NSPN 7200: FINAL EXAM QUESTIONS
AND ANSWERS GRADED A+ 2026
SDOH - ANS = the economic and social conditions that influence the health of individuals,
communities, etc.
- Aboriginal status
- Early life factors (e.g. poverty, housing, education)
- Education
- Employment & working conditions
- Food security (the ability to acquire/ consume an adequate diet (quality/quantity) of food)
- Gender
- Health services
- Housing
- Income (and distribution)
- Social security (welfare, EI, health care, etc.)
- Social exclusion
- Unemployment and employment security
In Canada, what SDOH contribute to inequalities? - ANS - Housing
- Work settings
- Education
- Access to food
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
1
,- Income
Who are associated with higher rates of infant mortality? - ANS - Low income groups in urban
Canada
- Aboriginal people (1-4X higher)
Common causes of post-natal mortality causes - ANS - SIDS
- Infectious disease
- Injuries
What do low-income neighbourhoods have increased rates of? - ANS - SGA
- Preterm birth
- Still birth
- Neonatal death
- Post-neonatal death
- adolescent pregnancy
How is income associated with adverse perinatal outcomes? - ANS - Lack of community-
based programs for women→ no access/limited access to prenatal education and care
- Limited personal resources (time, transportation and social support)
- Understanding of care benefits
- Fear of judgement
- Negative association with HCP's from past experiences
How do working conditions influence health? - ANS - Lack of job security
- Lack of control/decision-making
- Lack of social support in the workplace
- Part-time/casual/temporary/
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
2
,contract work may not provide benefits (sick days, Mat. Leave, vacation time, etc.)
**Women are overrepresented in part-time/temporary work
What groups are more likely to experience social exclusion in Canada? - ANS - Substance
using women
- Immigrant women
- Women with disabilities
- Aboriginal women
- Women experiencing abuse
What do food security and dietary compromises influence? - ANS - Chronic disease
management
- Body weight
- Mental health
- Physical health
What health risks and inequalities do Aboriginal people experience? - ANS - Increased rates
of poverty
- Increased rates of substance use
- Increased violence and homicide
- Poor living conditions (mold, poor hygiene, crowded housing)
- Lack of clean drinking water
- Less annual income that non-aboriginals
- Higher rates of unemployment
- Lower education
- Experience more food insecurity
- Experience more illness and early death
- Infant mortality rates are 1-4X higher for aboriginal people
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
3
, - Aboriginal children experience higher rates of hospitalization
- Higher rates of HIV
- Increased rates of morbidity
- Increased vulnerability
- Increased rates of diabetes
- Increased risk of infant mortality
Why do Aboriginal people experience inequalities? - ANS - 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? - ANS -
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? -
ANS - reducing poverty
- increasing social support
- increasing community resources
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
4
AND ANSWERS GRADED A+ 2026
SDOH - ANS = the economic and social conditions that influence the health of individuals,
communities, etc.
- Aboriginal status
- Early life factors (e.g. poverty, housing, education)
- Education
- Employment & working conditions
- Food security (the ability to acquire/ consume an adequate diet (quality/quantity) of food)
- Gender
- Health services
- Housing
- Income (and distribution)
- Social security (welfare, EI, health care, etc.)
- Social exclusion
- Unemployment and employment security
In Canada, what SDOH contribute to inequalities? - ANS - Housing
- Work settings
- Education
- Access to food
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
1
,- Income
Who are associated with higher rates of infant mortality? - ANS - Low income groups in urban
Canada
- Aboriginal people (1-4X higher)
Common causes of post-natal mortality causes - ANS - SIDS
- Infectious disease
- Injuries
What do low-income neighbourhoods have increased rates of? - ANS - SGA
- Preterm birth
- Still birth
- Neonatal death
- Post-neonatal death
- adolescent pregnancy
How is income associated with adverse perinatal outcomes? - ANS - Lack of community-
based programs for women→ no access/limited access to prenatal education and care
- Limited personal resources (time, transportation and social support)
- Understanding of care benefits
- Fear of judgement
- Negative association with HCP's from past experiences
How do working conditions influence health? - ANS - Lack of job security
- Lack of control/decision-making
- Lack of social support in the workplace
- Part-time/casual/temporary/
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
2
,contract work may not provide benefits (sick days, Mat. Leave, vacation time, etc.)
**Women are overrepresented in part-time/temporary work
What groups are more likely to experience social exclusion in Canada? - ANS - Substance
using women
- Immigrant women
- Women with disabilities
- Aboriginal women
- Women experiencing abuse
What do food security and dietary compromises influence? - ANS - Chronic disease
management
- Body weight
- Mental health
- Physical health
What health risks and inequalities do Aboriginal people experience? - ANS - Increased rates
of poverty
- Increased rates of substance use
- Increased violence and homicide
- Poor living conditions (mold, poor hygiene, crowded housing)
- Lack of clean drinking water
- Less annual income that non-aboriginals
- Higher rates of unemployment
- Lower education
- Experience more food insecurity
- Experience more illness and early death
- Infant mortality rates are 1-4X higher for aboriginal people
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
3
, - Aboriginal children experience higher rates of hospitalization
- Higher rates of HIV
- Increased rates of morbidity
- Increased vulnerability
- Increased rates of diabetes
- Increased risk of infant mortality
Why do Aboriginal people experience inequalities? - ANS - 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? - ANS -
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? -
ANS - reducing poverty
- increasing social support
- increasing community resources
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
4
