Contents
Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada ................................................... 3
Chapter 02: The Nurse’s Role in Women’s Health Care ..................................................................... 14
Chapter 03: Fetal Development ........................................................................................................... 27
Chapter 04: Prenatal Care and Adaptations to Pregnancy ................................................................... 38
Chapter 05: Nursing Care of Women with Complications During Pregnancy .................................... 54
Chapter 06: Nursing Care of Mother and Infant During Labour and Birth ......................................... 68
Chapter 07: Pain Management During Labour and Birth .................................................................... 83
Chapter 08: Nursing Care of Women with Complications During Labour and Birth ......................... 97
Chapter 09: Nursing Care of the Woman and Family After Birth ..................................................... 111
Chapter 10: Nursing Care of Women with Complications After Birth ............................................. 123
Chapter 11: The Term New-born ....................................................................................................... 136
Chapter 12: The High-Risk New-born ............................................................................................... 151
Page 1 of 433
,Chapter 13: An Overview of Growth, Development, and Nutrition.................................................. 167
Chapter 14: The Infant ....................................................................................................................... 181
Chapter 15: The Toddler .................................................................................................................... 194
Chapter 16: The Preschool Child ....................................................................................................... 205
Chapter 17: The School-Age Child.................................................................................................... 218
Chapter 18: The Adolescent............................................................................................................... 230
Chapter 19: The Child’s Experience of Hospitalization .................................................................... 242
Chapter 20: Health Care Adaptations for the Child and Family ........................................................ 257
Chapter 21: Complementary and Alternative Health Modalities in Pediatric Nursing ..................... 270
Chapter 22: Chronic Conditions and Palliative Care: Caring for the Child and Family ................... 280
Chapter 23: The Child with an Eye, Ear, or Neurological Condition ................................................ 291
Chapter 24: The Child with a Musculoskeletal Condition................................................................. 305
Chapter 25: The Child with a Respiratory Condition ........................................................................ 319
Chapter 26: The Child with a Cardiovascular Condition................................................................... 332
Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System
............................................................................................................................................................ 344
Chapter 28: The Child with a Gastrointestinal Condition ................................................................. 356
Chapter 29: The Child with a Genitourinary Condition .................................................................... 371
Chapter 30: The Child with a Skin Condition ................................................................................... 383
Chapter 31: The Child with a Metabolic Condition........................................................................... 397
Chapter 32: Childhood Communicable Diseases .............................................................................. 410
Chapter 33: The Child with an Emotional or Behavioural Condition ............................................... 422
Page 2 of 433
, 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
Page 3 of 433
, 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.
Page 4 of 433
Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada ................................................... 3
Chapter 02: The Nurse’s Role in Women’s Health Care ..................................................................... 14
Chapter 03: Fetal Development ........................................................................................................... 27
Chapter 04: Prenatal Care and Adaptations to Pregnancy ................................................................... 38
Chapter 05: Nursing Care of Women with Complications During Pregnancy .................................... 54
Chapter 06: Nursing Care of Mother and Infant During Labour and Birth ......................................... 68
Chapter 07: Pain Management During Labour and Birth .................................................................... 83
Chapter 08: Nursing Care of Women with Complications During Labour and Birth ......................... 97
Chapter 09: Nursing Care of the Woman and Family After Birth ..................................................... 111
Chapter 10: Nursing Care of Women with Complications After Birth ............................................. 123
Chapter 11: The Term New-born ....................................................................................................... 136
Chapter 12: The High-Risk New-born ............................................................................................... 151
Page 1 of 433
,Chapter 13: An Overview of Growth, Development, and Nutrition.................................................. 167
Chapter 14: The Infant ....................................................................................................................... 181
Chapter 15: The Toddler .................................................................................................................... 194
Chapter 16: The Preschool Child ....................................................................................................... 205
Chapter 17: The School-Age Child.................................................................................................... 218
Chapter 18: The Adolescent............................................................................................................... 230
Chapter 19: The Child’s Experience of Hospitalization .................................................................... 242
Chapter 20: Health Care Adaptations for the Child and Family ........................................................ 257
Chapter 21: Complementary and Alternative Health Modalities in Pediatric Nursing ..................... 270
Chapter 22: Chronic Conditions and Palliative Care: Caring for the Child and Family ................... 280
Chapter 23: The Child with an Eye, Ear, or Neurological Condition ................................................ 291
Chapter 24: The Child with a Musculoskeletal Condition................................................................. 305
Chapter 25: The Child with a Respiratory Condition ........................................................................ 319
Chapter 26: The Child with a Cardiovascular Condition................................................................... 332
Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System
............................................................................................................................................................ 344
Chapter 28: The Child with a Gastrointestinal Condition ................................................................. 356
Chapter 29: The Child with a Genitourinary Condition .................................................................... 371
Chapter 30: The Child with a Skin Condition ................................................................................... 383
Chapter 31: The Child with a Metabolic Condition........................................................................... 397
Chapter 32: Childhood Communicable Diseases .............................................................................. 410
Chapter 33: The Child with an Emotional or Behavioural Condition ............................................... 422
Page 2 of 433
, 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
Page 3 of 433
, 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.
Page 4 of 433
