chapter 4-perinatal nursing in Canada

Question 1

which medical risk factors contribute to a higher infant mortality rate?
a. diabetes mellitus
b. mitral valve prolapse
c. chronic hypertension
d. anemia

Answer 1

C

Question 2

Which woman would be most at risk for the poorest perinatal outcome?
a. a 35-year-old single mother on maternity leave with two existing children
b. an unemployed 32-year-old lawyer in an inner city neighborhood
c. an indigenous woman in her mid 20’s with no high school education
d. a 19 year old college student who lives at home with her parents

Answer 2

C

Question 3

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

Answer 3

C

Question 4

an indigenous woman is pregnant with her first child. based on the stas 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 4

D

Question 5

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 behaviors are

Answer 5

C

Question 6

when managing health care for pregnant woman at a pernatal clinic, which barrier to access prenatal care is considered most significant>
a. age
b. minority status
c. educational level
d. geographic location

Answer 6

D

Question 7

which time frame range is the pernatal continuumn of care?
a. 9-10 months
b. 12-14 months
c. 15-16 months
d. 18-24 months

Answer 7

B

Question 8

which factor is mainly responsible for the steady increase in cesarean birth?
a. higher rate of primary c\caesarean births
b. higher rate of vaginal birth after c section
c. increased nicotine use in pregnancy
d. lower medical indications for cesarean birth

Answer 8

A

Question 9

from the nurses perspective, what measure would 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 preventative care.
b. increasing the length of stay in a hospital after vaginal v=birth from 2 to 3 days
c. expanding the number of neonatal intensive care units
d. mandating that all pregnant woman receive care from an obstetrician

Answer 9

A

Question 10

which is a characteristic of integrative healing?
a. it replaces conventional western medicine modalities of treatment
b. it is used by only a small number of Canadian adults
c. it supports the patient’s belief systems
d. it focuses primarily on the disease an individual is experiencing

Answer 10

C

Question 11

the focus of the fifth millennium development goal is aimed at decreasing whihc rate>
a. fertility
b. infant mortality
c. maternal mortality
d. perinatal mortality

Answer 11

C

Question 12

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 options
d. rural health services

Answer 12

B

Question 13

what is the term used to describe legal and professional responsibility for maintaing standards of practice?
a. collegially
b. ethics
c. evaluation
d. accountability

Answer 13

D

Question 14

which reflects a furture goal for perinatal nursing?
a. limiting multiprofessional teams
b. maintaining existing power structures
c. advocating for an increased number of c-sections
d. addressing health inequities by creating healthy public policies

Answer 14

D

Question 15

whihc is the leading cause of maternal death?
a. hyoertension
b. obesity
c. gestational diabetes
d. hemorrhage

Answer 15

D

Question 16

which recent trend in chilbirth in canada is accurate?
a. older woman tend not to seek prenatal care,
b. indigenous woman have a decreased incidence of perinatal mood disorders
c. the majority of briths occured in the hospital
d. immigrant and refugee women have a lower rate of chronic disease

Answer 16

C

Question 17

which trend has a positive impact on the infact 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 encourages to breastfeed

Answer 17

D

Question 18

which best describes a doula?
a. advanced practice labour and delivery nurse
b. a trained an experienced female labour attendant
c. clinical nurse specialist in neonatal and postpartum care
d. leader of a multidisciplinary intrapartum health care team

Answer 18

B

Question 19

whihc is the correct definition of the periatal mortality rate?
a. number of live births in 1 year per 1000 population
b. number of deaths of infacts under 1 year of age per 1000 live births
c. number of deaths of infants under 28 days pf age per 100 live births
d. number of stillbirths and neonatal deaths per 100 live births

Answer 19

D

Question 20

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

Answer 20

D

Question 21

what is required for woman and their families to make informed care choices>
a. a patient-centered care approach
b. information and accurate knowledge
c. fewer multidisciplinary care teams
d. standardized maternal and newborn care

Answer 21

B

Question 22

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 center

Answer 22

C

Question 23

while obtaining a detailed hisptyr from a woman who has recently emigrated from somalia, the nurse realizes that the patinet has undergone femail genital multilation whihc is the nurse’s best response based on?
a. fgm is abnormal and rarely seen in canada
b. gathering information on who performed the FMG
c. restoration plans for FGM after delivery
d. the extent of fgm will affect potential for complications

Answer 23

D