,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, 1st Edi
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tion
MULTIPLE CHOICE xx
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy a
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nd for her labour. What does the RM‘s scope of practice include?
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a. Independent comprehensive practice xx xx
b. Prenatal care only xx xx
c. Attendance at only low-risk births xx xx xx xx
d. Only present for home births xx xx xx xx
ANS: A x x
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. R
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Ms are regulated health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension xx xx REF: 7 OBJ:
3 TOP:
xx Collaborative Care xx
KEY: Nursing Process Step: N/A
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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) xx xx xx
b. Breastfeeding Committee for Canada (BCC) xx xx xx xx
c. UNICEF
d. Public Health Agency of N
CUanRaS
daI(NPG
HT
xxAB
C.) COM xx xx xx xx
ANS: B x x
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI
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10 Steps and WHO Code Outcome Indicators for Hospitals and Community Health Servi
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ces, which sets the international standards for the WHO/UNICEF global criteria within t
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he Canadian context.
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DIF: Cognitive Level: Knowledge xx xx REF: 7 OBJ:
3 | 9 TOP:
xx xx The Past
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KEY: Nursing Process Step: N/A
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3. A pregnant woman who has recently immigrated Canada comments to a nurse, ―I am afra
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id of childbirth. It is so dangerous. I am afraid I will die.‖ What is the best nursing resp
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onse reflecting cultural safety?
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a. ―Maternal mortality in Canada is extremely low.‖ xx xx xx xx xx xx
b. ―Anesthesia is available to relieve pain during labour and childbirth.‖
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c. ―Tell me why you are afraid of childbirth.‖
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d. ―Your condition will be monitored during labour and birth.‖
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ANS: C x x
Asking the patient about her concerns helps promote understanding and individualizes pat
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ient care.xx
DIF: Cognitive Level: Application xx xx REF: 11 OBJ: 7
, TOP: Culturally Safe Care xx xx KEY: Nursing Process Step: Implementation
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4. An urban area has been reported to have a high perinatal mortality rate. What informati
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on does this provide?
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a. Maternal and infant deaths per 100,000 live births per year
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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 x x
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF:xx xx 8 OBJ:
10 TOP: xx Statistics
KEY: Nursing Process Step: Assessment
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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 xx xx xx xx xx xx
b. The traditional family unitxx xx xx
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 x x
Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension REF: 7 | 8
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2 | 8 TOP:
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KEY: Nursing Process Step: N/A
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NURSINGTB.COM x
6. Which organization offers c ertification for nurses i specialty areas?
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a. CNA n
b. CAPWHN
c. CANN
d. CAPN
ANS: A x x
The Canadian Nurses Association offers certification exams for registered nurses in speci
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alty areas including perinatal, community, neonatal, and pediatric intensive care. CAPW
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HN, CANN, and CAPN are specialty organizations for nursing groups in Canada.
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DIF: Cognitive Level: Knowledge xx xx REF: 10 OBJ:
2 | 3 TOP:
xx xx xx Nursing Certification xx
KEY: Nursing Process Step: N/A
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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 xx
b. Cultural awareness xx
c. Cultural humility xx
d. Cultural competence xx
xx ANS: C x x