NSPN 7200 STUDY GUIDE 2025/2026 QUESTIONS WITH
ANSWERS TAGGED A+
✔✔Why do Aboriginal people experience inequalities? - ✔✔- They are manifestations of
the complex interplay of social, political and economic determinants that influence
health status and access to health services
- The history of the relationship of aboriginal peoples and non-aboriginal people are a
contributing factor to development of the inequalities
- They live in rural/remote areas impacts access to care
***Many women up north have to be transferred out of their communities to give
birth/receive maternity care less likely to seek perinatal care/assistance
✔✔What barriers do you think exist for aboriginal women trying to access prenatal
care? - ✔✔- Financial
- Psychological
- Services are geared towards married, non-aboriginal women
- Fear of medical providers
- Lack of providers in their communities
- Invalidating encounters
- Affirming encounters
✔✔How can a woman's SDOH be influenced to promote positive perinatal outcomes
health? - ✔✔- reducing poverty
- increasing social support
- increasing community resources
✔✔Examples of abuse tactics - ✔✔- Physical assaults
- Intimidation
- Harassment
- Social isolation
- Verbal threats
- Excessive jealousy
- Constant criticism
- False accusations
✔✔What are some psychological and psychosocial adaptations women develop to deal
with the abuse? - ✔✔- Injuries
- Depression
- Substance use
- Headaches
- GI Problems
- Sleep disorders
- Fatigue
- Chronic pain
- Anxiety
,- Sexual dysfunction
- Permanent disability
✔✔What are adverse pregnancy outcomes related to abuse? - ✔✔- Depression
- Later prenatal care
- Miscarriage
- Inadequate nutrition
- Low weight gain
- Infection
- Bleeding
- Trauma to uterus and fetus
✔✔What are some ways abusive men exert control over women during pregnancy? -
✔✔- Forced abortions
- Limiting or denying access to prenatal care
- Denying the child is his
- Restricting access to food
- Controlling decision-making about pain relief in labor
- Making negative comments about the gender of the baby
- Forbidding her to breastfeed
- Putting down her parenting abilities
- Threatening to abduct or take custody of the baby
✔✔Why do you think women stay in abusive relationships? - ✔✔- Financial reasons
- Fear of not being believed
- Pressured by family, friends and clergy to stay and make it work
- Feeling responsible for the abuse
- Feeling powerless
- Fear of being killed
- Fear for infant's safety
✔✔What are some barriers to barriers to treatment for substance use problems for
pregnant women? - ✔✔- Fear of losing children
- Lack of child care services during treatment
- Stigma attached to pregnant women or mothers using substances
- Internal feelings of guilt
- Fear
- Shame
- Lack of specific treatment programs specific for pregnant women
✔✔What are 5 reasons why you think people use drugs? - ✔✔- Experience pleasure
- Cope with pain, fear, loneliness, rejection
- To be accepted by social groups
- Habit
- Get sleep
, - Deal with anger or stress
✔✔Risk factors for perinatal depression - ✔✔- Hx Depression
- Hx postpartum depression
- Family Hx Depression
-Contributing factors:
- Poor social support
- Adverse life events
- Maternal instability
- Unwanted pregnancy
- Ambivalence about pregnancy
- Abuse violence
- Chronic maternal health problems
✔✔What are pregnancy complications associated with untreated antenatal depression?
- ✔✔- GHTN
- IUGR
- LBW
- Spontaneous abortion
✔✔S+S of Neonatal Abstinence Syndrome (NAS) - ✔✔- Tremors
- Irritability
- Hypertonicity
- High-pitched cry
- Vomiting
- Diarrhea
- Respiratory distress
- Sneezing
- Diaphoresis
- Poor sucking
✔✔If caring for a mother and infant who have been exposed to substances, what are 4
nursing strategies for the 3 goals (creating a supportive environment; Providing
adequate fluid and nutrition; Promoting attachment)? - ✔✔1)Creating a supportive
environment:
- Quiet room
- Dim lights
- Role model infant care
- Include parents in care of infant
- Teach infant cues
- Rooming-in
2) Providing adequate fluid and nutrition:
- Support mother in making an informed choice of feeding method
- In &outs
- Keep track of weight
ANSWERS TAGGED A+
✔✔Why do Aboriginal people experience inequalities? - ✔✔- They are manifestations of
the complex interplay of social, political and economic determinants that influence
health status and access to health services
- The history of the relationship of aboriginal peoples and non-aboriginal people are a
contributing factor to development of the inequalities
- They live in rural/remote areas impacts access to care
***Many women up north have to be transferred out of their communities to give
birth/receive maternity care less likely to seek perinatal care/assistance
✔✔What barriers do you think exist for aboriginal women trying to access prenatal
care? - ✔✔- Financial
- Psychological
- Services are geared towards married, non-aboriginal women
- Fear of medical providers
- Lack of providers in their communities
- Invalidating encounters
- Affirming encounters
✔✔How can a woman's SDOH be influenced to promote positive perinatal outcomes
health? - ✔✔- reducing poverty
- increasing social support
- increasing community resources
✔✔Examples of abuse tactics - ✔✔- Physical assaults
- Intimidation
- Harassment
- Social isolation
- Verbal threats
- Excessive jealousy
- Constant criticism
- False accusations
✔✔What are some psychological and psychosocial adaptations women develop to deal
with the abuse? - ✔✔- Injuries
- Depression
- Substance use
- Headaches
- GI Problems
- Sleep disorders
- Fatigue
- Chronic pain
- Anxiety
,- Sexual dysfunction
- Permanent disability
✔✔What are adverse pregnancy outcomes related to abuse? - ✔✔- Depression
- Later prenatal care
- Miscarriage
- Inadequate nutrition
- Low weight gain
- Infection
- Bleeding
- Trauma to uterus and fetus
✔✔What are some ways abusive men exert control over women during pregnancy? -
✔✔- Forced abortions
- Limiting or denying access to prenatal care
- Denying the child is his
- Restricting access to food
- Controlling decision-making about pain relief in labor
- Making negative comments about the gender of the baby
- Forbidding her to breastfeed
- Putting down her parenting abilities
- Threatening to abduct or take custody of the baby
✔✔Why do you think women stay in abusive relationships? - ✔✔- Financial reasons
- Fear of not being believed
- Pressured by family, friends and clergy to stay and make it work
- Feeling responsible for the abuse
- Feeling powerless
- Fear of being killed
- Fear for infant's safety
✔✔What are some barriers to barriers to treatment for substance use problems for
pregnant women? - ✔✔- Fear of losing children
- Lack of child care services during treatment
- Stigma attached to pregnant women or mothers using substances
- Internal feelings of guilt
- Fear
- Shame
- Lack of specific treatment programs specific for pregnant women
✔✔What are 5 reasons why you think people use drugs? - ✔✔- Experience pleasure
- Cope with pain, fear, loneliness, rejection
- To be accepted by social groups
- Habit
- Get sleep
, - Deal with anger or stress
✔✔Risk factors for perinatal depression - ✔✔- Hx Depression
- Hx postpartum depression
- Family Hx Depression
-Contributing factors:
- Poor social support
- Adverse life events
- Maternal instability
- Unwanted pregnancy
- Ambivalence about pregnancy
- Abuse violence
- Chronic maternal health problems
✔✔What are pregnancy complications associated with untreated antenatal depression?
- ✔✔- GHTN
- IUGR
- LBW
- Spontaneous abortion
✔✔S+S of Neonatal Abstinence Syndrome (NAS) - ✔✔- Tremors
- Irritability
- Hypertonicity
- High-pitched cry
- Vomiting
- Diarrhea
- Respiratory distress
- Sneezing
- Diaphoresis
- Poor sucking
✔✔If caring for a mother and infant who have been exposed to substances, what are 4
nursing strategies for the 3 goals (creating a supportive environment; Providing
adequate fluid and nutrition; Promoting attachment)? - ✔✔1)Creating a supportive
environment:
- Quiet room
- Dim lights
- Role model infant care
- Include parents in care of infant
- Teach infant cues
- Rooming-in
2) Providing adequate fluid and nutrition:
- Support mother in making an informed choice of feeding method
- In &outs
- Keep track of weight
