Deck 4: Perinatal Nursing in Canada

Question 1

An Indigenous 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.

Answer 1

Explain to the woman the importance of keeping her prenatal care appointments.

Question 2

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

Answer 2

Implementing programs that focus on health promotion and preventive care

Question 3

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

Answer 3

Geographic location

Question 4

Which factor is associated with higher infant mortality rates?

A) Advanced maternal education
B) Maternal age greater than 35 years
C) Access to prenatal care
D) Poverty

Question 5

Which reflects a future goal for perinatal nursing?

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

Question 6

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 7

Which indicates that teaching to promote healthy living has been effective?

A) Asking the nurse what to do
B) Indicating that she can't quit smoking
C) Exercising three times a week
D) Questioning what healthy living behaviours are

Question 8

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 9

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 10

Which have contributed to decreasing maternity-related health care costs?

A) Prolonged postpartum hospital stays
B) Portable care technology
C) The reduction in acceptable genetic screening options
D) Rural health services outreach clinics

Question 11

Which factor is mainly responsible for the steady increase in Caesarean birth?

A) Higher rate of primary Caesarean births
B) Higher rate of vaginal birth after Caesarean birth
C) Increased nicotine use in pregnancy
D) Lower medical indications for Caesarean birth

Question 12

Which is the correct definition of the perinatal mortality rate?

A) Number of live births in 1 year per 1000 population
B) Number of deaths of infants under 1 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 13

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 Indigenous 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 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) Developing models and guidelines for multidisciplinary health care providers
D) Managing care to cure health problems once they have occurred

Question 15

Which is the leading cause of maternal death?

A) Hypertension
B) Obesity
C) Gestational diabetes
D) Hemorrhage

Question 16

Which time frame range is the perinatal continuum of care?

A) 9-10 months
B) 12-14 months
C) 15-16 months
D) 18-24 months

Question 17

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 supports the patients' belief systems.
D) It focuses primarily on the disease an individual is experiencing.

Question 18

Which 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 19

The focus of the fifth Millennium Development Goal is aimed at decreasing which rate?

A) Fertility rate
B) Infant mortality rate
C) Maternal mortality rate
D) Perinatal mortality rate

Question 20

Which recent trend in childbirth practices in Canada is accurate?

A) Older women tend not to seek prenatal care.
B) Indigenous women have a decreased incidence of perinatal mood disorders.
C) The majority of births occurred in the hospital.
D) Immigrant and refugee women have a lower rate of chronic disease.

Question 21

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 based on?

A) FGM is abnormal and rarely seen in Canada.
B) Gathering information on who performed the FGM
C) Restoration plans for FGM after delivery
D) The extent of FGM will affect potential for complications.

Question 22

What issues of concern were reported on the Canadian Maternity Experiences Survey? Select all that apply.Express answer in small letters,followed by a comma and a space-e.g. ,a,b,

A) Alcohol use
B) Folic acid intake
C) Prenatal class attendance
D) Use of integrative medicine
E) Birth outcomes

Question 23

Which are true statements related to obesity? Select all that apply.Express answer in small letters,followed by a comma and a space-e.g. ,a,b,

A) Two in four Canadian women have a body mass index greater than 30.
B) Almost half of all women self-report that they are overweight.
C) Lowest levels of obesity are found in Atlantic Canada,the Prairies,and the Territories.
D) Obesity in pregnancy is associated with increased Caesarean birth.
E) Obese women have shorter postpartum hospital stays.

Question 24

What information is a component of the midwifery care model?

A) Midwifery care is not a choice for women in Canada.
B) Using controlled second-stage pushing
C) Encouraging fluid and nutritional intake as needed
D) Her delivery can take place only at home or in a birth centre.

Question 25

What is required for women and their families to make informed health care choices?

A) A patient-centred care approach
B) Information and accurate knowledge
C) Fewer multidisciplinary care teams
D) Standardized maternal and newborn care