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