Deck 15: Maternal and Child Health

Question 1

Distinguish between baby blues and perinatal depression.What are four indicators of depression in women?

Answer 1

- Baby blues: a feeling of distress and tearfulness that usually disappears within the first few weeks of the baby's birth
- Perinatal depression: from depressive symptoms to a major depressive episode occurring at any time between conception and one year following the birth of the child Indicators
* feeling sad,empty,and helpless
* extreme feelings of guilt,worthlessness,and hopelessness
* loss of interest and pleasure in activities enjoyed in the past,including sex
* decreased energy,feeling of fatigue
* changes in sleep or appetite
* restlessness and irritability
* difficulty concentrating or remembering
* thoughts of death or suicide (BC Reproductive Mental Health Program,2006)

Question 2

The United Nations Convention on the Rights of the Child (UNICEF,1989)listed rights to which all children are entitled.List two rights and list two items each right would include.

Answer 2

Rights
These rights include
Survival and development rights
- adequate food,water,and shelter
- formal education
- primary health care
- leisure and recreation
- information about their rights
Protection
- protection from all forms of child abuse,neglect,and exploitation
- special protection during times of war
- special protection within the judicial system
Participation
- freedom to express opinions and to have a say in the important matters of their lives
- right to information and freedom of association

Question 3

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

Answer 3

Medicalization

Question 4

Maxine,age 3 months,has been diagnosed with organic failure to thrive (FTT).What may have caused her FTT?

A) Poor nutrition
B) Low birth weight
C) Parents not waking Maxine up for night feeds
D) Cardiac anomaly

Question 5

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

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

Question 6

What woman has the greatest risk for depression?

A) 28-year-old schoolteacher
B) 18-year-old pregnant student living at home
C) 59-year-old grandmother of two
D) 32-year-old pregnant woman on income assistance

Question 7

Which statement is correct regarding fetal and infant health outcomes in Canada?

A) Fetal mortality rates have decreased.
B) There is a decrease in the large-for-gestational-age babies born.
C) The premature birth rate has decreased.
D) Birth defects account for over 50% of perinatal deaths.

Question 8

A nurse is discussing the impact of medicalization of childbirth with a group of students.Which comment would indicate that more discussion is required?

A) "This explains why we have fewer preterm births in Canada."
B) "I can see why women are turning to midwives to deliver their babies."
C) "Health care sees pregnancy as a disease that needs to be treated."
D) "So that is why the cesarean section rate is high in Canada."

Question 9

An Inuit woman leaves her community to deliver her baby in an urban centre.How might this impact her pregnancy?

A) Ensures access to the latest technology
B) Increases the risk of a premature baby
C) Provides greater satisfaction with the birth process
D) Reduces risk of maternal complications

Question 10

Mary,17 years old,is pregnant and addicted to cocaine.What may be a result of her cocaine use on the pregnancy and fetus?

A) Fetal cocaine spectrum disorder
B) Post-term delivery
C) Intrauterine growth restriction
D) Sudden infant death syndrome

Question 11

Canada has universal health care and programs to improve the health of children.What has been the outcome of these programs?

A) Canada's children's health is the envy of many other countries.
B) The mortality rate for Aboriginal infants is comparable to the rest of Canada.
C) Canada ranks in the top ten countries for preventable childhood injuries and deaths.
D) One in nine Canadian children live in poverty

Question 12

What is an example of the medicalization of childbirth?

A) Delivering in hospital assisted by a midwife
B) Having an episiotomy
C) Squatting to deliver
D) Auscultating the fetal heart with a stethoscope

Question 13

What statement is correct about total fertility rates (TFR)in Canada?

A) The current rate is 3.9 children per woman.
B) Rates have improved due to technology.
C) Rates have decreased.
D) Rates have doubled over the past four decades.

Question 14

Ms.Bruneau has perinatal depression.What impact may this depression have on her child in the future?

A) Depression
B) Behaviour problems
C) Neglect and abuse
D) Risk of overeating

Question 15

Which woman is at greatest risk for intimate partner violence?

A) A Caucasian woman
B) A 32-year-old woman
C) A pregnant woman
D) A lesbian

Question 16

A nurse visits the Schmidt family and finds the mother is at work.Mrs.Schmidt has left her 8-year-old daughter to look after her 11-month-old brother.What action must the nurse take?

A) Ask whether the 8-year-old has taken a baby-sitting course
B) Report the incident
C) Discuss childcare with the Mrs.Schmidt
D) Call Mrs.Schmidt at work and ask her to come home

Question 17

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

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 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 20

A nurse wishes to use a relational approach to maternal and child health promotion.What should the nurse do when using this approach?

A) Use expertise to develop child health programs
B) Listen to what is meaningful for women
C) Use one assessment framework designed for pregnant women
D) Develop a list of resources to promote healthy pregnancies

Question 21

A nurse is visiting a new mother and her 2-day-old baby at home.The nurse notes that the baby has tremors and cries when touched or picked up.The mother states that the baby doesn't feed well.What should the nurse suspect in this situation?

A) Failure to thrive
B) Withdrawal
C) Inadequate nutrition
D) Neglect

Question 22

Aiden,1 year old,is fearful of his parents and other adults.He is fed once a day,if his mother remembers.What will be the impact of this on Aiden?

A) Negative response to events that do not affect other children
B) Immunity to stress in his later life
C) Organic failure to thrive
D) Interference in relationships with people

Question 23

What is the most important factor in the developing brain of infants and children?

A) Feeling comfortable with a babysitter
B) Relationship with other children
C) Stable relationship with parents
D) Genetics

Question 24

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?

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