,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, 2nd Edition
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MULTIPLE CHOICE jt
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and for h
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er labour. What does the RM’s scope of practice include?
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a. Independent comprehensive practice jt jt
b. Prenatal care only jt jt
c. Attendance at only low-risk births jt jt jt jt
d. Only present for home births jt jt jt jt
ANS: A j t
The RM provides comprehensive independent prenatal, labour, and postpartum care for up to 6
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weeks, for women who are low risk. Births may occur in hospital or at home. RMs are regulate
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d health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension jt jt REF: 7 OBJ:
3TOP: jt Collaborative Care jt
KEY:NursingProcessStep:N/A jt jt jt jt
2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
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a. World Health Organization (WHO) jt jt jt
b. Breastfeeding Committee for Canada (BCC) jt jt jt jt
c. UNICEF
d. PublicHealth Agency ofN CUanRaS
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PGHTABC.
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ANS: B j t
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10 Step
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s and WHO Code Outcome Indicators for Hospitals and Community Health Services, which se
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ts the international standards for the WHO/UNICEF global criteria within the Canadian contex
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t.
DIF: Cognitive Level: Knowledge jt jt REF: 7 OBJ:
3|9 TOP: The Past
jt jt jt jt KEY: Nursing Process Step: N/A jt jt jt jt
3. A pregnant woman who has recently immigrated Canada comments to a nurse, “I amafraid of c
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hildbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response reflecting
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cultural safety? jt
a. “Maternal mortality in Canada is extremely low.” jt jt jt jt jt jt
b. “Anesthesia is available to relieve pain during labour and childbirth.” jt jt jt jt jt jt jt jt jt
c. “Tell me why you are afraid of childbirth.” jt jt jt jt jt jt jt
d. “Your condition will be monitored during labour and birth.”
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ANS: C j t
Asking the patient about her concerns helps promote understanding and individualizes patient c
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are.
DIF: Cognitive Level: Application jt jt REF: 11 OBJ: 7
, TOP: Culturally Safe Care jt jt KEY: Nursing Process Step:Implementation
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4. An urban area has been reported to have a high perinatal mortality rate. What information does
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this provide?
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a. Maternal and infant deaths per 100,000 live births per year jt jt jt jt jt jt jt jt jt
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
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c. Deaths of infants up to 1 year of age per 1000 live births per year
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d. Fetal and neonatal deaths per 1000 live births per year
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ANS: D j t
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 jt jt OBJ:
10TOP: Statistics
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KEY: Nursing Process Step: Assessment jt jt jt jt
5. What is the focus of current perinatal care?
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a. Hospital births for the majority of women jt jt jt jt jt jt
b. The traditional family unit jt jt jt
c. Care in a labour room and then a birthing room
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d. A high-quality family experience for each patient
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ANS: D j t
Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension jt jt REF: 7 | 8 jt jt OBJ:
2 | 8 TOP:jt jt jt Perinatal Care jt
KEY: Nursing Process Step:N/A j t j t jt jt jt
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6. Which organization offers c ertification for nurses in specialty areas?
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a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A j t
The Canadian Nurses Association offers certification exams for registered nurses in specialty a
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reas including perinatal, community, neonatal, and pediatric intensive care. CAPWHN, CAN
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N, and CAPN are specialty organizations for nursing groups in Canada.
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DIF: Cognitive Level: Knowledge jt jt REF: 10 OBJ:
2|3 TOP: jt jt jt Nursing Certification jt
KEY: Nursing Process Step: N/A jt jt jt jt
7. Which of the following requires self-
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reflection and discovery in order to provide care that is culturally appropriate?
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a. Cultural safety jt
b. Cultural awareness jt
c. Cultural humility jt
d. Cultural competence jt jt
ANS: C j t