Updated/Latest Leifer’s Introduction to Maternity and Pediatric Nursing in Canada 1st Edition Gloria Leifer Test Bank Complete All Chapters Comprehensive Maternal Child Nursing Resource Practice Questions Answers Rationales Pregnancy Labor Delivery Newbor

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,Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
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Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, L
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1st Edition
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MULTIPLE CHOICE L
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1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and
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for her labour. What does the RM’s scope of practice include?
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a. Independent comprehensive practice L
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b. Prenatal care only YFT L YFT L



c. Attendance at only low-risk births Y FT L YF T L L
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d. Only present for home births L
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ANS: A Y F T L



The RM provides comprehensive independent prenatal, labour, and postpartum care for
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up to 6 weeks, for women who are low risk. Births may occur in hospital or at home.
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RMs are regulated health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension Y FT L Y FT L REF: 7 OBJ: 3
TOP: Collaborative Care
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2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
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a. World Health Organization (WHO) YFT L YFT L L
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b. Breastfeeding Committee for Canada (BCC) YFT L L
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c. UNICEF
d. Public Health Agency ofNCU
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ANS: B Y F T L



The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10
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Steps and WHO Code Outcome Indicators for Hospitals and Community Health
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Services, which sets the international standards for the WHO/UNICEF global criteria
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within the Canadian context.
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DIF: Cognitive Level: Knowledge REF: 7 Y FT L Y FT L OBJ: 3|9
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TOP: The Past
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3. A pregnant woman who has recently immigrated Canada comments to a nurse, “I am afraid
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of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing
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response reflecting cultural safety?
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a. “Maternal mortality in Canada is extremely low.” L
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b. “Anesthesia is available to relieve pain during labour and childbirth.” YFT L YFT L YFT L YFTL YFT L L
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c. “Tell me why you are afraid of childbirth.” YFT L YFT L YFT L YFT L YFT L L
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d. “Your condition will be monitored during labour and birth.” YFT L YFT L YFT L Y FT L YFTL YFT L YFT L YFT L




ANS: C Y F T L



Asking the patient about her concerns helps promote understanding and individualizes
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patient care.
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DIF: Cognitive Level: Application L
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, TOP: Culturally Safe Care YFTL YFT L KEY: Nursing Process Step: Implementation L
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4. An urban area has been reported to have a high perinatal mortality rate. What
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information does this provide?
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a. Maternal and infant deaths per 100,000 live births per year YF T L YFT L YFT L YF T L YFT L L
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b. Deaths of fetuses weighing more than 500 g per 10,000 births per year L
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c. Deaths of infants up to 1 year of age per 1000 live births per year L
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d. Fetal and neonatal deaths per 1000 live births per year L
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ANS: D Y F T L



The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF: 8 Y FT L Y FT L OBJ: 10
TOP: Statistics
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5. What is the focus of current perinatal care?
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a. Hospital births for the majority of women Y FT L YF T L YF T L YFTL YFT L YFT L



b. The traditional family unit YFT L YFT L YFT L



c. Care in a labour room and then a birthing room YFT L L
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d. A high-quality family experience for each patient
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ANS: D Y F T L



Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension Y FT L Y FT L REF: 7 | 8 OBJ: 2 | 8 YFT L YFT L YFT L L
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TOP: Perinatal Care
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N/A
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6. Which organization offers certification for nurses
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a. CNA in YFT L



b. CAPWHN
c. CANN
d. CAPN
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The Canadian Nurses Association offers certification exams for registered nurses in
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specialty areas including perinatal, community, neonatal, and pediatric intensive care.
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CAPWHN, CANN, and CAPN are specialty organizations for nursing groups in Canada.
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DIF: Cognitive Level: Knowledge Y FT L Y FT L REF: 10 OBJ: 2 | 3 L L
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TOP: Nursing Certification
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7. Which of the following requires self-reflection and discovery in order to provide care that
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is culturally appropriate?
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a. Cultural safety YFTL



b. Cultural awareness YFTL



c. Cultural humility YFTL



d. Cultural competence T
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