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Chapter |01: |Contemporary |Perinatal |and |Pediatric |Nursing |in |Canada
|Keenan-Lindsay: |Perry’s |Maternal |Child |Nursing |Care |in
Canada, |3rd |EditionMULTIPLE |CHOICE
1. Which |is |true |regarding |perinatal |nurses?
a. They |provide |care |for |only |childbearing |persons |and |babies.
b. They |require |advanced |practice |education |beyond |an |entry |to |practice |degree.
c. They |work |with |patients |and |families |from |preconception |throughout |the
|child-bearing |year.
d. They |provide |care |for |families |with |children |up |to |age |18 |years.
|ANS: |C
Perinatal |nurses |are |those |nurses |who |work |collaboratively |with |patients |and |families |from |the |preconc
|child-bearing |year. |Pediatric |nurses |care |for |children |from |birth |up |to |age |18 |years. |Perinatal |or |pediatric
|for |the |family. |Perinatal |nurses |often |do |have |advanced |education, |but |this |is |not |a |requirement.
DIF: |Cognitive |Level: |Knowledge |OBJ: |1 |KEY: |Nursing |Process: |N/A
2. Which |is |true |regarding |pediatric |nurses?
a. They |provide |care |for |children |up |to |and |including |13 |years |of |age.
b. They |require |advanced |practice |education |beyond |an |entry |to |practice |degree.
c. They |work |with |patients |and |families |throughout |the |child-bearing |year.
d. They |provide |care |for |children |and |families |up |to |age |18 |years.
|ANS: |D
Pediatric |nurses |care |for |children |from |birth |up |to |age |18 |years. |Perinatal |nurses |are |those |nurses |who |wor
|patients |and |families |from |the |preconception |period |throughout |the |child-bearing |year. |Perinatal |and |pe
|care |for |the |family. |Pediatric |nurses |often |do |have |advanced |education, |but |this |is |not |a |requirement.
DIF: |Cognitive |Level: |Knowledge |OBJ: |1 |KEY: |Nursing |Process: |N/A
3. Which |of |the |following |would |not |be |included |in |a |discussion |of |the |social |determinants |of |health |(SDO
a. Racism
b. Daily |exercise
c. Chronic |illness
d. Presence |of |playgrounds
|ANS: |C
Chronic |illness |is |not |considered |a |SDOH. |Racism, |healthy |behaviours |(exercise) |and |healthy |outdoor |spa
|impact |a |person’s |health.
DIF: |Cognitive |Level: |Application |OBJ: |3
|KEY: |Nursing |Process: |Assessment
4. An |Indigenous |patient |is |pregnant |with |their |first |child. |Which |evidence-informed |intervention |is |most
|implement?
a. Perform |a |nutrition |assessment.
b. Refer |the |patient |to |a |social |worker.
c. Advise |the |patient |to |see |an |obstetrician, |not |a |midwife.
d. Explain |to |the |patient |the |importance |of |keeping |their |prenatal |care |appointments.
|ANS: |D
Consistent |prenatal |care |is |associated |with |healthier |infants. |Nutritional |status |is |an |important |modifiable |most
|important |action |a |nurse |should |take |in |this |situation. |The |patient |may |need |assistance |from |a |social |during |the
|pregnancy, |but |a |referral |to |a |social |worker |is |not |the |most |important |aspect |the |nurse |should |patient |has |identifiable
|high-risk |problems, |their |health |care |may |need |to |be |provided |by |a |physician. |How |assumed |that |all |Indigenous
|patients |have |high-risk |issues. |In |addition, |advising |the |patient |to |see |an
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6. Which |is |an |example |of |invisible |poverty?
a. Insufficient |clothing
b. Limited |employment |opportunities
c. Poor |sanitation
d. Deteriorating | housing
ANS: | B
Invisible |poverty |refers |to |social |and |cultural |deprivation, |such |as |limited |employment |opportunities, |in
|opportunities, |lack |of |or |inferior |medical |services |and |health |care |facilities, |and |an |absence |of |public |s |to
|lack |of |money |or |material |resources, |which |includes |insufficient |clothing, |poor |sanitation, |and |deter
DIF: Cognitive |Level: |Knowledge OBJ: |3
|KEY: |Nursing |Process: |Assessment
7. What |is |the |primary |role |of |practicing |nurses |in |the |research |process?
a. Designing |research |studies
b. Collecting |data |for |other |researchers
c. Identifying |areas |for |further |research
d. Seeking |funding |to |support |research |studies
ANS: | C
The |primary |role |of |the |practicing |nurse |is |to |identify |areas |for |further |research |in |the |health |and |health
|and |families. |When |problems |are |identified, |research |can |be |conducted |properly. |Research |of |health |ca
|evidence-informed |practice |guidelines. |Designing |research |studies |is |only |one |factor |of |the |research |pr
|factor |of |research. |Financial |support |is |necessary |to |conduct |research, |but |it |is |not |the |primary |role |of
|process.
DIF: Cognitive |Level: |Comprehension OBJ: |6
|KEY: |Nursing |Process: |Implementation
8. Which |event |shifted |the |focus |of |the |Public |Health |Agency |of |Canada |(PHAC) |away |from |a |populatio
focus?
|
a. Shift |to |home |births
b. Emergence |of |avian |influenza
c. United |Nations |Sustainable |Goals
d. Increase |in |the |maternal |mortality |rate
ANS: | B
The |emergence |of |the |avian |influenza |shifted |the |focus |of |the |PHAC |from |population |health |and |a |heal
|focus |on |planning |for |a |pandemic. |There |has |been |no |shift |to |home |births |from |hospital |births |in |Cana
|Millennium |Goals |did |not |cause |a |focal |shift |for |the |PHAC. |There |has |not |been |an |increase |in |the |mate
DIF: Cognitive |Level: |Comprehension OBJ: | | 2 KEY: |Nursing |Process: |N/A
9. The |World |Health |Organization |has |identified |which |period |as |the |most |important |for |overall |develop
lifetime?
|
a. Preconception
b. Early |childhood
c. Young |adult
d. Adolescence
ANS: | B
The |period |from |prenatal |development |to |eight |years |of |age |is |critical |for |cognitive, |social, |emotional |a
|the |child. |It |is |important |to |identify |where |children |are |most |at |risk |for |adversity |and |to |intervene |accor
DIF: Cognitive |Level: |Knowledge OBJ: |N/A
|KEY: |Nursing |Process: |Assessment
10. Which|is|a|characteDroiwsnt liocadoefd i|bnyt: eggosriaatniavdeer0h0e|agloinsig
a.?
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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)?
a. Increased |transportation |for |Indigenous |people |to |travel |to |tertiary |care |centres |for
|health |care.
b. Recognize |the |value |of |Indigenous |healing |practices |and |their |use |in |the |health
|care |system.
c. Treat |health |concerns |of |Indigenous |people |with |Western |ways |of |healing.
d. Educate |health |care |providers |about |Indigenous |healing |practices |to |eliminate |the
|role |of |the |Elder.
ANS: | B
The |TRC |(2015) |final |report |calls |on |health |care |providers |to |recognize |the |value |of |Indigenous |healin
|the |treatment |of |Indigenous |patients |in |collaboration |with |Indigenous |healers |and |Elders |where |request |is
|imperative |that |health |care |providers |become |knowledgeable |in |Indigenous |healing |practices, |not |to
|Elder |but |to |work |collaboratively |with |Elders. |Health |care |services |need |to |be |available |where |Indigen
|not |require |increased |transportation |to |tertiary |care |centres |for |health |care.
DIF: Cognitive |Level: |Comprehension OBJ: | | 5 KEY: |Nursing |Process: |Planning
12. Which |has |directly |increased |the |life |expectancy |of |children |experiencing |a |chronic |disease?
a. Early |postpartum |discharges
b. Enhanced |technology
c. The |reduction |in |acceptable |genetic |screening |options
d. Rural |health |services |delivered |via |telehealth
ANS: | B
Enhanced |technology |has |increased |the |life |expectancy |of |many |children |with |chronic |diseases. |Early
|genetic |screening |options |have |not |increased |the |life |expectancy |of |children |with |chronic |disease. |Rura
|via |telehealth |are |altering |how |services |are |delivered |and |may |indirectly |increase |life |expectancy, |but |i
|factor.
DIF: Cognitive |Level: |Analysis OBJ: |1
|KEY: |Nursing |Process: |Implementation
13. Which |is |the |focus |of |the |Code |of |Ethics |for |Registered |Nurses?
a. Collegiality
b. Dependent |role
c. Evaluation
d. Accountability
ANS: | D
The |Code |of |Ethics |for |Registered |Nurses, |by |the |Canadian |Nurses |Association |(CNA), |provides |the |f
|responsibilities |for |nursing |practice. |The |Code |of |Ethics |focuses |on |the |nurse's |accountability |and |resp
|(CNA, |2017) |and |emphasizes |the |nursing |role |as |an |independent |professional, |one |that |upholds |its |own
|refers |to |a |working |relationship |with |one’s |colleagues. |Evaluation |refers |to |examination |of |the |effectiv
|relation |to |expected |outcomes.
DIF: Cognitive |Level: |Evaluation OBJ: | | 9 KEY: |Nursing |Process: |N/A
14. Which |reflects |a |future |goal |for |perinatal |and |pediatric |nursing?
a. Limiting |interprofessional |teams
b. Maintaining |existing |power |structures
c. Advocating |for |an |increased |number |of |Caesarean |births
d. Addressing |health |inequities |by |engaging |in |policy |analysis |and |advocacy
ANS: | D
Addressing |health |inequities |by |creating |health |policy |and |services |that |focus |on |both |resources |neede
|health |services |is |a |future |goal |of |perinatal |nurses. |Nurses |should |be |expanding |interprofessional |teams
|existence. |Existing |power |structures |and |practices |need |to |be |disrupted |rather |than |maintained. |Advoca
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DIF: Cognitive |Level: |Knowledge OBJ: | | 1 KEY: |Nursing |Process: |N/A