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Chapter01: Contemporary Perinatal and Pediatric Nursing in Canada
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Keenan-Lindsay: Perry’s Maternal Child Nursing Care in
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Canada, 3rd EditionMULTIPLE CHOICE s s s
1 . Which is true regarding perinatal nurses? s s s s s
a . They p rovide care for only childbearing persons and babies.
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b . They require advanced practice education beyond an entry to practice degree.
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c . They work with patients and families from preconception throughout the
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child-bearing year.
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d . They provide care for families with children up to age 18 years.
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ANS: C
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Perinatal nurses are those nurses who work collaboratively with patients and families from the preconc
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child-bearing year. Pediatric nurses care f or children from birth up to age 18 years. Perinatal or pediatric for
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the family. Perinatal nurses often do have advanced education, but this is not a requirement.
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DIF: Cognitive Level: Knowledge OBJ: 1 KEY: Nursing Process: N/A
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2 . Which istrue regarding pediatric nurses? s s s s s
a . They p rovide care for children up to and including 13 years of age.
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b . They require advanced practice education beyond an entry to practice degree.
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c . They work with patients and families throughout the child-bearing year.
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d . They provide care for children and families up to age 18 years.
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ANS: D
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Pediatric nurses care for children from birth up to age 18 years. Perinatal nurses are those nurses who wor
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patients and families from the preconception period throughout the child-bearing year. Perinatal and pe care
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for the family. Pediatric nurses often do have advanced education, but this is not a requirement.
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DIF: Cognitive Level: Knowledge OBJ: 1 KEY: Nursing Process: N/A
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3 . Which of the following would not be included in a discussion of the social determinants of health (SDO
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a . Racism
b . Daily exercise s
c . Chronic illness s
d . Presenceo f p laygrounds s s
ANS: C
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Chronic illness is not considered a SDOH. Racism, healthy behaviours (exercise) and healthy outdoor spa
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impact a person’s health.
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DIF: Cognitive Level: Application OBJ: 3 KEY:
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Nursing Process: Assessment
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4 . An I ndigenous patient is pregnant with their first child. Which evidence-informed intervention is most
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implement?
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a . Perform a nutrition assessment. s s s
b . Refer the patient to a social worker. s s s s s s
c . Advise the patient to see an obstetrician, not a midwife.
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d . Explain to the patient the importance of keeping their prenatal care appointments.
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ANS: D
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Consistent prenatal care is associated with healthier infants. Nutritional status is an important modifiable most important
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action a nurse should take in this situation. The patient may need assistance from a social during the pregnancy, but a
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referral to a social worker is not the most important aspect the nurse should patient has identifiable high-risk problems,
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their health care may need to be provided by a physician. How assumed that all Indigenous patients have high-risk
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issues. In addition, advising the patient to see an
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6. Which is an example of invisible poverty?
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a. Insufficient clothing s
b. Limited employment opportunities s s
c. Poorsanitation s
d. Deteriorating housing s
ANS: B s
Invisible poverty refers to social and cultural deprivation, such as limited employment opportunities, in
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opportunities, lack of or inferior medical services and health care facilities, and an absence of public s to lack
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of money or material resources, which includes insufficient clothing, poor sanitation, and deter
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DIF: Cognitive Level: Knowledge s s OBJ:3 s
KEY: Nursing Process: Assessment
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7. What is the primary role of practicing nurses in the research process?
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a. Designing research studies s s
b. Collecting d ata for other researchers s s s s
c. Identifying areas forf urther research s s s s
d. Seeking f unding to support research studies s s s s s
ANS: C s
The primary role of the practicing nurse is to identify areas for further research in the health and health and
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families. When problems are identified, research can be conducted properly. Research of health ca
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evidence-informed practice guidelines. Designing research studies is only one factor of the research pr
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factor of research. Financial support is necessary to conduct research, but it is not the primary role of
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process.
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DIF: Cognitive Level: Comprehension s s OBJ:6 s
KEY: Nursing Process: Implementation
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8. Which event shifted the focus of the Public Health Agency of Canada (PHAC) away from a populatio
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focus?
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a. Shift to home births s s s
b. Emergence of avian influenza s s s
c. United NationsSustainableGoals s s s
d. Increase in the maternal mortality rate s s s s s
ANS: B s
The emergence of the avian influenza shifted the focus of the PHAC from population health and a heal focus
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on planning for a pandemic. There has been no shift to home births from hospital births in Cana Millennium
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Goals did not cause a focal shift for the PHAC. There has not been an increase in the mate
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DIF: CognitiveLevel:Comprehension s s OBJ: 2 s s KEY: NursingProcess:N/A s s s
9. The World Health Organization has identified which period as the most important foroverall develop
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lifetime?
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a. Preconception
b. Early childhood s
c. Youngadult s
d. Adolescence
ANS: B s
The period from prenatal development to eight years of age is critical for cognitive, social, emotional a the
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child. It is important to identify where children are most at risk for adversity and to intervene accor
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DIF: Cognitive Level: Knowledge s s OBJ:N/A s
KEY: Nursing Process: Assessment
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10. Which is acharacteDroiwsnt lioca doefd ibnyt:eggo sraiatniavdeer0h0e|aglin
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a. It replaces conventional Western modalities of treatment.
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b. It is used by only a small number of Canadian adults.
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11. Which of the following was highlighted in the Truth and Reconciliation Report (2015)?
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a. Increased transportation for Indigenous people to travel to tertiary care centres for s s s s s s s s s s s
health care.
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b. Recognize the value of Indigenous healing practices and their use in the health care s s s s s s s s s s s s s
system.
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c. Treat health concerns of Indigenous people with Western ways of healing.
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d. Educate health care providers about Indigenous healing practices to eliminate the role
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of the Elder.
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ANS: B s
The TRC (2015) final report calls on health care providers to recognize the value of Indigenous healin the
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treatment of Indigenous patients in collaboration with Indigenous healers and Elders where request is
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imperative that health care providers become knowledgeable in Indigenous healing practices, not to Elder
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but to work collaboratively with Elders. Health care services need to be available where Indigen not require
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increased transportation to tertiary care centres for health care.
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DIF: CognitiveLevel:Comprehension s s OBJ: 5 s s KEY: NursingProcess:Planning s s s
12. Which has directly increased the lifeexpectancy of children experiencing a chronic disease?
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a. Early postpartum discharges s s
b. Enhanced technology s
c. The reduction in acceptable genetic screening options
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d. Rural health services delivered via telehealth s s s s s
ANS: B s
Enhanced technology has increased the life expectancy of many children with chronic diseases. Early
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genetic screening options have not increased the life expectancy of children with chronic disease. Rura via
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telehealth are altering how services are delivered and may indirectly increase life expectancy, but i factor.
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DIF: Cognitive Level: Analysis s s OBJ:1 s
KEY: Nursing Process: Implementation
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13. Which is the focus of the Code of Ethics for Registered Nurses?
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a. Collegiality
b. Dependent role s
c. Evaluation
d. Accountability
ANS: D s
The Code of Ethics for Registered Nurses, by the Canadian Nurses Association (CNA), provides the f
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responsibilities for nursing practice. The Code of Ethics focuses on the nurse's accountability and resp
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(CNA, 2017) and emphasizes the nursing role as an independent professional, one that upholds its own refers
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to a working relationship with one’s colleagues. Evaluation refers to examination of the effectiv relation to
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expected outcomes.
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DIF: CognitiveLevel: Evaluation s s OBJ: 9 s s KEY: NursingProcess:N/A s s s
14. Which reflects a future goal for perinatal and pediatric nursing?
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a. Limiting interprofessional teams s s
b. Maintaining existing power structures s s s
c. Advocatingf or an increased number of Caesarean births s s s s s s s
d. Addressinghealth inequities by engaging in policy analysis and advocacy s s s s s s s s s
ANS: D s
Addressing health inequities by creating health policy and services that focus on both resources neede
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health services is a future goal of perinatal nurses. Nurses should be expanding interprofessional teams
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existence. Existing power structures and practices need to be disrupted rather than maintained. Advoca
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