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TEST BANK For Maternal Child Nursing Care 3rd Canadian Edition
By Keenan Lindsay
| Verified Chapter's 1 - 25 Updated 2023| Complete
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Chapter 01: Contemporary Perinatal and Pediatric Nursing in Canada
Keenan-Lindsay: Perry’s Maternal Child Nursing Care in Canada, 3rd Edition
MULTIPLE 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
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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
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10. 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
11. 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
12. 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
13. 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
of Caesarean birthsDoisw nnlooatdeadfbuyt:ugroesiagnoadaelr0fo0 r| gpoesirai.nnaadtearl00n@urgsmianilg.c.om Want to earn
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DIF: Cognitive Level: Knowledge OBJ: 1 KEY: Nursing Process: N/A
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16. Which is an accurate statistic related to Indigenous people in Canada?
a. There are approximately half a million Indigenous people in Canada.
b. Indigenous people comprise approximately 2% of the total Canadian population.
c. The Indigenous population is increasing at a slower rate than non-Indigenous
populations.
d. Children 14 years and under comprise approximately one-third of the total
Indigenous population.
ANS: D
Indigenous children aged 14 and under made up one-third of the total Indigenous population. There ar
Indigenous people in Canada and they comprise 4.9% of the total Canadian population.
DIF: Cognitive Level: Knowledge OBJ: 5
KEY: Nursing Process: Assessment
17. Approximately what percentage of hospitalized patients experience an adverse event?
a. 2.5%
b. 5%
c. 7.5%
d. 10%
ANS: C
According to the Canadian Adverse Events Study (Baker et al., 2004), the most quoted study in Canad
7.5% of hospitalized patients had an adverse event, and of these, 16% died as a result.
DIF: Cognitive Level: Knowledge OBJ: N/A KEY: Nursing Process: N/A
18. Which organization offers certification for perinatal, general pediatrics, and pediatric intensive care nu
a. SOGC
b. CNA
c. RNAO
d. CAPWHN
ANS: B
The Canadian Nurses Association (CNA) offers specialty certification in many areas of nursing, includ
pediatrics, pediatric intensive care, and neonatal intensive care. The SOGC, RNAO, and CAPWHN de
guide nurses’ practice.
DIF: Cognitive Level: Knowledge OBJ: 1 KEY: Nursing Process: N/A
19. Which is a United Nations Sustainable Development Goal?
a. Safe, compassionate, and competent care
b. Improve family health
c. Reduce child morbidity
d. Promote good health and well-being
ANS: D
One of the 17 United Nations Sustainable Development Goals is to promote good health and well-bein
is included in the Code of Ethics for RNs.
DIF: Cognitive Level: Knowledge OBJ: 8 KEY: Nursing Process: N/A
20. Which statement is true of nursing care that is based on knowledge gained through various forms and
a. An outgrowth of telemedicine
b. Known as evidence-informed practice
c. Exclusive to maternity nursing practice
d. At odds with the Cochrane Pregnancy and Childbirth Database
ANS: B
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22. Which is true of the Muskoka Declaration?
a. It focused on a commitment to increase global health across the lifespan.
b. It provided assistance in developing countries to address health inequities with
mothers and infants.
c. It expressed an international commitment to develop a global partnership for
development of future health care goals.
d. It was a strategy to promote gender equality and empower women in health care
decisions.
ANS: B
In 2010, with the signature of the Muskoka Declaration, the Canadian government promised to assist
addressing health inequities that affect mothers and infants.
DIF: Cognitive Level: Knowledge OBJ: 2
KEY: Nursing Process: Assessment
23. Alternative and complementary therapies
a. replace conventional Western modalities of treatment.
b. are used by only a small number of Canadians.
c. recognize the value of patients’ input into their health care.
d. focus primarily on the disease an individual is experiencing.
ANS: C
Many popular alternative healing modalities offer human-centred care based on philosophies that reco
patient’s input and honour the individual’s beliefs, values, and desires. Alternative and complementary
integrative approach to health care. An increasing number of Canadian patients are seeking alternative
care options. Alternative healing modalities offer a holistic approach to health, focusing on the whole
DIF: Cognitive Level: Comprehension OBJ: N/A KEY: Nursing Process: Planning
24. Through the use of social media technology, nurses can link with other nurses who may share similar
practice, and advocate for patients. The most concerning pitfall for nurses using this technology is
a. violation of patient privacy and confidentiality.
b. institutions and colleagues may be cast in an unfavourable light.
c. unintended negative consequences for using social media.
d. lack of institutional policy governing online contact.
ANS: A
The most significant pitfall for nurses using this technology is the violation of patient privacy and conf
institutions and colleagues can be cast in unfavourable lights with negative consequences for those pos
students have been expelled from school and nurses have been fired or reprimanded by their Licensing
All institutions should have policies guiding the use of social media, and nurses should be familiar wit
DIF: Cognitive Level: Analysis OBJ: 7 KEY: Nursing Process: N/A
MULTIPLE RESPONSE
1. Which of the following social determinants of health (SDOH) are specifically related to Indigenous pe
a. Colonization
b. Food security
c. Working conditions
d. Residential schools
e. Biology and genetic endowment
ANS: A, B, D
All of the SDOH are important but the impact of colonization, food security, and residential schools ar
Indigenous people’s health.
DIF: Cognitive LeDveowl:nKloaded by: gosianader00 | gosia.nader00@gmail.com
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3. When performing an assessment on a child, which aspects would be included to assess the impact of th
health (SDOH)? (Select all that apply.)
a. History of symptoms
b. Child’s age
c. Exposure to toxins in environment
d. Access to healthy foods
e. Availability of community supports
ANS: C, D, E
Although the history of the symptoms and age of the child are important to assess they are not related
healthy food, community support and exposure to toxins in environment are all SDOH that impact the
DIF: Cognitive Level: Knowledge OBJ: 3
KEY: Nursing Process: Assessment
4. What are some of the reasons that Indigenous people have poorer health outcomes? (Select all that ap
a. Residential schools
b. Use of traditional medicines
c. Lack of understanding of modern medicine
d. Remote geographical locations
e. Fragmented healthcare funding
ANS: A, D, E
There are many reasons for poorer health outcomes for Indigenous people although their lack of under
is not one. The use of traditional medicines may enhance the health of Indigenous people. Health care
of Indigenous traditional therapies that are used to enhance health.
DIF: Cognitive Level: Comprehension OBJ: 5
KEY: Nursing Process Step: Assessment
TRUE/FALSE
1. Prescription medications are considered part of Medicare in all provinces and territories in Canada.
ANS: F
Home care, extended care, pharmaceuticals, and dental care are not currently covered under Medicare
provinces do cover some of these items.
DIF: Cognitive Level: Application OBJ: 2 KEY: Nursing Process: N/A
2. All patients should be cared for using a trauma-informed approach.
ANS: T
Not all patients will disclose trauma so it is important to treat everyone as if they have had some traum
prevent re-traumatization.
DIF: Cognitive Level: Application OBJ: 4
KEY: Nursing Process: Implementation
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ofatihnias (daoncnuammeunrtuigsijiolleeeg@agl mail.com)
$103 per month?
