Week 11: chapter 16

Question 1

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

Answer 1

d. poverty

Question 2

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

Answer 2

a. family planning through to postnatal care

Question 3

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

Answer 3

d. deciding on the number of children

Question 4

What statement is correct about the maternal mortality rate in Canada from 19972011?
a. The rate was highest from 2001-2003
b. The rate was lowest from 2005-2007
c. Rates have increased over the past three decades
d. Rates have doubled over the past four decades

Answer 4

a. the rate was highest from 2001-2003

Question 5

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. Delivering at home assisted by a midwife

Answer 5

b. having an episiotomy

Question 6

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 6

d. medicalization

Question 7

What is the leading cause of maternal mortality in Canada?
a. Postpartum hemorrhage
b. Obstetric embolism
c. Diseases of the circulatory system
d. Antepartum hemorrhage

Answer 7

c. diseases of the circulatory system

Question 8

Which statement is correct regarding breastfeeding in Canada?
a. The rates of breastfeeding initiation are lower in eastern Canada
b. The rates of breastfeeding initiation are lower in western Canada
c. Breastfeeding at 6 months of age is was higher in 2011 than 2003
d. Breastfeeding at 4 months of age was lower in 2011 than 2003

Answer 8

c. Breastfeeding at 6 months of age is was higher in 2011 than 2003

Question 9

An Inuit woman leaves her community to deliver her baby in an urban centre. How might this impact access to care for others in the community?
a. Ensures access to the latest technology
b. Decreases access to community-based midwives
c. Increases risks of maternal complications
d. Reduces risk of maternal complications

Answer 9

b. Decreases access to community-based midwives

Question 10

What is the most common reason cited for why Canadian mothers discontinue breastfeeding?
a. The infant was ready for solids
b. The mother needed to return to work
c. Breastfeeding was inconvenient
d. The mother did not have enough breast milk

Answer 10

b. the mother needed to return to work

Question 11

Which of the following statements is true about women who smoke during pregnancy?
a. Women who smoke during pregnancy are more likely to be younger
b. Women who smoke during pregnancy are more likely to be from higher socioeconomic
status
c. Women who smoke during pregancy are more likely to have a post secondary
education
d. Women who smoke during pregnancy are more likely to be married

Answer 11

a. Women who smoke during pregnancy are more likely to be younger

Question 12

Which of the following statements is true regarding teenage mothers?
a. Teenage mothers are less likely to experience postpartum depression as adult
mothers are
b. Teenage mothers are more likely to experience postpartum depression as adult
mothers are
c. Teenage girls are less likely to binge drink during pregnancy
d. Tennage girls are more likely to come for higher socioeconomic status

Answer 12

b. Teenage mothers are more likely to experience postpartum depression as adult

Question 13

Which of the following is an example of an indicator that is used to measure child well-being in Canada?
a. Maternal mortality rate
b. Breastfeeding rates
c. Child death rate
d. relative risk

Answer 13

c. child death rate

Question 14

What Canadian agency is responsible for tracking the health of children?
a. No Canadian agency is responsible for this
b. The Public Health Agency of Canada
c. The Canadian Association of Midwives
d. The Centre for Child Health

Answer 14

a. no canadian agency is responsible for this

Question 15

Which territory in Canada has the highest infant mortality rate?
a. Northern Manitoba
b. Northwest Territory
c. Yukon Terrority
d. Nunavut Territory

Answer 15

d. nunavut territory

Question 16

What is the main reason children present in emergency departments across Canada? a. Injuries
b. Behaviour problems
c. Neglect and abuse
d. Risk of overeating

Answer 16

a. injuries

Question 17

Which of the following is part of the International Code of Marketing of Meast-Milk Substitutes what was developed by the World Health Organization in 1981?
a. Different types of artificial nipples may be advertised to the public
b. Different types of formula may be advertised to the public
c. Health care facilities may not promote artificial feeding
d. Healthcare facilities may distribute artificial nipples

Answer 17

c. Health care facilities may not promote artificial feeding

Question 18

Which of the following is associated with physical activity during the preschool years?
a. Decreased motor skill development
b. Improved psychosocial health
c. Increased levels of adiposity
d. Lower measures of cognitive development

Answer 18

b. improved psychosocial health

Question 19

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

Answer 19

d. Discuss resources in the community the family can access

Question 20

Which of the following is included as one of the seven principles for healthy term infants’ nutrition from 0 – 6 months?
a. Breastfeeding is contraindicated in many instances
b. First complementary foods should be iron-rich
c. Formula feeding is the best method of feeding infants
d. Supplemental vitamin D is recommended for formula fed infants

Answer 20

b. First complementary foods should be iron-rich

Question 21

Aiden, 1 year old, is noted to be a picky eater. What teaching should the community health
nurse include while speaking to Aiden’s parents?
a. Aiden should be offerred what ever he will accept to eat
b. Aiden should be offerred nutrient dense foods along with breastfeeding
c. Aiden should be offerred nutrient dense foods and unpasteurized cow’s milk
d. Aiden should be offerred unpastuerized goat’s milk with every meal

Answer 21

b. Aiden should be offered nutrient dense foods along with breastfeeding

Question 22

A new mother and her 6 month old baby arrive at the community health centre for immunizations. The nurse completes a nutrition assessment. Which of the following signs indicate that the infant is ready for other foods?
a. The ability to stand up without assistance
b. The ability to roll from their back to their stomach
c. The ability to speak a few words
d. The ability to sit up a lean forward

Answer 22

d. the ability to sit up a lean forward

Question 23

A nurse works in a small northern Aboriginal community. Four of the women are pregnant and due to deliver in three to four months. The women tell the nurse that they are upset about having to relocate to a community 600 kilometres away for the last month of the pregnancy. What would be an appropriate comment by the nurse?
a. “The four of you will be together and can support each other”
b. “I have arranged for a doctor to do the deliveries in this community”
c. “It will be safer to deliver in a large hospital”
d. “Let’s discuss this practice and look at options that may work for you”

Answer 23

a. “The four of you will be together and can support each other”

Question 24

A nurse works in a small northern Aboriginal community. Four of the teenagers are pregnant and due to deliver in three to four months. What is a complication these girls are most likely to experience in the weeks following delivery?
a. Shock
b. Hemorrhage
c. Depression
d. Deep vein thrombosis

Answer 24

c. depression

Question 25

A nurse works in a small northern Aboriginal community. The nurse wants to improve the nutrition of preschool children in the community. What would be the nurse’s first step?
a. Develop a program for the children
b. Teach the parents about nutrition
c. Conduct a literature review
d. Assess the families social determinants of health

Answer 25

d. Assess the families social determinants of health

Question 26

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

Answer 26

• associated with poorer health outcomes for mothers and babies
• places mother at greater risk for depression
• higher infant mortality rates in Aboriginal population due to higher level of poverty
• inequity in health care

Question 27

What is the difference between maternal mortality rate and maternal mortality ratio?

Answer 27

• The maternal mortality ratio is the number of maternal deaths during a given period per
  100 000 live births during the same period
• The maternal mortality rate is the number of maternal deaths in a given period per 100 000 women of reproductive age during the same time period

Question 28

List and discuss 4 reproductive rights

Answer 28

• Reproductive health as a component of overall health, throughout the life cycle, for both men and women
• Reproductive decision making, including voluntary choice in marriage, family formation and determination of the number, timing, and spacing of one’s children and the right to have access to the information and means needed to exercise voluntary choice
• Equality and equity for men and women, to enable individuals to make free and informed choices in all spheres of live, free from discrimination based on gender
• Sexual and reproductive security, including freedom from sexual violence and coercion, and the right to privacy

Question 29

You are a community health nurse completing a postpartum home visit with a family. You notice that the father is a smoker. What illness prevention information related to smoking should you convey to the family?

Answer 29

• Encourage a smoke-free home environment in order to avoid exposure to second-hand smoke
• Offer the father smoking cessation interventions
• Ask the father to not smoke in the house or in the car
• Do not allow anyone else to smoke near the infant