Chapter 3

Question 1

1. Which of the following represents a public health intervention that has contributed to increased health in the perinatal continuum of care?
   a.
   Weight loss clinic
   b.
   Caesarean birth support group
   c.
   Campaign to highlight the importance of folic acid intake
   d.
   Reductions in length of hospital stay for the woman’s birth

Answer 1

C

Question 2

2.	Which health care service represents the primary level of prevention?
a.
Immunizations
b.
Breast self-examination
c.
Home care for high-risk pregnancies
d.
Blood pressure screening

Answer 2

A

Question 3

3. Which of the following generally rise with greater socioeconomic disadvantage?
   a.
   Length of hospital stay
   b.
   Intrauterine growth restriction
   c.
   Prenatal clinic visits and screening tests
   d.
   Weight gain in the mother in excess of the recommended gain for her stature

Answer 3

B

Question 4

4. Which situation would be considered safe by a nurse who is making a home visit?
   a.
   A group of teens is sitting on the stairs in front of the patient’s apartment.
   b.
   Parking is only possible 3 blocks from the patient’s house.
   c.
   The family dog is on a chain in the front yard.
   d.
   The door of the home is open when the nurse arrives.

Answer 4

C

Question 5

5. Which of the following represent a critical community indicator of perinatal health?
   a.
   Breastfeeding rates
   b.
   First-trimester prenatal care
   c.
   Spontaneous and therapeutic abortion rate
   d.
   Availability of telephonic nursing care in the community

Answer 5

B

Question 6

6. What would a breastfeeding mother who is concerned that her baby is not getting enough to eat find most helpful on the day after discharge?
   a.
   Visiting a pediatric screening clinic at the hospital
   b.
   Placing a call to the “warm line”
   c.
   Calling the pediatrician for a lactation consult referral
   d.
   Requesting a home visit

Answer 6

B

Question 7

7. Which area would be appropriate to include in a physical assessment of the home?
   a.
   Bathtub, toilets, sinks, countertops, inside china cabinet drawers
   b.
   Baby’s bed, changing table, baby’s clothes, inside diaper bag, inside keepsake box
   c.
   Bedroom closets, inside jewellery boxes, under beds
   d.
   Electrical wall outlets, telephones, bathroom sink and faucets, stove, and refrigerator

Answer 7

D

Question 8

8.	Which health promotion activity is an example of the secondary level of prevention?
a.
Approved infant car seats
b.
Breast self-examination (BSE)
c.
Immunizations
d.
Support groups for parents of children with Down syndrome

Answer 8

B

Question 9

9. Which health care service represents an example of tertiary level prevention?
   a.
   Stress management seminars
   b.
   Childbirth education classes for single parents
   c.
   A breast self-examination (BSE) pamphlet and teaching
   d.
   A premenstrual syndrome (PMS) support group

Answer 9

D

Question 10

10.	A primipara woman delivered a 2200 g baby girl 10 days ago. During a home visit, the nurse discovers that the baby has lost 360 g since birth. She suspects that the woman may be having difficulty with breastfeeding. The nurse inquires how breastfeeding is proceeding. The woman replies, “I don’t think my milk is going to come in. My breasts are too big. I’m going to wait a few more days and then try to breastfeed again.” The nurse asks the woman if she is bottle feeding the baby and how much formula the baby is taking every day. The woman replies, “Oh, I don’t want to bottle-feed the baby. I’m just going to wait until my milk comes in.” On the basis of this information, what nursing diagnosis would take priority in planning care?
a.
Pain
b.
Ineffective coping
c.
Caregiver role strain
d.
Deficient knowledge

Answer 10

D

Question 11

11.	Which of the following is one of the three broad areas that the community health assessment wheel focuses on?
a.
Pollutants
b.
Food supply
c.
Health and disease status
d.
Health care delivery system

Answer 11

D

Question 12

12.	The nurse is implementing which level of health promotion when providing recommended immunizations and school health education?
a.
Primary
b.
Secondary
c.
Tertiary
d.
Primordial

Answer 12

A

Question 13

13.	The nurse is implementing which level of health promotion when providing various methods of health screening for early detection of disease?
a.
Primary
b.
Secondary
c.
Tertiary
d.
Primordial

Answer 13

B

Question 14

14.	Which level of health promotion is reflected when the nurse is providing treatment and rehabilitation for people with chronic diseases?
a.
Primary
b.
Secondary
c.
Tertiary
d.
Primordial

Answer 14

C

Question 15

15. Why is clinical integration of services along the perinatal continuum of care important?
    a.
    It focuses on results, not patient or provider satisfaction.
    b.
    It is not concerned with cost containment.
    c.
    It is designed to improve services and care outcomes.
    d.
    It focuses on the individual patient.

Answer 15

C

Question 16

16. Which statement reflects the well-known program “warm lines”?
    a.
    The program was developed as a reaction to impersonal telephonic nursing care.
    b.
    The program was set up to assist vulnerable populations in the postpartum period.
    c.
    This is the second option when 911 hot lines are busy for new parents.
    d.
    These are telephone lines to provide new parents with encouragement and basic information.

Answer 16

D

Question 17

17. When weighing the advantages and disadvantages of home care versus hospital-based clinics for perinatal services, what should the nurse keep in mind in relation to home care perinatal services?
    a.
    It is more dangerous for vulnerable neonates at risk of acquiring an infection from the nurse.
    b.
    It is more cost-effective for the nurse than office visits.
    c.
    Home care allows the nurse to interact with and include family members in teaching.
    d.
    It is made possible by the ready supply of nurses with expertise in maternity care.

Answer 17

C

Question 18

18. Which behaviour is appropriate for a nurse during an in-home visit?
    a.
    Smoke if the expectant mother smokes.
    b.
    Ask to have the volume on the TV turned down or move to a quiet room.
    c.
    Give ample advice and reassurance to establish a relationship.
    d.
    Freely move whatever furniture and belongings the nurse feels necessary.

Answer 18

B

Question 19

19. When preparing for maternal home visits, what should the nurse be aware of?
    a.
    The patient’s safety is more important than the nurse’s safety.
    b.
    Infection control is less important at home than at the hospital.
    c.
    Hospital policies for name tags and guidelines for rubber gloves are inappropriate.
    d.
    Nurses should wash their hands thoroughly before and after each visit.

Answer 19

D

Question 20

20.	Which health-related issue is on the rise currently in Canada?
a.
Post-mature birth
b.
Teenage pregnancy
c.
Sexually transmitted infections
d.
Maternal morbidity and mortality

Answer 20

C

Question 21

21.	Which sexually transmitted infection is currently increasing in prevalence in Canada?
a.
Syphilis
b.
Gonorrhea
c.
Genital herpes
d.
Human papillomavirus

Answer 21

B