TEST BANK
Perry's Maternal Child Nursing Care in Canada
Lisa Keenan-Lindsay, Cheryl A. Sams, Constance L. O'Connor et al.
3rd Edition Table of Contents
Chapter 01 Contemporary Perinatal and Pediatric Nursing in Canada 1
Chapter 02 The Family and Culture 11
Chapter 03 Community Care 20
Chapter 04 Perinatal Nursing in Canada 27
Chapter 05 Health Promotion 34
Chapter 06 Health Assessment 42
Chapter 07 Reproductive Health 49
Chapter 08 Infertility, Contraception, and Abortion 68
Chapter 09 Genetics, Conception, and Fetal Development 82
Chapter 10 Anatomy and Physiology of Pregnancy 94
Chapter 11 Nursing Care of the Family During Pregnancy 107
Chapter 12 Maternal Nutrition 123
Chapter 13 Pregnancy Risk Factors and Assessment 134
Chapter 14 Pregnancy at Risk-Gestational Conditions 145
Chapter 15 Pregnancy at Risk-Pre-Existing Conditions 162
Chapter 16 Labour and Birth Processes 176
Chapter 17 Nursing Care of the Family During Labour and Birth 188
Chapter 18 Maximizing Comfort During Labour and Birth 203
Chapter 19 Fetal Health Surveillance During Labour 216
Chapter 20 Labour and Birth at Risk 231
Chapter 21 Physiological Changes in the Postpartum Patient 243
Chapter 22 Nursing Care of the Family During the Postpartum Period 254
Chapter 23 Transition to Parenthood 265
Chapter 24 Postpartum Complications 277
Chapter 25 Physiological Adaptations of the Newborn 294
Chapter 26 Nursing Care of the Newborn and Family 308
Chapter 27 Newborn Nutrition and Feeding 319
Chapter 28 Infants with Gestational Age–Related Problems 334
Chapter 29 The Newborn at Risk-Acquired and Congenital Conditions 345
Chapter 30 Pediatric Nursing in Canada 355
Chapter 31 Family, Social, and Cultural Influences on Children’s Health 363
Chapter 32 Developmental Influences on Child Health Promotion 368
Chapter 33 Pediatric Health Assessment 380
Chapter 34 Pain Assessment and Management 390
Chapter 35 Promoting Optimum Health During Childhood 397
Chapter 36 The Infant and Family 415
Chapter 37 The Toddler and Family 428
Chapter 38 The Preschooler and Family 437
Chapter 39 The School-Age Child and Family 444
Chapter 40 The Adolescent and Family 453
Chapter 41 Caring for the Child with a Chronic Illness and at the End-of-Life 462 Chapter 42 Impact of Intellectual Disability or Sensory Impairment on the Child and Family 478
Chapter 43 Family-Centred Care of the Child During Illness and Hospitalization 493
Chapter 44 Pediatric Variations of Nursing Interventions 503
Chapter 45 Respiratory Conditions 519
Chapter 46 Gastrointestinal Conditions 534
Chapter 47 Cardiovascular Conditions 551
Chapter 48 Hematological and Immunological Conditions 571
Chapter 49 Genitourinary Conditions 589
Chapter 50 Neurological Conditions 604
Chapter 51 Endocrine Conditions 624
Chapter 52 Integumentary Conditions 639
Chapter 53 Musculoskeletal or Articular Conditions 653
Chapter 54 Neuromuscular or Muscular Conditions 666
Chapter 55 Caring for the Mental, Emotional, and Behavioural Health Needs of Children and Youth 674 Chapter 01: Contemporary Perinatal and Pediatric Nu rsing 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 preconcep tion 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 collabor atively with patients and families from the preconception period throughout the child-bearing y ear. Pediatric nurses care for children from birth up to age 18 years. Perinatal or pediatr ic nurses also provide care for the family. Perinatal nurses often do have advanced education, but this is not a requirement. DIF: Cognitive Level: Knowledge OBJ: 1 KEY: Nursin g 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 a ge 18 years. ANS: D Pediatric nurses care for children from birth up to age 18 years. Perinatal nurses are those nurses who work collaboratively with patients and f amilies from the preconception period throughout the child-bearing year. Perinatal and pe diatric nurses also provide care for the family. Pediatric nurses often do have advanced edu cation, but this is not a requirement. DIF: Cognitive Level: Knowledge OBJ: 1 KEY: Nursin g Process: N/A 3. Which of the following would not be included in a d iscussion of the social determinants of health (SDOH)? a. Racism b. Daily exercise c. Chronic illness d. Presence of playgrounds ANS: C Chronic illness is not considered a SDOH. Racism, h ealthy behaviours (exercise) and healthy outdoor spaces (playgrounds) can all impact a perso n’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 important for the nurse to implement? ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Perry's Maternal Child Nursing Care in Canada, 3rd Edition (Keenan-Lindsay, 2022)
1 | P a g e a. Perform a nutrition assessment. b. Refer the patient to a social worker. c. Advise the patient to see an obstetrician, not a mi dwife. d. Explain to the patient the importance of keeping th eir prenatal care appointments. ANS: D Consistent prenatal care is associated with healthi er infants. Nutritional status is an important modifiable risk factor, but it is not the most impo rtant action a nurse should take in this situation. The patient may need assistance from a s ocial worker at some time during the pregnancy, but a referral to a social worker is not the most important aspect the nurse should address at this time. If the patient has identifiab le high-risk problems, their health care may need to be provided by a physician. However, it can not be assumed that all Indigenous patients have high-risk issues. In addition, advisi ng the patient to see an obstetrician is not the most important aspect on which the nurse should foc us at this time. DIF: Cognitive Level: Application OBJ: 1 KEY: Nurs ing Process: Planning 5. Which social determinant of health has the greatest influence on health status and behaviours? a. Education and literacy b. Income and social status c. Employment and working conditions d. Biology and genetic endowment ANS: B Income and social status has the greatest influence on health status and behaviours and use of health care services. Lower-income Canadians have p oorer health, with more chronic illness and earlier death, than that of higher-income Canad ians, regardless of age, gender, culture, race, or residence. DIF: Cognitive Level: Application OBJ: 3 KEY: Nursing Process: Assessment 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, inferior educational opportunities, lack of or inferior medical services and health care facilities, and an absence of public se rvices. Visible poverty refers to lack of money or material resources, which includes insuffi cient clothing, poor sanitation, and deteriorating housing. DIF: Cognitive Level: Knowledge OBJ: 3 KEY: Nursing Process: Assessment 7. What is the primary role of practicing nurses in th e research process? a. Designing research studies b. Collecting data for other researchers ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Perry's Maternal Child Nursing Care in Canada, 3rd Edition (Keenan-Lindsay, 2022)
2 | P a g e c. Identifying areas for further research d. Seeking funding to support research studies ANS: C The primary role of the practicing nurse is to iden tify areas for further research in the health and health care of women, children, and families. W hen problems are identified, research can be conducted properly. Research of health care issu es leads to evidence-informed practice guidelines. Designing research studies is only one factor of the research process. Data collection is one factor of research. Financial sup port is necessary to conduct research, but it is not the primary role of the nurse in the research p rocess. 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 population health and health promotion 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 fo cus of the PHAC from population health and a health promotion focus to a focus on planning for a pandemic. There has been no shift to home births from hospital births in Canada. The United Nations Millennium Goals did not cause a focal shift for the PHAC. There has not bee n an increase in the maternal mortality rate. DIF: Cognitive Level: Comprehension OBJ: 2 KEY: Nu rsing Process: N/A 9. The World Health Organization has identified which period as the most important for overall development throughout a person’s 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 and physical development of the child. It is important to identify where children are most at risk for adversity and to intervene accordi ngly. DIF: Cognitive Level: Knowledge OBJ: N/A KEY: Nursing Process: Assessment 10. Which is a characteristic of integrative healing? a. It replaces conventional Western modalities of trea tment. b. It is used by only a small number of Canadian adult s. c. It recognizes the value of patients’ input into the ir health care. d. It focuses primarily on the disease an individual i s experiencing. ANS: C ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Perry's Maternal Child Nursing Care in Canada, 3rd Edition (Keenan-Lindsay, 2022)
3 | P a g e Integrative healing encompasses complementary and a lternative therapies and healing modalities that offer human-centred care based on p hilosophies that recognize the value of the patient’s input and honour the individual’s beliefs , values, and desires. Alternative and complementary therapies are part of an integrative approach to health care. DIF: Cognitive Level: Comprehension OBJ: 1 KEY: Nu rsing Process: Planning 11. Which of the following was highlighted in the Truth and Reconciliation Report (2015)? a. Increased transportation for Indigenous people to t ravel 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 Wes tern ways of healing. d. Educate health care providers about Indigenous heal ing practices to eliminate the role of the Elder. ANS: B The TRC (2015) final report calls on health care pr oviders to recognize the value of Indigenous healing practices and to use them in the treatment of Indigenous patients in collaboration with Indigenous healers and Elders wh ere requested by Indigenous patients. It is imperative that health care providers become knowle dgeable in Indigenous healing practices, not to eliminate the role of the Elder but to work collaboratively with Elders. Health care services need to be available where Indigenous peop le work and live and not require increased transportation to tertiary care centres for health care. DIF: Cognitive Level: Comprehension OBJ: 5 KEY: Nu rsing 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 optio ns d. Rural health services delivered via telehealth ANS: B Enhanced technology has increased the life expectan cy of many children with chronic diseases. Early postpartum discharges and genetic s creening options have not increased the life expectancy of children with chronic disease. R ural health services delivered via telehealth are altering how services are delivered and may ind irectly increase life expectancy, but it is not a direct contributing factor. DIF: Cognitive Level: Analysis OBJ: 1 KEY: Nursing Process: Implementation 13. Which is the focus of the Code of Ethics for Regist ered Nurses? a. Collegiality b. Dependent role c. Evaluation d. Accountability ANS: D ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Perry's Maternal Child Nursing Care in Canada, 3rd Edition (Keenan-Lindsay, 2022)
4 | P a g e The Code of Ethics for Registered Nurses, by the Ca nadian Nurses Association (CNA), provides the framework and core responsibilities fo r nursing practice. The Code of Ethics focuses on the nurse's accountability and responsib ility to the patient (CNA, 2017) and emphasizes the nursing role as an independent profe ssional, one that upholds its own legal liability. Collegiality refers to a working relationship with one’s colleag ues. Evaluation refers to examination of the effectiveness of intervention s in relation to expected outcomes. DIF: Cognitive Level: Evaluation OBJ: 9 KEY: Nursi ng Process: N/A 14. Which reflects a future goal for perinatal and pedi atric nursing? a. Limiting interprofessional teams b. Maintaining existing power structures c. Advocating for an increased number of Caesarean bir ths d. Addressing health inequities by engaging in policy analysis and advocacy ANS: D Addressing health inequities by creating health pol icy and services that focus on both resources needed for health and access to health se rvices is a future goal of perinatal nurses. Nurses should be expanding interprofessional teams rather than limiting their existence. Existing power structures and practices need to be disrupted rather than maintained. Advocating for an increased number of Caesarean bir ths is not a future goal for perinatal nursing. DIF: Cognitive Level: Knowledge OBJ: 1 KEY: Nursin g Process: N/A 15. What is the most important aspect of trauma-informe d care? a. Providing counselling to patients who have be traum atized b. Minimize the potential for harm and re-traumatizati on c. Asking all patients about previous trauma in their life d. To provide a controlling environment for the patien t ANS: B The focus of trauma and violence-informed approache s are to minimize the potential for harm and re-traumatization, and to enhance safety, contr ol and resilience for all clients. While patients should be asked about trauma in their life this is not the most important point as not all patients will disclose the trauma. It is also i mportant to enhance their own control over the situation and not for health care providers to cont rol the situation. Providing counselling may be appropriate for some patients but it is not the focus of trauma-informed care. DIF: Cognitive Level: Application OBJ: 4 KEY: Nursing Process: Implementation 16. Which is an accurate statistic related to Indigenou s people in Canada? a. There are approximately half a million Indigenous p eople 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 ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Perry's Maternal Child Nursing Care in Canada, 3rd Edition (Keenan-Lindsay, 2022)
5 | P a g e Indigenous children aged 14 and under made up one-t hird of the total Indigenous population. There are approximately 1.7 million Indigenous peop le 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 patie nts experience an adverse event? a. 2.5% b. 5% c. 7.5% d. 10% ANS: C According to the Canadian Adverse Events Study (Bak er et al., 2004), the most quoted study in Canada regarding medical errors, 7.5% of hospita lized patients had an adverse event, and of these, 16% died as a result. DIF: Cognitive Level: Knowledge OBJ: N/A KEY: Nurs ing Process: N/A 18. Which organization offers certification for perinat al, general pediatrics, and pediatric intensive care nurses? a. SOGC b. CNA c. RNAO d. CAPWHN ANS: B The Canadian Nurses Association (CNA) offers specia lty certification in many areas of nursing, including perinatal, general pediatrics, p ediatric intensive care, and neonatal intensive care. The SOGC, RNAO, and CAPWHN develop guidelines that help guide nurses’ practice. DIF: Cognitive Level: Knowledge OBJ: 1 KEY: Nursin g Process: N/A 19. Which is a United Nations Sustainable Development G oal? 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 Developmen t Goals is to promote good health and well-being. Safe, compassionate care is included in the Code of Ethics for RNs. DIF: Cognitive Level: Knowledge OBJ: 8 KEY: Nursin g Process: N/A 20. Which statement is true of nursing care that is bas ed on knowledge gained through various forms and sources of information? 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 ______________________________________________________________________________________________
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6 | P a g e ANS: B Evidence-informed practice (EIP) is the collection, interpretation, and integration of valid, important, and applicable patient-reported, nurse-o bserved, and research-derived information. Evidence-informed practice is practised within all disciplines of nursing and is not exclusive to maternity nursing practice. The Cochrane Pregnan cy and Childbirth Database is based on systematically reviewed research trials and is part of the evidence-informed practice movement. Telemedicine uses communication technolog ies to support health care. DIF: Cognitive Level: Comprehension OBJ: 6 KEY: Nursing Process: Assessment 21. Which is a principle of the Canada Health Act? a. Justice b. Universality c. Health and well-being d. Informed decision making ANS: B Universality is one of the five principles of the C anada Health Act. Justice is a guiding principle for perinatal and pediatric nursing in Ca nada. Informed decision making is a guiding principle for perinatal and pediatric nursing in Ca nada. Health and well-being is a guiding principle for perinatal and pediatric nursing in Ca nada. DIF: Cognitive Level: Knowledge OBJ: 2 KEY: Nursing Process: Assessment 22. Which is true of the Muskoka Declaration? a. It focused on a commitment to increase global healt h across the lifespan. b. It provided assistance in developing countries to a ddress 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 em power women in health care decisions. ANS: B In 2010, with the signature of the Muskoka Declarat ion, the Canadian government promised to assist developing countries in 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 treatmen t. b. are used by only a small number of Canadians. c. recognize the value of patients’ input into their h ealth care. d. focus primarily on the disease an individual is exp eriencing. ANS: C ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Perry's Maternal Child Nursing Care in Canada, 3rd Edition (Keenan-Lindsay, 2022)
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