“MATERNITY AND PEDIATRIC NURSING EXAM
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Maternity and Pediatric Nursing Exam
Which medical risk factors contributes to a higher infant mortality rate? [CH 4]
A. Diabetes mellitus
B. Mitral valve prolapse (MVP)
C. Chronic hypertension (HTN)
D. Anemia
C. Chronic hypertension (HTN)
Which woman would be most at risk for the poorest perinatal outcome? [CH 4]
A. A 25-year-old single mother on maternity leave with two existing children
B. An unemployed 32-year-old lawyer in an inner-city neighbourhood
C. An Indigenous woman in her mid-20s with no high school education
D. A 19-year-old college student who lives at home with her parents
C. An Indigenous woman in her mid-20s with no high school education
Which is the main characteristic of the evolved role of the professional
perinatal nurse? [CH 4]
A. Providing care to patients directly at the bedside
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B. Planning patient care to cover longer hospital stays
C. Developing models and guidelines for interprofessional health care
providers
D. Managing care to cure health problems once they have occurred
C. Developing models and guidelines for interprofessional health care providers
A teenager is pregnant for the first time. Based on the statistics for infant
mortality, which intervention is most important for the nurse to implement?
[CH 4]
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
D. Explain to the patient the importance of keeping their prenatal care appointments
Which organization has developed entry to practice competencies for Child-
bearing families? [CH 4]
A. Canadian Nursing Association
B. Canadian Association of Midwives
C. Canadian Association of School of Nursing
D. Society of Obstetrician & Gynecologists of Canada
C. Canadian Association of School of Nursing
When managing health care for pregnant patients at a prenatal clinic, which
barrier to access prenatal care is considered most significant? [CH 4]
A. Age
B. Minority status
C. Educational level
D. Geographic location
D. Geographic location
Which time frame range is the perinatal continuum of care? [CH 4]
A. 9 to 10 months
B. 12 to 14 months
C. 15 to 16 months
D. 18 to 24 months
B. 12 to 14 months
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Which factor is mainly responsible for the steady increase in Caesarean birth?
[CH 4]
A. Higher rate of primary Caesarean births
B. Higher rate of vaginal birth after Caesarean birth
C. Increased nicotine use in pregnancy
D. Lower medical indications for Caesarean birth
A. Higher rate of primary Caesarean births
From a nurse's perspective, what measure should be the focus of the health
care system to further reduce the rate of infant mortality? [CH 4]
A. Implementing programs that focus on health promotion and preventive care
B. Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days
C. Expanding the number of neonatal intensive care units (NICUs)
D. Mandating that all pregnant women receive care from an obstetrician
A. Implementing programs that focus on health promotion and preventive care
Which have contributed to decreasing maternity-related health care costs?
[CH 4]
A. Prolonged postpartum hospital stays
B. Portable care technology
C. The reduction in acceptable genetic screening options
D. Rural health services outreach clinics
B. Portable care technology
Which reflects a future goal for perinatal nursing? [CH 4]
A. Limiting interprofessional teams
B. Maintaining existing power structures
C. Advocating for an increased number of Caesarean sections
D. Addressing health inequities by creating healthy public policies
D. Addressing health inequities by creating healthy public policies
Which is the leading cause of maternal death? [CH 4]
A. Hypertension (HTN)
B. Obesity
C. Gestational diabetes
D. Hemorrhage
D. Hemorrhage
Which recent trend in childbirth practices in Canada is accurate? [CH 4]
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A. Older women tend not to seek prenatal care
B. Indigenous women have lower incidence of perinatal mood disorders
C. The majority of births occurred in the hospital
D. Immigrant and refugee women have a lower rate of chronic disease
C. The majority of births occurred in the hospital
Which best describes a doula? [CH 4]
A. Advanced practice labour and birth nurse
B. A trained and experienced labour attendant
C. Clinical nurse specialist in neonatal and postpartum care
D. Leader of a interprofessional, intrapartum health care team
B. A trained and experienced labour attendant
Which is the correct definition of the perinatal mortality rate? [CH 4]
A. Number of live births in 1 year per 1000 population
B. Number of deaths of infants under 1 year of age per 1000 live births
C. Number of deaths of infants under 28 days of age per 100 live births
D. Number of stillbirths and neonatal deaths per 1000 live births
D. Number of stillbirths and neonatal deaths per 1000 live births
Which factor is associated with higher infant mortality rates? [CH 4]
A. Advanced maternal education
B. Maternal age greater than 35 years
C. Access to prenatal care
D. Poverty
D. Poverty
What is required for women and their families to make informed health care
choices? [CH 4]
A. A patient-centered care approach
B. Information and accurate knowledge
C. Fewer multidisciplinary care teams
D. Standardized maternal and newborn care
B. Information and accurate knowledge
What information is a component of the midwifery care model? [CH 4]
A. Midwives provide care in collaboration with a physician
B. Midwifery care is not a choice for patients in Canada
C. Midwives work with clients in a non-authoritarian manner