Maternity and Pediatric Nursing in Canada 1st
Edition by Leifer
Chapters 01-05
,Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her
mother, and collected admission data. What is the next step the student will take to
develop a nursing care plan for this child?
a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
c. Determine appropriate nursing diagnoses.
d. State nursing actions related to the child’s medical diagnosis.
ANS: C
The nurse uses assessment data to develop appropriate nursing diagnoses. Outcomes
and interventions are then developed to address the relevant nursing diagnoses.
DIF: Cognitive Level: Application REF: 11 OBJ: 10
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
2. A nursing student on a maternal–newborn rotation questions the floor nurse about the
definition of the practical nurse scope of practice. What resource can the nurse suggest to
the student?
a. Canadian Nurses Association
b. Provincial regulatory board
c. Federal government
d. Canadian Association of Perinatal & Women’s Health Nursing
ANS: B
The scope of practice of the practical nurse is determined by the provincial board of
nursing.
DIF: Cognitive Level: Comprehension REF: 3 OBJ: 2
, TOP: Standards of Practice KEY: Nursing Process Step: Implementation
3. Which social determinant of health (SDOH) is specifically related to Indigenous people’s
health?
a. Colonization
b. Education
c. Social support networks
d. Employment and working conditions
ANS: A
All of the SDOH are important but the impact of colonization is related specifically to
Indigenous people’s health.
DIF: Cognitive Level: Knowledge REF: 3 OBJ: 6
TOP: Social Determinants of Health KEY: Nursing Process Step: N/A
4. How does the clinical pathway or critical pathway improve quality of care?
a. Lists diagnosis-specific implementations
b. Outlines expected progress with stated timelines
c. Prioritizes effective nursing diagnoses
d. Describes common complications
ANS: B
Critical pathways outline expected progress with stated timelines. Any deviation from
those timelines is called a variance.
DIF: Cognitive Level: Comprehension REF: 12 OBJ: 13
TOP: Critical Pathway KEY: Nursing Process Step: Implementation
5. How does electronic charting ensure comprehensive charting more effectively than
handwritten charting?
a. Provides a uniform style of chart
b. Requires certain responses before allowing the user to progress
c. All documentation is reflective of the nursing care plan
d. Requires a daily audit by the charge nurse
, ANS: B
Comprehensive electronic documentation is ensured by requiring specific input in
designated categories before the user can progress through the system.
DIF: Cognitive Level: Comprehension REF: 12 OBJ: 14
TOP: Computerized Documentation KEY: Nursing Process Step:
Implementation
6. A patient chooses to have a registered midwife (RM) provide care during her pregnancy
and for her labour. What does the RM’s scope of practice include?
a. Independent comprehensive practice
b. Prenatal care only
c. Attendance at only low-risk births
d. Only present for home births
ANS: A
The RM provides comprehensive independent prenatal, labour, and postpartum care
for up to 6 weeks, for women who are low risk. Births may occur in hospital or at
home. RMs are regulated health professions who have a 4-year university degree.
DIF: Cognitive Level: Comprehension REF: 7 OBJ: 3
TOP: Collaborative Care KEY: Nursing Process Step: N/A
7. In 2015, the WHO developed the Sustainable Development Goals (SDGs). What issues
do the new SDG’s include that the Millennium Development Goals (MDGs) did not
include?
a. Climate change and environmental protection
b. Combating HIV and malaria
c. Eradicating poverty and hunger
d. Achieving universal primary education
ANS: A
Climate change and environmental protection are new goals of the SDGs. All other
options are part of the MDGs
DIF: Cognitive Level: Knowledge REF: 13 OBJ: 16
TOP: Sustainable Development Goals KEY: Nursing Process Step: N/A