Question 1

Which statement is true of maternity nursing care that is based on knowledge gained through various forms of research?

Accepted Answer

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 
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 B

Question 2

What is the term used to describe legal and professional responsibility for maintaining standards of practice?

Accepted Answer

A)  Collegiality 
B)  Ethics 
C)  Evaluation 
D)  Accountability 
A)  Collegiality 
B)  Ethics 
C)  Evaluation 
D)  Accountability D

Question 3

Which statement is true related to integrative healing?

Accepted Answer

A)  Its aim is to provide the same health care for all racial and ethnic groups. 
B)  It blends complementary and alternative therapies with conventional Western treatment. 
C)  It focuses on the disease or condition rather than the background of the patient. 
D)  It has been mandated by Health Canada. 
A)  Its aim is to provide the same health care for all racial and ethnic groups. 
B)  It blends complementary and alternative therapies with conventional Western treatment. 
C)  It focuses on the disease or condition rather than the background of the patient. 
D)  It has been mandated by Health Canada. B

Question 4

Which is the correct definition of the perinatal mortality rate?

Accepted Answer

A)  Number of live births in one year per 1000 population 
B)  Number of deaths of infants under one year of age per 1000 live births 
C)  Number of deaths of infants under 28 days of age per 1000 live births 
D)  Number of stillbirths and neonatal deaths per 1000 live births 
A)  Number of live births in one year per 1000 population 
B)  Number of deaths of infants under one year of age per 1000 live births 
C)  Number of deaths of infants under 28 days of age per 1000 live births 
D)  Number of stillbirths and neonatal deaths per 1000 live births

Question 5

What is the primary role of practicing nurses in the research process?

Accepted Answer

A)  Designing research studies 
B)  Collecting data for other researchers 
C)  Identifying areas for further research 
D)  Seeking funding to support research studies 
A)  Designing research studies 
B)  Collecting data for other researchers 
C)  Identifying areas for further research 
D)  Seeking funding to support research studies

Question 6

Which recent trend in childbirth practices in Canada is accurate?

Accepted Answer

A)  More than 15% of mothers had late or no prenatal care. 
B)  The percentage of Aboriginal and White women who received prenatal care was essentially the same. 
C)  Ninety-eight percent of births occurred in the hospital. 
D)  Less than 50% of pregnant women take folic acid supplements. 
A)  More than 15% of mothers had late or no prenatal care. 
B)  The percentage of Aboriginal and White women who received prenatal care was essentially the same. 
C)  Ninety-eight percent of births occurred in the hospital. 
D)  Less than 50% of pregnant women take folic acid supplements.

Question 7

Which is a characteristic of integrative healing?

Accepted Answer

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. 
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.

Question 8

Which medical risk factor contributes to a higher infant mortality rate?

Accepted Answer

A)  Diabetes mellitus 
B)  Mitral valve prolapse (MVP) 
C)  Chronic hypertension 
D)  Anemia 
A)  Diabetes mellitus 
B)  Mitral valve prolapse (MVP) 
C)  Chronic hypertension 
D)  Anemia

Question 9

The nurse knows that teaching to promote healthy living has been effective when the patient makes which comment?

Accepted Answer

A)  "I'll do whatever you say; you're the nurse." 
B)  "I don't think I can quit smoking." 
C)  "I exercise for 30 minutes, 3 days a week." 
D)  "What do you think I should do?" 
A)  "I'll do whatever you say; you're the nurse." 
B)  "I don't think I can quit smoking." 
C)  "I exercise for 30 minutes, 3 days a week." 
D)  "What do you think I should do?"

Question 10

Which reflects a future goal for perinatal nursing?

Accepted Answer

A)  Limiting multiprofessional teams 
B)  Maintaining existing power structures 
C)  Advocating for an increased number of Cesarean sections 
D)  Addressing health inequities by creating healthy public policies 
A)  Limiting multiprofessional teams 
B)  Maintaining existing power structures 
C)  Advocating for an increased number of Cesarean sections 
D)  Addressing health inequities by creating healthy public policies

Question 11

While obtaining a detailed history from a woman who has recently emigrated from Somalia,the nurse realizes that the patient has undergone female genital mutilation (FGM).Which is the nurse's best response?

Accepted Answer

A)  "This is a very abnormal practice and rarely seen in Canada." 
B)  "Do you know who performed this so that it can be reported to the authorities?" 
C)  "We will be able to fully restore your circumcision after delivery." 
D)  "The extent of your circumcision will affect the potential for complications." 
A)  "This is a very abnormal practice and rarely seen in Canada." 
B)  "Do you know who performed this so that it can be reported to the authorities?" 
C)  "We will be able to fully restore your circumcision after delivery." 
D)  "The extent of your circumcision will affect the potential for complications."

Question 12

During an initial prenatal interview,the patient informs the nurse that she would prefer a midwife to both provide her care during pregnancy and deliver her infant.What information would be most appropriate for the nurse to share with this patient?

Accepted Answer

A)  Midwifery care is not a choice for women in Canada. 
B)  Usually two midwives attend the birth and share perinatal care. 
C)  She should be aware of poor outcomes associated with midwifery care. 
D)  Her delivery can take place only at home or in a birth centre. 
A)  Midwifery care is not a choice for women in Canada. 
B)  Usually two midwives attend the birth and share perinatal care. 
C)  She should be aware of poor outcomes associated with midwifery care. 
D)  Her delivery can take place only at home or in a birth centre.

Question 13

Which woman would be most at risk for the poorest perinatal outcome?

Accepted Answer

A)  A 25-year-old single mother on maternity leave with two existing children 
B)  An unemployed 32-year-old lawyer in an inner city neighbourhood 
C)  An Inuit woman in her mid-20s with no high school education 
D)  A 19-year-old college student who lives at home with her parents 
A)  A 25-year-old single mother on maternity leave with two existing children 
B)  An unemployed 32-year-old lawyer in an inner city neighbourhood 
C)  An Inuit woman in her mid-20s with no high school education 
D)  A 19-year-old college student who lives at home with her parents

Question 14

Which of the following best describes a doula?

Accepted Answer

A)  Advanced practice labour and delivery nurse 
B)  A trained and experienced female labour attendant 
C)  Clinical nurse specialist in neonatal and postpartum care 
D)  Leader of a multidisciplinary, intrapartum health care team 
A)  Advanced practice labour and delivery nurse 
B)  A trained and experienced female labour attendant 
C)  Clinical nurse specialist in neonatal and postpartum care 
D)  Leader of a multidisciplinary, intrapartum health care team

Question 15

Which of the following have contributed to escalating maternity-related health care costs?

Accepted Answer

A)  Early postpartum discharges 
B)  Explosion in perinatal care technology 
C)  The reduction in acceptable genetic screening options 
D)  Rural health services delivered via telemedicine networks 
A)  Early postpartum discharges 
B)  Explosion in perinatal care technology 
C)  The reduction in acceptable genetic screening options 
D)  Rural health services delivered via telemedicine networks

Question 16

Which trend has a positive impact on the infant mortality rate?

Accepted Answer

A)  Delayed second-stage pushing is now discouraged in labour. 
B)  Episiotomy rates are increasing. 
C)  Midwives perform more episiotomies than physicians. 
D)  Newborn infants remain with the mother and are encouraged to breastfeed. 
A)  Delayed second-stage pushing is now discouraged in labour. 
B)  Episiotomy rates are increasing. 
C)  Midwives perform more episiotomies than physicians. 
D)  Newborn infants remain with the mother and are encouraged to breastfeed.

Question 17

A 38-year-old Métis woman delivered a 4250 g baby girl vaginally after being in labour for 43 hours.The baby died 3 days later from sepsis.On what grounds would the woman potentially have a legitimate legal case for negligence?

Accepted Answer

A)  She is Métis. 
B)  She delivered a girl. 
C)  She refused fetal monitoring. 
D)  The standards of care were not met. 
A)  She is Métis. 
B)  She delivered a girl. 
C)  She refused fetal monitoring. 
D)  The standards of care were not met.

Question 18

Which of the following is a principle of the Canada Health Act?

Accepted Answer

A)  Justice 
B)  Universality 
C)  Health and well-being 
D)  Informed decision making 
A)  Justice 
B)  Universality 
C)  Health and well-being 
D)  Informed decision making

Question 19

Which is the main characteristic of the evolved role of the professional perinatal nurse?

Accepted Answer

A)  Providing care to patients directly at the bedside 
B)  Planning patient care to cover longer hospital stays 
C)  Leading the activities of a team of interdisciplinary health care providers 
D)  Managing care to cure health problems once they have occurred 
A)  Providing care to patients directly at the bedside 
B)  Planning patient care to cover longer hospital stays 
C)  Leading the activities of a team of interdisciplinary health care providers 
D)  Managing care to cure health problems once they have occurred

Question 20

Ms.Kiyawasew,a 23-year-old First Nations woman,is pregnant with her first child.Based on the statistics for infant mortality,which intervention is most important for the nurse to implement?

Accepted Answer

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. 
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.

Exam 1: Contemporary Perinatal Nursing in Canada

Which statement is true of maternity nursing care that is based on knowledge gained through various forms of research?

What is the term used to describe legal and professional responsibility for maintaining standards of practice?

Which statement is true related to integrative healing?

Which is the correct definition of the perinatal mortality rate?

What is the primary role of practicing nurses in the research process?

Which recent trend in childbirth practices in Canada is accurate?

Which is a characteristic of integrative healing?

Which medical risk factor contributes to a higher infant mortality rate?

The nurse knows that teaching to promote healthy living has been effective when the patient makes which comment?

Which reflects a future goal for perinatal nursing?

While obtaining a detailed history from a woman who has recently emigrated from Somalia,the nurse realizes that the patient has undergone female genital mutilation (FGM).Which is the nurse's best response?

During an initial prenatal interview,the patient informs the nurse that she would prefer a midwife to both provide her care during pregnancy and deliver her infant.What information would be most appropriate for the nurse to share with this patient?

Which woman would be most at risk for the poorest perinatal outcome?

Which of the following best describes a doula?

Which of the following have contributed to escalating maternity-related health care costs?

Which trend has a positive impact on the infant mortality rate?

A 38-year-old Métis woman delivered a 4250 g baby girl vaginally after being in labour for 43 hours.The baby died 3 days later from sepsis.On what grounds would the woman potentially have a legitimate legal case for negligence?

Which of the following is a principle of the Canada Health Act?

Which is the main characteristic of the evolved role of the professional perinatal nurse?

Ms.Kiyawasew,a 23-year-old First Nations woman,is pregnant with her first child.Based on the statistics for infant mortality,which intervention is most important for the nurse to implement?

The Family and Culture

Community Care

Health Promotion

Health Assessment

Reproductive Health

Infertility, contraception, and Abortion

Preconception, genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

Developmental Influences on Child Health Promotion

Communication, history, physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological and Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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