3rd Edition by Keenan, Lindsay, Sams, and O’Connor
, 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 statement accurately describes perinatal nurses?
a. They care exclusively for pregnant individuals and newborns.
b. They must complete advanced education beyond basic nursing degrees.
c. They support patients and families from preconception through the childbearing year.
d. They work with families with children up to 18 years of age.
Answer: C
Perinatal nurses collaborate with patients and families starting before conception and throughout the year
of childbirth. Pediatric nurses, on the other hand, care for children from birth through age 18. While
advanced education is common among perinatal nurses, it is not a requirement.
2. Which statement correctly describes pediatric nurses?
a. They care for children up to 13 years old.
b. They must pursue education beyond initial nursing degrees.
c. They assist families throughout the childbearing period.
d. They provide care to children and their families until age 18.
Answer: D
Pediatric nurses care for patients from birth to 18 years old. Perinatal nurses support families from
preconception through childbirth. Both groups offer family-centered care. Although some pursue
advanced education, it’s not mandatory.
3. Which item is not considered a social determinant of health (SDOH)?
a. Racism
b. Regular physical activity
c. Long-term illness
d. Availability of playgrounds
Answer: C
Chronic illness is not categorized as an SDOH. Factors like racism, physical activity, and access to safe
play areas are recognized as influencing health.
,4. A pregnant Indigenous patient is expecting their first baby. What is the most crucial nursing action?
a. Conduct a nutritional evaluation.
b. Connect the patient with a social worker.
c. Recommend care from an obstetrician instead of a midwife.
d. Stress the importance of attending prenatal visits.
Answer: D
Regular prenatal care is linked with improved infant health. While nutrition and social support are
important, emphasizing consistent prenatal appointments is the nurse’s top priority in this situation. Not
all Indigenous patients are high-risk, and advising against midwifery is not appropriate without cause.
5. Which social determinant of health most strongly affects overall health and behavior?
a. Level of education and literacy
b. Income and social class
c. Work conditions and employment
d. Biological and genetic makeup
Answer: B
Income and social status are the most significant influences on health behaviors and outcomes. Lower-
income individuals often experience more chronic diseases and die earlier than wealthier peers.
6. What is an example of invisible poverty?
a. Not enough clothing
b. Few job opportunities
c. Unsanitary living conditions
d. Dilapidated housing
Answer: B
Invisible poverty includes cultural and social disadvantages like limited employment or poor education.
Visible poverty involves material deficits like housing or clothing shortages.
7. What is the main role of practicing nurses in the research process?
a. Creating research designs
b. Gathering data for researchers
c. Highlighting areas that need further study
d. Finding funding for projects
Answer: C
, Practicing nurses help identify issues needing further research, which can improve care for women,
children, and families. While nurses may collect data or contribute to study designs, pinpointing research
needs is their primary role.
8. What event redirected the focus of the Public Health Agency of Canada away from health promotion?
a. Increased home births
b. Avian flu outbreak
c. UN Sustainable Development Goals
d. Higher maternal death rates
Answer: B
The avian influenza crisis prompted the PHAC to prioritize pandemic preparedness over broader
population health initiatives. The other options did not shift its primary mission.
9. According to the WHO, which period is most vital for lifelong development?
a. Before conception
b. Early childhood
c. Young adulthood
d. Teenage years
Answer: B
The time from prenatal development through age 8 is essential for cognitive, social, emotional, and
physical development, making early childhood the most critical window.
10. What best defines integrative healing?
a. Replaces traditional Western treatments
b. Used by only a minority of adults in Canada
c. Values patient involvement in healthcare
d. Centers only on the disease itself
Answer: C
Integrative healing respects the patient’s beliefs, values, and preferences. It blends conventional and
complementary practices into a person-centered care model.