Deck 16: Maternal, Newborn, and Child Health

Question 1

By about 6 months of age, infants are developmentally ready for other foods. Which of the following is a sign of readiness for solid food? Select all that apply.

A) Improved head control
B) Capacity to sit up and lean forward
C) Ability to let their caregiver know they are full
D) Ability to pick up food and try to put it in their mouths
E) None of the above

Answer 1

Improved head control
Capacity to sit up and lean forward
Ability to let their caregiver know they are full
Ability to pick up food and try to put it in their mouths

Question 2

What best describes the concept of maternal health care in Canada?

A) Preconception through to postnatal care
B) Pregnancy, birth, and postpartum care
C) Preconception counselling
D) Prenatal education to prevent birth defects

Answer 2

Preconception through to postnatal care

Question 3

What is the most common reason cited for why Canadian mothers discontinue breastfeeding?

A) The infant was ready for solids
B) Breastfeeding was inconvenient
C) The mother felt she did not have enough breast milk
D) The mother had difficulties breastfeeding

Answer 3

The mother felt she did not have enough breast milk

Question 4

A nurse visits the Calloway family. Mrs. Calloway states that she is having difficulty feeding her three children. What is the best action for the nurse to take that is sustainable?

A) Provide Mrs. Calloway with money to purchase food
B) Teach Mrs. Calloway how to make nutritious meals with the food she has
C) Ask Mrs. Calloway if the children are in a school lunch program
D) Discuss resources in the community the family can access

Question 5

Which territory in Canada has the highest infant mortality rate?

A) Northern Manitoba
B) Northwest Territory
C) Yukon Terrority
D) Nunavut Territory

Question 6

A woman has electronic fetal monitoring during her labour. What term would best describe this practice?

A) Maternal health care
B) Liberal individualism
C) Reproductive right
D) Medicalization

Question 7

What Canadian agency is responsible for tracking the health of children?

A) No Canadian agency is responsible for this
B) The Public Health Agency of Canada
C) The Canadian Association of Midwives
D) The Centre for Child Health

Question 8

What is an example of the medicalization of childbirth?

A) Delivering in hospital assisted by a midwife
B) Delivering in a hospital and supervised by a physician
C) Delivering at home and having a physician present
D) Delivering at home assisted by a midwife

Question 9

Which of the following statements is true regarding teenage mothers?

A) Teenage mothers are less likely to experience postpartum depression as adult mothers are
B) Teenage mothers are more likely to experience postpartum depression as adult mothers are
C) Teenage girls are less likely to binge drink during pregnancy
D) Tennage girls are more likely to come for higher socioeconomic status

Question 10

What is an example of a reproductive right?

A) Freedom from socio-economic disadvantages
B) Access to appropriate health care
C) Right to use reproductive technologies
D) Deciding on the number of children

Question 11

Which of the following statements is true about women who smoke during pregnancy?

A) Women who smoke during pregnancy are more likely to be younger
B) Women who smoke during pregnancy are more likely to be from higher socioeconomic status
C) Women who smoke during pregancy are more likely to have a post secondary education
D) Women who smoke during pregnancy are more likely to be married

Question 12

Which population groups are most vulnerable to negative mental health outcomes during the perinatal and postnatal periods in Canada? Select all that apply.

A) Immigrant women
B) Refugee women
C) Women in high socioeconomic neighbourhoods
D) Women who were born in Canada

Question 13

Which of the following is an example of an indicator that is used to measure child well-being in Canada?

A) Maternal mortality rate
B) Breastfeeding rates
C) Child death rate
D) Relative risk

Question 14

Which of the following is associated with physical activity during the preschool years?

A) Decreased motor skill development
B) Improved psychosocial health
C) Increased levels of adiposity
D) Lower measures of cognitive development

Question 15

Many communities across Canada are taking up grassroots initiatives and political advocacy to bring social justice to women of childbearing age in Indigenous community. What are examples of this? Select all that apply.

A) Educating a new generation of Indigenous midwives
B) Creating birthing centres in large urban cities that enable urban Indigenous women to deliver in a home-like setting
C) Using health promotion that recognizes culturally safe transition to motherhood
D) Return birthing services to rural and remote communities
E) None of the above

Question 16

What is the main reason children present in emergency departments across Canada?

A) Injuries related to physical activity
B) Behaviour problems
C) Neglect and abuse
D) Risk of overeating

Question 17

What are the short-term benefits of breastfeeding? Select all that apply.

A) It provides protection against acute otitis media
B) It provides protection against gastroenteritis and diarrhea
C) It provides protection against lower respiratory tract infections
D) It provides protection against SIDS
E) None of the above

Question 18

What single factor, in Canada, is associated with poorer outcomes for mothers and children?

A) Access to prenatal education
B) Access to medical care
C) Geography
D) Poverty

Question 19

What statement is correct about the maternal mortality rate?

A) It is the number of maternal deaths in a given period per 100,000 woemn of reproductive age during the same time period
B) It is the number of maternal deaths during a given time period per 100,000 live births during that same period
C) It is the death of a woman while pregnant or within 42 days of termination of pregancy
D) It is the number of maternal deaths after pre-term births

Question 20

Which statement is correct regarding breastfeeding in Canada? Select all that apply.

A) The rates of breastfeeding rates vary across Canada
B) The rates of breastfeeding initiation are lower in western Canada
C) CHNs must promote exclusive breastfeeding for the first 6 months of life
D) Breastfeeding rates were higher in 2011-2012 than in 2003

Question 21

Which of the following drug is the most common illicitly used drug during pregnancy?

A) Cannabis
B) Alcohol
C) Heroin
D) Tobacco

Question 22

What is the difference between maternal mortality rate and maternal mortality ratio?

Question 23

Aiden, 1 year old, is noted to be a picky eater. What teaching should the community health nurse include while speaking to Aiden's parents?

A) Aiden should be offerred what ever he will accept to eat
B) Aiden should be offerred nutrient dense foods along with breastfeeding
C) Aiden should be offerred nutrient dense foods and unpasteurized cow's milk
D) Aiden should be offerred unpastuerized goat's milk with every meal

Question 24

A nurse works in a small northern Indigenous community. Four of the teenagers are pregnant and due to deliver in three to four months. What is a complication these girls are most likely to experience in the weeks following delivery?

A) Shock
B) Hemorrhage
C) Depression
D) Deep vein thrombosis

Question 25

Define the following terms: preterm birth, small-for-gestational-age birth, low birth weight, high birth weight, large-for-gestational-age birth, neonatal death, and post-neonatal death

Question 26

A nurse works in a small northern Indigenous community. The nurse wants to improve the nutrition of preschool children in the community. What would be the nurse's first step?

A) Develop a program for the children
B) Teach the parents about nutrition
C) Conduct a literature review
D) Assess the families' social determinants of health

Question 27

You are a community health nurse completing a postpartum home visit with a family. You notice that the father is a smoker. What illness prevention information related to smoking should you convey to the family?

Question 28

Which of the following birth outcomes are worse for Indigenous populations in Canada? Select all that apply.

A) Preterm birth
B) Large for gestational age
C) Sudden infant death syndrome
D) Cardiac issues during infancy

Question 29

List and discuss 4 reproductive rights

Question 30

What is the impact of poverty on maternal-infant health in Canada?