©SIRJOEL EXAM SOLUTIONS
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NURS 2002 - Midterm #1 Exam Questions
With Correct Answers
Perinatal nursing - answer✔care of childbearing women and their families from preconception to
postpartum. Specialty field. Promote the physical, emotional, social, and spiritual wellbeing of
the whole family, and work to address health inequities
Paediatric nursing - answer✔care for children from birth to 18 years of age. Specialty field
Lalonde Report (1974) - answer✔recommends more attention to health promotion and disease
prevention. Canada became a leader in health promotion
Ottawa Charter - answer✔recommends more attention to health determinants, reducing
inequities, increasing prevention, and enhancing capacity to live with chronic disease and
disability. Midwifery program in Poxungnituk began preparing Inuit midwives
Canada Health Act - answer✔emphasis on vaccines and the importance behind them. Around the
same time as the healthcare reform
Values & guiding principles for perinatal. nursing in Canada - answer✔Caring, Health & Well-
Being, Informed Decision Making, Dignity, Confidentiality, Justice, Accountability, Quality
Practice Environments
Issues in perinatal nursing practice - answer✔promoting health & normal birth, place of birth &
"high tech" care, baby friendly initiative, community based care, global perspective
Ethical issues in perinatal nursing - answer✔advances in technology & science = ethical
dilemmas, research in maternal child nursing
Woman Centred Care - answer✔grounded in the assumption that women know their own bodies
and are experts in their own health. Women are frequently both organizers and providers of
family caregiving, recognizes that womens childbearing experiences vary, respects the many
differences in women, acknowledges that gender is an important determinant of health
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Health care responsibilities : nurse local/provincial/national level - answer✔provide a safe
environment, building trust, recognizes she is an expert in her life, be honest, culturally
competent care, support midwifery, work as a team (primary health care)
What is a family? - answer✔whatever a person considers it to be
Consanguineous - answer✔blood relationship
Affinal - answer✔marital relationship
Family of origin - answer✔family unit a person is born into
Nuclear families - answer✔male and female parent with children (traditional north american)
Married-parent families - answer✔biological or adoptive parents
Common law families - answer✔unmarried biological or adoptive parents
Married-blended families - answer✔unrelated family members join to make new household as a
result of a death/divorce and remarriage
Lone-parent families - answer✔unmarried biological or adoptive parent who may or may not be
living with other adults. may be planned or unplanned
Same-sex parent families - answer✔may be married or common-law
Culturally safe care - answer✔providing an environment in which people are treated with respect
for their identity and dignity for who they are and in which a shared experience of listening and
learning is created. No bias, stay open minded, communication, and working with pts to
understand practices/traditions
Cultural competence - answer✔incorporate family wherever possible, ask family to leave for a
short period of time to ensure privacy
Cultural safety - answer✔both a process and an outcome whose goal is to promote greater equity
by focusing on the root causes of power imbalances and inequitable social relationships in health
care
Enthocentrism - answer✔is the belief that your own group or culture is superior to all other
groups or cultures.
Cultural relativism - answer✔refers to learning about and apply the standards of another culture
to activities within that culture. The nurse recognizes that people from different cultural
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background may comprehend the same objects and situations differently (culture determines
viewpoint)
Preconception - answer✔important time. Women should strive to be in optimal health, plan and
carry through plan to quit smoking, drugs, and alcohol, get genetic testing and counseling
Estrogen - answer✔mainly 'E'stablishes pregnancy
Progesterone - answer✔mainly maintains pregnancy
Folic acid - answer✔promotes proper neural tube formation (neural tube is formed in the first 4
weeks = B4 most women know they are pregnant)
Ambivalence - answer✔the state of having contradictory or conflicting emotional attitudes.
Experienced by both parents even if pregnancy was 100% planned
When does emotional attachment to the fetus start - answer✔usually when movement is felt or
baby is seen/HB is heard through ultrasound or other methods
Presumptive signs of pregnancy - answer✔subjective signs, can be due to other causes.
amenorrhea, nausea & vomiting , breast tenderness, deepening pigmentation, urinary frequency,
quickening, fatigue, urinary frequency
Probable signs of pregnancy - answer✔objective signs, can be due to other causes
blood and urine tests, Chadwick's sign, Goodell's sign, Hegar's sign, braxton-hicks, ballottemont
Positive signs of pregnancy - answer✔audible fetal heartbeat, fetal movement felt by examiner,
ultrasound visualization of fetus
Amniocentesis - answer✔needle puncture of the amniotic sac to withdraw amniotic fluid for
analysis
Usually completed around 14 weeks, detects fetal abnormalities earlier, risks associated with it
Early pregnancy - answer✔ectopic pregnancy may be difficult to diagnose because signs and
symptoms may mirror _____.
Ptyalism - answer✔condition of excessive salivation
Leukorrhea - answer✔a white or slightly grey mucoid discharge with a faint musty odour.
Occurs in response to cervical stimulation by estrogen and progesterone in pregnancy. Whitish
