chapter 42: Impact Of Intellectual Disability Or Sensory Impairment On The Child And Family ......... 598
Chapter 43: Family-Centred Care Of The Child During Illness And Hospitalization ............................... 616
Chapter 44: Pediatric Variations Of Nursing Interventions .................................................................... 628
Chapter 45: Respiratory Conditions......................................................................................................... 648
Chapter 46: Gastrointestinal Conditions ................................................................................................. 667
Chapter 47: Cardiovascular Conditions ................................................................................................... 688
Chapter 48: Hematological And Immunological Conditions ................................................................... 714
Chapter 49: Genitourinary Conditions..................................................................................................... 735
Chapter 50: Neurological Conditions ....................................................................................................... 754
Chapter 52: Integumentary Conditions ................................................................................................... 778
Chapter 53: Musculoskeletal Or Articular Conditions ............................................................................ 795
Chapter 54: Neuromuscular Or Muscular Conditions ............................................................................. 812
Chapter 51: Endocrine Conditions ........................................................................................................... 821
Chapter 55: Caring For The Mental, Emotional, And Behavioural Health Needs Of Children And Youth
.................................................................................................................................................................. 840
,Chapter 01: Contemporary Perinatal And Pediatric Nursing In Canada
Keenan-Lindsay: Perry’s Maternal Child Nursing Care In Canada, 3rd Edition
MULTIOLE 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.
ANSWER: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.
ANSWER: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
ANSWER: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.
ANSWER: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
,ANSWER: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
ANSWER: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
ANSWER: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
ANSWER: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
ANSWER: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.
