v v v v v v v v v
1
, Bank v
Chapter 01: Contemporary Perinatal and Pediatric Nursing in Canada
v v v v v v v v
Keenan-Lindsay: Perry’s Maternal Child Nursing Care in Canada, 3rd Edition v v v v v v v v v
MULTIPLE CHOICE v
1. Which is true regarding perinatal nurses?
v v v v v
a. They provide care for only childbearing persons and babies.
v v v v v v v v
b. They require advanced practice education beyond an entry to practice degree.
v v v v v v v v v v
c. They work with patients and families from
v v v v v v
preconception throughout the child-
v v v v
bearing year. v
d. They provide care for families with children up to age 18 years.
v v v v v v v v v v v
ANS: C v
Perinatal nurses are those nurses who work collaboratively with patients
v v v v v v v v v
and families from the preconception period throughout the child-bearing
v v v v v v v v v
year. Pediatric nurses care for children from birth up to age 18 years.
v v v v v v v v v v v v v
Perinatal or pediatric nurses also provide care for the family. Perinatal
v v v v v v v v v v v
nurses often do have advanced education, but this is not a requirement.
v v v v v v v v v v v v
DIF: v v Cognitive Level: Knowledge OBJ: v v v 1 KEY: Nursing Process: N/A v v v
2. Which is true regarding pediatric nurses?
v v v v v
a. They provide care for children up to and including 13 years of age.
v v v v v v v v v v v v
b. They require advanced practice education beyond an entry to practice degree.
v v v v v v v v v v
c. They work with patients and families throughout the child-bearing year.
v v v v v v v v v
d. They provide care for children and families up to age 18 years.
v v v v v v v v v v v
ANS: D v
Pediatric nurses care for children from birth up to age 18 years. Perinatal
v v v v v v v v v v v v
nurses are those nurses who work collaboratively with patients and families
v v v v v v v v v v v
from the preconception period throughout the child-bearing year. Perinatal
v v v v v v v v v
and pediatric nurses also provide care for the family. Pediatric nurses often
v v v v v v v v v v v v
do have advanced education, but this is not a requirement.
v v v v v v v v v v
DIF: v v Cognitive Level: Knowledge OBJ: v v v 1 KEY: Nursing Process: N/A v v v
3. Which of the following would not be included in a discussion of the social
v v v v v v v v v v v v v
determinants of health (SDOH)?
v v v v
a. Racism
b. Daily exercise v
c. Chronic illness v
d. Presence of playgrounds v v
ANS: C v
Chronic illness is not considered a SDOH. Racism, healthy behaviours (exercise)
v v v v v v v v v v
and healthy outdoor spaces (playgrounds) can all
v v v v v v v
impact a person’s health. v v v
DIF: Cognitive Level: v v
Application
v
OBJ
: 3 KEY: Nursing Process:
v v v v
Assessment
v
4. An Indigenous patient is pregnant with their first child. Which evidence-
v v v v v v v v v v
informed intervention is most important for the nurse to implement?
v v v v v v v v v
a. Perform a nutrition assessment. v v v
b. Refer the patient to a social worker. v v v v v v
2
, c. Advise the patient to see an obstetrician, not a midwife.
v v v v v v v v v
d. Explain to the patient the importance of keeping their prenatal care
v v v v v v v v v v
appointments.
v
ANS: D v
Consistent prenatal care is associated with healthier infants. Nutritional
v v v v v v v v
status is an important modifiable risk factor, but it is not the most important
v v v v v v v v v v v v v v
action a nurse should take in this situation. The patient may need
v v v v v v v v v v v v
assistance from a social worker at some time during the pregnancy, but a
v v v v v v v v v v v v v
referral to a social worker is not the most important aspect the nurse
v v v v v v v v v v v v v
should address at this time. If the patient has identifiable high-risk
v v v v v v v v v v v
problems, their health care may need to be provided by a physician.
v v v v v v v v v v v v
However, it cannot be assumed that all Indigenous patients have high-risk
v v v v v v v v v v v
issues. In addition, advising the patient to see an obstetrician is not the
v v v v v v v v v v v v v
most important aspect on which the nurse should focus at this time.
v v v v v v v v v v v v
DIF: v v Cognitive Level: Application OBJ: v v v 1 KEY: Nursing Process: Planning v v v
5. Which social determinant of health has the greatest influence on health status and
v v v v v v v v v v v v
behaviours?
v
a. Education and literacy v v
b. Income and social status v v v
c. Employment and working conditions v v v
d. Biology and genetic endowment v v v
ANS: B v
Income and social status has the greatest influence on health status and
v v v v v v v v v v v
behaviours and use of health care services. Lower-income Canadians have
v v v v v v v v v v
poorer health, with more chronic illness and earlier death, than that of
v v v v v v v v v v v v
higher-income Canadians, regardless of age, gender, culture, race, or
v v v v v v v v v
residence.
v
DIF: Cognitive Level:
v v
Application
v
OBJ
: 3 KEY: Nursing Process:
v v v v
Assessment
v
3
, 6. Which is an example of invisible poverty?
v v v v v v
a. Insufficient clothing v
b. Limited employment opportunities v v
c. Poor sanitation v
d. Deteriorating housing v
ANS: B v
Invisible poverty refers to social and cultural deprivation, such as limited
v v v v v v v v v v
employment opportunities, inferior educational opportunities, lack of or
v v v v v v v v
inferior medical services and health care facilities, and an absence of public
v v v v v v v v v v v v
services. Visible poverty refers to lack of money or material resources,
v v v v v v v v v v v
which includes insufficient clothing, poor sanitation, and deteriorating
v v v v v v v v
housing.
v
DIF: Cognitive Level:
v v
Knowledge
v
OBJ
: 3 KEY: Nursing Process:
v v v v
Assessment
v
7. What is the primary role of practicing nurses in the research process?
v v v v v v v v v v v
a. Designing research studies v v
b. Collecting data for other researchers v v v v
c. Identifying areas for further research v v v v
d. Seeking funding to support research studies v v v v v
ANS: C v
The primary role of the practicing nurse is to identify areas for further
v v v v v v v v v v v v
research in the health and health care of women, children, and families.
v v v v v v v v v v v v
When problems are identified, research can be conducted properly.
v v v v v v v v v
Research of health care issues leads to
v v v v v v v
evidence-informed practice guidelines. Designing research studies is only v v v v v v v
one factor of the research process. Data collection is one factor of research.
v v v v v v v v v v v v v
Financial support is necessary to conduct research, but it is not the
v v v v v v v v v v v v
primary role of the nurse in the research process.
v v v v v v v v v
DIF: Cognitive Level:
v v
Comprehension
v
OBJ
: 6 KEY: Nursing Process:
v v v v
Implementation
v
8. Which event shifted the focus of the Public Health Agency of Canada (PHAC)
v v v v v v v v v v v v
away from a population health and health promotion focus?
v v v v v v v v v
a. Shift to home births v v v
b. Emergence of avian influenza v v v
c. United Nations Sustainable Goals v v v
d. Increase in the maternal mortality rate v v v v v
ANS: B v
The emergence of the avian influenza shifted the focus of the PHAC from
v v v v v v v v v v v v
population health and a health promotion focus to a focus on planning for a
v v v v v v v v v v v v v v
pandemic. There has been no shift to home births from hospital births in
v v v v v v v v v v v v v
Canada. The United Nations Millennium Goals did not cause a focal shift
v v v v v v v v v v v v
for the PHAC. There has not been an increase in the maternal mortality
v v v v v v v v v v v v v
rate.
v
DIF: v v Cognitive Level: Comprehension v v OBJ: v 2 KEY: Nursing Process: N/A v v v
4