TEST BANK-Perry’s MATERNAL CHILD NURSING CARE IN CANADA 3RD
EDITION, (Keenan-Lindsay) ||CHAPTERS 1-55, FULLY COVERED
,Maternal Child Nursing Care 3rd CANADIAN Edition Keenan Lindsay Test
Bank
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 professional 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 clients and families from preconception throughout the
child-bearing year.
d. They provide care for families with children up to age 18 years.
CORRECT ANSWER:C
Perinatal professional nurses are those professional nurses who work collaboratively with clients and families from the
preconception period throughout the child-bearing year. Pediatric professional nurses care for children from birth up to age 18
years. Perinatal or pediatric professional nurses also provide care for the family. Perinatal professional 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 professional 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 clients and families throughout the child-bearing year.
d. They provide care for children and families up to age 18 years.
CORRECT ANSWER:D
Pediatric professional nurses care for children from birth up to age 18 years. Perinatal professional nurses are those professional
nurses who work collaboratively with clients and families from the preconception period throughout the child-bearing year.
Perinatal and pediatric professional nurses also provide care for the family. Pediatric professional 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 (SDOH)?
a. Racism
b. Daily exercise
c. Chronic illness
d. Presence of playgrounds
CORRECT ANSWER:C
Chronic illness is not considered a SDOH. Racism, healthy behaviours (exercise) and healthy outdoor spaces (playgrounds) can all
impact a person’s health.
DIF: Cognitive Level: Application OBJ: 3
KEY: Nursing Process: Assessment
4. An Indigenous client is pregnant with their first child. Which evidence-informed intervention is most critical for the professional
nurse to implement?
a. Perform a nutrition assessment.
b. Refer the client to a social worker.
c. Advise the client to see an obstetrician, not a midwife.
d. Explain to the client the importance of keeping their prenatal care appointments.
CORRECT ANSWER:D
Consistent prenatal care is associated with healthier infants. Nutritional status is an critical modifiable risk factor, but it is not the
most critical action a professional nurse should take in this situation. The client may need assistance from a social worker at some
time during the pregnancy, but a referral to a social worker is not the most critical aspect the professional nurse should address at
this time. If the client has identifiable high-risk problems, their health care may need to be provided by a physician. However, it
cannot be assumed that all Indigenous clients have high-risk issues. In addition, advising the client to see an obstetrician is not the
most critical aspect on which the professional nurse should focus at this time.
DIF: Cognitive Level: Application OBJ: 1 KEY: Nursing 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
CORRECT ANSWER: B
Income and social status has the greatest influence on health status and behaviours and use of health care services. Lower-income
Canadians have poorer health, with more chronic illness and earlier death, than that of higher-income Canadians, 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
CORRECT ANSWER: 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 services. Visible poverty refers
to lack of money or material resources, which includes insufficient clothing, poor sanitation, and deteriorating housing.
DIF: Cognitive Level: Knowledge OBJ: 3
KEY: Nursing Process: Assessment
7. What is the primary role of practicing professional 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
CORRECT ANSWER:C
The primary role of the practicing professional nurse is to identify areas for further research in the health and health care of
women, children, and families. When problems are identified, research can be conducted properly. Research of health care issues
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 support is necessary to conduct research, but it is not the primary role of the professional nurse in the
research 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 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
CORRECT ANSWER: B
The emergence of the avian influenza shifted the focus 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 been an increase in the maternal mortality rate.
DIF: Cognitive Level: Comprehension OBJ: 2 KEY: Nursing Process: N/A
9. The World Health Organization has identified which period as the most critical for overall development throughout a person’s
lifetime?
a. Preconception
b. Early childhood
c. Young adult
d. Adolescence
CORRECT ANSWER: 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 critical to identify where children are most at risk for adversity and to intervene accordingly.
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 treatment.
b. It is used by only a small number of Canadian adults.
c. It recognizes the value of clients’ input into their health care.
d. It focuses primarily on the disease an individual is experiencing.
CORRECT ANSWER:C
Integrative healing encompasses complementary and alternative therapies and healing modalities that offer human-centred care
based on philosophies that recognize the value of the client’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: Nursing Process: Planning
, 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.
CORRECT ANSWER: B
The TRC (2015) final report calls on health care providers to recognize the value of Indigenous healing practices and to use them in
the treatment of Indigenous clients in collaboration with Indigenous healers and Elders where requested by Indigenous clients. It is
imperative that health care providers become knowledgeable 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 people work and live and
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
CORRECT ANSWER: B
Enhanced technology has increased the life expectancy of many children with chronic diseases. Early postpartum discharges and
genetic screening options have not increased the life expectancy of children with chronic disease. Rural health services delivered
via telehealth are altering how services are delivered and may indirectly 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 Registered Professional nurses?
a. Collegiality
b. Dependent role
c. Evaluation
d. Accountability
CORRECT ANSWER:D
The Code of Ethics for Registered Professional nurses, by the Canadian Professional nurses Association (CNA), provides the
framework and core responsibilities for nursing practice. The Code of Ethics focuses on the professional nurse's accountability
and responsibility to the client (CNA, 2017) and emphasizes the nursing role as an independent professional, one that upholds its
own legal liability. Collegiality refers to a working relationship with one’s colleagues. Evaluation refers to examination of the
effectiveness of interventions in 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
CORRECT ANSWER:D
Addressing health inequities by creating health policy and services that focus on both resources needed for health and access to
health services is a future goal of perinatal professional nurses. Professional 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 births is not a future goal for perinatal nursing.
DIF: Cognitive Level: Knowledge OBJ: 1 KEY: Nursing Process: N/A
15. What is the most critical aspect of trauma-informed care?
a. Providing counselling to clients who have be traumatized
b. Minimize the potential for harm and re-traumatization
c. Asking all clients about previous trauma in their life
d. To provide a controlling environment for the client
CORRECT ANSWER: B
The focus of trauma and violence-informed approaches are to minimize the potential for harm and re-traumatization, and to
enhance safety, control and resilience for all clients. While clients should be asked about trauma in their life this is not the most
critical point as not all clients will disclose the trauma. It is also critical to enhance their own control over the situation and not for
health care providers to control the situation. Providing counselling may be appropriate for some clients but it is not the focus of
trauma-informed care.
DIF: Cognitive Level: Application OBJ: 4
KEY: Nursing Process: Implementation
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