CHAPTER 1
Chapter 01: Contemporary Perinatal and Pediatric Nursing in Canada
Perry: Maternal Child Care Nursing in Canada, 2nd Canadian Edition
MULTIPLE CHOICE
1. Which is true regarding perinatal nurses?
a. They provide care for only mothers
and babies.
b. They require advanced practice
education beyond an entry to practice
degree.
c. They work with women 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 women 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 REF: p. 3
OBJ: Nursing Process: Assessment
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 women 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 women 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: Analysis REF: p. 3
OBJ: Nursing Process: Assessment
3. According to the Institute of Safe Medication Practices Canada (ISMP) “Do Not Use” list,
which is correct?
a. Administer heparin 100 U S/C QID
b. Administer insulin 7 units OD
c. Administer polysporin gtts to both eyes
daily
d. Administer 5 cc heparin into saline
lock daily
ANS: C
Polysporin gtts to both eyes daily is correct. Units should be written out and not
abbreviated as “U”; S/C should be “SUBCUT”; OD should be written out as “daily”; and
“cc” is not to be used, but “mL” is to be used for volume measurements.
DIF: Cognitive Level: Application REF: p. 10 | Table 1-2
OBJ: Nursing Process: Implementation
4. An Indigenous woman is pregnant with her first child. Which evidence-informed
intervention is most important for the nurse to implement?
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an
obstetrician, not a midwife.
d. Explain to the woman the importance
of keeping her 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 her pregnancy, but a referral to a social worker is not the most important
aspect the nurse should address at this time. If the woman has identifiable high-risk
problems, her health care may need to be provided by a physician. However, it cannot
, be assumed that all Indigenous women have high-risk issues. In addition, advising the
woman to see an obstetrician is not the most important aspect on which the nurse
should focus at this time.
DIF: Cognitive Level: Application REF: p. 8 OBJ: 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 REF: p. 5 | Table 1-1
OBJ: Nursing Process: Evaluation
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 REF: p. 4
OBJ: 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 REF: p. 8
OBJ: 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 Millennium 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 REF: p. 4
OBJ: Nursing Process: Implementation
9. It is estimated that there are approximately how many homeless people in Canada?
a. 100 000
b. 200 000
c. 500 000
d. 1 000 000
ANS: B
It is estimated that there is approximately 200 000 homeless people in Canada in any
given year.
DIF: Cognitive Level: Knowledge REF: p. 6
Chapter 01: Contemporary Perinatal and Pediatric Nursing in Canada
Perry: Maternal Child Care Nursing in Canada, 2nd Canadian Edition
MULTIPLE CHOICE
1. Which is true regarding perinatal nurses?
a. They provide care for only mothers
and babies.
b. They require advanced practice
education beyond an entry to practice
degree.
c. They work with women 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 women 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 REF: p. 3
OBJ: Nursing Process: Assessment
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 women 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 women 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: Analysis REF: p. 3
OBJ: Nursing Process: Assessment
3. According to the Institute of Safe Medication Practices Canada (ISMP) “Do Not Use” list,
which is correct?
a. Administer heparin 100 U S/C QID
b. Administer insulin 7 units OD
c. Administer polysporin gtts to both eyes
daily
d. Administer 5 cc heparin into saline
lock daily
ANS: C
Polysporin gtts to both eyes daily is correct. Units should be written out and not
abbreviated as “U”; S/C should be “SUBCUT”; OD should be written out as “daily”; and
“cc” is not to be used, but “mL” is to be used for volume measurements.
DIF: Cognitive Level: Application REF: p. 10 | Table 1-2
OBJ: Nursing Process: Implementation
4. An Indigenous woman is pregnant with her first child. Which evidence-informed
intervention is most important for the nurse to implement?
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an
obstetrician, not a midwife.
d. Explain to the woman the importance
of keeping her 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 her pregnancy, but a referral to a social worker is not the most important
aspect the nurse should address at this time. If the woman has identifiable high-risk
problems, her health care may need to be provided by a physician. However, it cannot
, be assumed that all Indigenous women have high-risk issues. In addition, advising the
woman to see an obstetrician is not the most important aspect on which the nurse
should focus at this time.
DIF: Cognitive Level: Application REF: p. 8 OBJ: 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 REF: p. 5 | Table 1-1
OBJ: Nursing Process: Evaluation
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 REF: p. 4
OBJ: 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 REF: p. 8
OBJ: 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 Millennium 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 REF: p. 4
OBJ: Nursing Process: Implementation
9. It is estimated that there are approximately how many homeless people in Canada?
a. 100 000
b. 200 000
c. 500 000
d. 1 000 000
ANS: B
It is estimated that there is approximately 200 000 homeless people in Canada in any
given year.
DIF: Cognitive Level: Knowledge REF: p. 6
