Deck 1: Contemporary Perinatal Nursing in Canada

Question 1

Which reflects a future goal for perinatal nursing?

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

Answer 1

Addressing health inequities by creating healthy public policies

Question 2

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

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

Answer 2

An Inuit woman in her mid-20s with no high school education

Question 3

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?

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

Answer 3

The standards of care were not met.

Question 4

When managing health care for pregnant women at a prenatal clinic,which barrier to access prenatal care is considered most significant?

A) Age
B) Minority status
C) Educational level
D) Geographic location

Question 5

Which statement is true related to integrative healing?

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.

Question 6

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

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

Question 7

Which is the correct definition of the perinatal mortality rate?

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 8

Which recent trend in childbirth practices in Canada is accurate?

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 9

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

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 10

From the nurse's perspective,what measure should be the focus of the health care system to further reduce the rate of infant mortality?

A) Implementing programs that focus on health promotion and preventive care
B) Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days
C) Expanding the number of neonatal intensive care units (NICUs)
D) Mandating that all pregnant women receive care from an obstetrician

Question 11

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

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 12

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

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

Question 13

Which of the following best describes a doula?

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 14

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

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

Question 15

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.

Question 16

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?

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.

Question 17

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

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 18

What is the primary role of practicing 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

Question 19

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

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 20

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

Question 21

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?

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 22

Which of the following is a strategic direction for nursing and midwifery services as identified by the World Health Organization?

A) Culturally appropriate prenatal care
B) Health and human resource planning
C) Consent and allocation of scarce resources
D) Collaborating with stakeholders in an ongoing dialogue

Question 23

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?

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 24

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

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

Question 25

According to the Canadian Maternity Experiences Survey,what was the most frequent pain medication used during labour and delivery?

A) Nitrous oxide
B) Demerol (meperidine)
C) Epidural anaesthesia
D) Local infiltration anaesthesia