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Maternal Child Nursing Care in Canada
2nd Edition Perry Test Bank
Chapter 01: Contemporary Perinatal and Pediatric Nursing in Canada
Perry: Maternal Child Care Nursing in Canada, 2nd Canadian Edition
MULTIPLE CHOICE
- Which is true regarding perinatal nurses?
a. They provide care for only mothers and babies.
b. They require advanced practice education beyond an entry to practice degree.
c. They work with women 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 women and families from the
preconception period throughout the child-bearing year. Pediatric nurses care for children
from birth up to age 18 years. Perinatal or pediatric nurses also provide care for the family.
Perinatal nurses often do have advanced education, but this is not a requirement.
DIF: Cognitive Level: Knowledge REF: p. 3
OBJ: Nursing Process: Assessment - 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 women and families throughout the child-bearing year.
d. They provide care for chiN
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ANS: D
Pediatric nurses care for children from birth up to age 18 years. Perinatal nurses are those
nurses who work collaboratively with women and families from the preconception period
throughout the child-bearing year. Perinatal and pediatric nurses also provide care for the
family. Pediatric nurses often do have advanced education, but this is not a requirement.
DIF: Cognitive Level: Analysis REF: p. 3
OBJ: Nursing Process: Assessment - According to the Institute of Safe Medication Practices Canada (ISMP) “Do Not Use” list,
which is correct?
a. Administer heparin 100 U S/C QID
b. Administer insulin 7 units OD
c. Administer polysporin gtts to both eyes daily
d. Administer 5 cc heparin into saline lock daily
ANS: C
Polysporin gtts to both eyes daily is correct. Units should be written out and not abbreviated
as “U”; S/C should be “SUBCUT”; OD should be written out as “daily”; and “cc” is not to be
used, but “mL” is to be used for volume measurements.
DIF: Cognitive Level: Application REF: p. 10 | Table 1-2
OBJ: Nursing Process: Implementation
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- An Indigenous woman is pregnant with her first child. Which evidence-informed intervention
is most important for the nurse to implement?
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. Explain to the woman the importance of keeping her prenatal care appointments.
ANS: D
Consistent prenatal care is associated with healthier infants. Nutritional status is an important
modifiable risk factor, but it is not the most important action a nurse should take in this
situation. The patient may need assistance from a social worker at some time during her
pregnancy, but a referral to a social worker is not the most important aspect the nurse should
address at this time. If the woman has identifiable high-risk problems, her health care may
need to be provided by a physician. However, it cannot be assumed that all Indigenous women
have high-risk issues. In addition, advising the woman to see an obstetrician is not the most
important aspect on which the nurse should focus at this time.
DIF: Cognitive Level: Application REF: p. 8 OBJ: Nursing Process: Planning - 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-iNncUoRmSe ICaNnGadTiaBn.s hCaOveMpoorer 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 REF: p. 5 | Table 1-1
OBJ: Nursing Process: Evaluation - 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 services. Visible poverty refers to lack of
money or material resources, which includes insufficient clothing, poor sanitation, and
deteriorating housing.
DIF: Cognitive Level: Knowledge REF: p. 4
OBJ: Nursing Process: Assessment - What is the primary role of practicing nurses in the research process?
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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 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 nurse in the research process.
DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Nursing Process: Implementation
- 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 Millennium 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 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 PHNAUCR. TShIerNeGhaTsBno.tCbeOeMn an increase in the maternal mortality
rate.
DIF: Cognitive Level: Comprehension REF: p. 4
OBJ: Nursing Process: Implementation - It is estimated that there are approximately how many homeless people in Canada?
a. 100 000
b. 200 000
c. 500 000
d. 1 000 000
ANS: B
It is estimated that there is approximately 200 000 homeless people in Canada in any given
year.
DIF: Cognitive Level: Knowledge REF: p. 6
OBJ: Nursing Process: Assessment - 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 patients’ input into their health care.
d. It focuses primarily on the disease an individual is experiencing.
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N R I G B.C M
ANS: 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
patient’s input and honor the individual’s beliefs, values, and desires. Alternative and
complementary therapies are part of an integrative approach to health care. An increasing
number of Canadian adults are seeking alternative and complementary health care options.
Alternative healing modalities offer a holistic approach to health, focusing on the whole
person, not just the disease.
DIF: Cognitive Level: Comprehension REF: p. 7 OBJ: Nursing Process: Planning
- Which was highlighted in the Truth and Reconciliation Report (2015)?
a. Increased transportation for Indigenous people to travel to tertiary care centers 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 healing practices and to use them in the treatment of Indigenous patients in
collaboration with Indigenous healers and Elders where requested by Indigenous patients. 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 cUentrSes fNor hTealth caOre.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: Nursing Process: Planning - 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 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 REF: p. 7
OBJ: Nursing Process: Implementation - Which is the focus of the Code of Ethics for Registered Nurses?
a. Collegiality
b. Dependent role
c. Evaluation