b
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Chapter 01: Contemporary Perinatal and Pediatric Nursing in Canada
b b b b b b b b
Keenan-Lindsay: Perry’s Maternal Child Nursing Care in
b b b b b b b
Canada, 3rd EditionMULTIPLE CHOICE b b b
1. Which is true regarding perinatal nurses? b b b b b
a. They provide care for only childbearing persons and babies.
b b b b b b b b
b. They require advanced practice education beyond an entry to practice degree.
b b b b b b b b b b
c. They work with patients and families from preconception throughout the
b b b b b b b b b
child-bearing year.
b b
d. They provide care for families with children up to age 18 years.
b b b b b b b b b b b
ANS: C
b b
Perinatal nurses are those nurses who work collaboratively with patients and families from the preconc
b b b b b b b b b b b b b b
child-bearing year. Pediatric nurses care for children from birth up to age 18 years. Perinatal or pediatric for
b b b b b b b b b b b b b b b b b b
the family. Perinatal nurses often do have advanced education, but this is not a requirement.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Knowledge OBJ: 1 KEY: Nursing Process: N/A
b b b b b b b b b
2. Which is true regarding pediatric nurses? b b b b b
a. They provide care for children up to and including 13 years of age.
b b b b b b b b b b b b
b. They require advanced practice education beyond an entry to practice degree.
b b b b b b b b b b
c. They work with patients and families throughout the child-bearing year.
b b b b b b b b b
d. They provide care for children and families up to age 18 years.
b b b b b b b b b b b
ANS: D
b b
Pediatric nurses care for children from birth up to age 18 years. Perinatal nurses are those nurses who wor
b b b b b b b b b b b b b b b b b b
patients and families from the preconception period throughout the child-bearing year. Perinatal and pe care
b b b b b b b b b b b b b b b
for the family. Pediatric nurses often do have advanced education, but this is not a requirement.
b b b b b b b b b b b b b b b b
DIF: Cognitive Level: Knowledge OBJ: 1 KEY: Nursing Process: N/A
b b b b b b b b b
3. Which of the following would not be included in a discussion of the social determinants of health (SDO
b b b b b b b b b b b b b b b b b
a. Racism
b. Daily exercise b
c. Chronic illness b
d. Presence of playgrounds b b
ANS: C
b b
Chronic illness is not considered a SDOH. Racism, healthy behaviours (exercise) and healthy outdoor spa
b b b b b b b b b b b b b b
impact a person’s health.
b b b b
DIF: Cognitive Level: Application OBJ: 3 KEY:
b b b b b b
Nursing Process: Assessment
b b b
4. An Indigenous patient is pregnant with their first child. Which evidence-informed intervention is most
b b b b b b b b b b b b b
implement?
b
a. Perform a nutrition assessment. b b b
b. Refer the patient to a social worker. b b b b b b
c. Advise the patient to see an obstetrician, not a midwife.
b b b b b b b b b
d. Explain to the patient the importance of keeping their prenatal care appointments.
b b b b b b b b b b b
ANS: D
b b
Consistent prenatal care is associated with healthier infants. Nutritional status is an important modifiable most
b b b b b b b b b b b b b b
important action a nurse should take in this situation. The patient may need assistance from a social during the
b b b b b b b b b b b b b b b b b b b
pregnancy, but a referral to a social worker is not the most important aspect the nurse should patient has identifiable high-
b b b b b b b b b b b b b b b b b b b b b
risk problems, their health care may need to be provided by a physician. How assumed that all Indigenous patients have
b b b b b b b b b b b b b b b b b b b
high-risk issues. In addition, advising the patient to see an
b b b b b b b b b b
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6. Which is an example of invisible poverty?
b b b b b b
a. Insufficient clothing b
b. Limited employment opportunities b b
c. Poor sanitation b
d. Deteriorating housing b
ANS: B b
Invisible poverty refers to social and cultural deprivation, such as limited employment opportunities, in
b b b b b b b b b b b b b
opportunities, lack of or inferior medical services and health care facilities, and an absence of public s to
b b b b b b b b b b b b b b b b b b
lack of money or material resources, which includes insufficient clothing, poor sanitation, and deter
b b b b b b b b b b b b b b
DIF: Cognitive Level: Knowledge b b OBJ:3 b
KEY: Nursing Process: Assessment
b b b b
7. What is the primary role of practicing nurses in the research process?
b b b b b b b b b b b
a. Designing research studies b b
b. Collecting data for other researchers b b b b
c. Identifying areas for further research b b b b
d. Seeking funding to support research studies b b b b b
ANS: C b
The primary role of the practicing nurse is to identify areas for further research in the health and health and
b b b b b b b b b b b b b b b b b b b
families. When problems are identified, research can be conducted properly. Research of health ca
b b b b b b b b b b b b b b
evidence-informed practice guidelines. Designing research studies is only one factor of the research pr
b b b b b b b b b b b b b b
factor of research. Financial support is necessary to conduct research, but it is not the primary role of
b b b b b b b b b b b b b b b b b b
process.
b
DIF: Cognitive Level: Comprehension b b OBJ:6 b
KEY: Nursing Process: Implementation
b b b b
8. Which event shifted the focus of the Public Health Agency of Canada (PHAC) away from a populatio
b b b b b b b b b b b b b b b b
b focus?
a. Shift to home births b b b
b. Emergence of avian influenza b b b
c. United Nations Sustainable Goals b b b
d. Increase in the maternal mortality rate b b b b b
ANS: B b
The emergence of the avian influenza shifted the focus of the PHAC from population health and a heal focus
b b b b b b b b b b b b b b b b b b
on planning for a pandemic. There has been no shift to home births from hospital births in Cana Millennium
b b b b b b b b b b b b b b b b b b b
Goals did not cause a focal shift for the PHAC. There has not been an increase in the mate
b b b b b b b b b b b b b b b b b b b
DIF: Cognitive Level: Comprehension b b OBJ: 2 b b KEY: Nursing Process: N/A b b b
9. The World Health Organization has identified which period as the most important for overall develop
b b b b b b b b b b b b b b
lifetime?
b
a. Preconception
b. Early childhood b
c. Young adult b
d. Adolescence
ANS: B b
The period from prenatal development to eight years of age is critical for cognitive, social, emotional a the
b b b b b b b b b b b b b b b b b
child. It is important to identify where children are most at risk for adversity and to intervene accor
b b b b b b b b b b b b b b b b b b
DIF: Cognitive Level: Knowledge b b OBJ:N/A b
KEY: Nursing Process: Assessment
b b b b
10. Which is a characteDroiwsnt liocadoefd ibnyt: eggosriaatniavdeer0h0e|aglin
b b b
osig
a.? b
Want to earn
a. It replaces conventional Western modalities of treatment.
b b
b b b b b b
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ofatihnia (aoncnuammeunrtuisgiijloleeg@
s d algmail.com) b b $103 per month? b b
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)?
b b b b b b b b b b b b
a. Increased transportation for Indigenous people to travel to tertiary care centres for b b b b b b b b b b b
health care.
b b
b. Recognize the value of Indigenous healing practices and their use in the health care b b b b b b b b b b b b b
system.
b
c. Treat health concerns of Indigenous people with Western ways of healing.
b b b b b b b b b b
d. Educate health care providers about Indigenous healing practices to eliminate the b b b b b b b b b b
role of the Elder.
b b b b
ANS: B b
The TRC (2015) final report calls on health care providers to recognize the value of Indigenous healin the
b b b b b b b b b b b b b b b b b
treatment of Indigenous patients in collaboration with Indigenous healers and Elders where request is
b b b b b b b b b b b b b b
imperative that health care providers become knowledgeable in Indigenous healing practices, not to Elder
b b b b b b b b b b b b b b
but to work collaboratively with Elders. Health care services need to be available where Indigen not require
b b b b b b b b b b b b b b b b b
increased transportation to tertiary care centres for health care.
b b b b b b b b b
DIF: Cognitive Level: Comprehension b b OBJ: 5 b b KEY: NursingProcess: Planning b b b
12. Which has directly increased the life expectancy of children experiencing a chronic disease?
b b b b b b b b b b b b
a. Early postpartum discharges b b
b. Enhanced technology b
c. The reduction in acceptable genetic screening options
b b b b b b
d. Rural health services delivered via telehealth b b b b b
ANS: B b
Enhanced technology has increased the life expectancy of many children with chronic diseases. Early
b b b b b b b b b b b b b
genetic screening options have not increased the life expectancy of children with chronic disease. Rura via
b b b b b b b b b b b b b b b b
telehealth are altering how services are delivered and may indirectly increase life expectancy, but i factor.
b b b b b b b b b b b b b b b b
DIF: Cognitive Level: Analysis b b OBJ:1 b
KEY: Nursing Process: Implementation
b b b b
13. Which is the focus of the Code of Ethics for Registered Nurses?
b b b b b b b b b b b
a. Collegiality
b. Dependent role b
c. Evaluation
d. Accountability
ANS: D b
The Code of Ethics for Registered Nurses, by the Canadian Nurses Association (CNA), provides the f
b b b b b b b b b b b b b b b
responsibilities for nursing practice. The Code of Ethics focuses on the nurse's accountability and resp
b b b b b b b b b b b b b b b
(CNA, 2017) and emphasizes the nursing role as an independent professional, one that upholds its own
b b b b b b b b b b b b b b b b
refers to a working relationship with one’s colleagues. Evaluation refers to examination of the effectiv
b b b b b b b b b b b b b b b
relation to expected outcomes.
b b b b
DIF: Cognitive Level: Evaluation b b OBJ: 9 b b KEY: Nursing Process: N/A b b b
14. Which reflects a future goal for perinatal and pediatric nursing?
b b b b b b b b b
a. Limiting interprofessional teams b b
b. Maintaining existing power structures b b b
c. Advocating for an increased number of Caesarean births b b b b b b b
d. Addressing health inequities by engaging in policy analysis and advocacy b b b b b b b b b
ANS: D b
Addressing health inequities by creating health policy and services that focus on both resources neede
b b b b b b b b b b b b b b
health services is a future goal of perinatal nurses. Nurses should be expanding interprofessional teams
b b b b b b b b b b b b b b b
existence. Existing power structures and practices need to be disrupted rather than maintained. Advoca
b b b b b b b b b b b b b b
ofCaesarean birthsDoiswnnlooatdeadfbuyt: ugroesiagnoadael r0fo0 r|
b b
Want to earn b b
b b
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ofatihnias b b
(daoncnuammeunrtuigsio
ij leg@agl mail.com) b
b
$103 per month? b b
DIF: CognitiveLevel: Knowledge b b OBJ: 1 b b KEY: Nursing Process: N/A b b b