TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA 1ST
EDITION BY LEIFER
Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada,
1st Edition
MULTIPLE CHOICE
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and
T T T T T T T T T T T T T T
for her labour. What does the RM’s scope of practice include?
T T T T T T T T T T
a. Independent comprehensive practice T T
b. Prenatal care only T T
c. Attendance at only low-risk births T T T T
d. Only present for home births T T T T
ANS: A T T
The RM provides comprehensive independent prenatal, labour, and postpartum care for up
T T T T T T T T T T T T
to 6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs are
T T T T T T T T T T T T T T T T T T T
regulated health professions who have a 4-year university degree.
T T T T T T T T
DIF: Cognitive Level: Comprehension T T REF: 7 OBJ: 3 T
TOP: Collaborative Care T KEY: Nursing Process Step: N/A T T T T
2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
T T T T T T T T T T T
a. World Health Organization (WHO) T T T
b. Breastfeeding Committee for Canada (BCC) T T T T
c. UNICEF
d. Public Health Agency ofN CU
anRaS
daI(N
PGHTABC.
T) COM T T T T
ANS: B T T
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10
T T T T T T T T T T T T T T T T
Steps and WHO Code Outcome Indicators for Hospitals and Community Health Services,
T T T T T T T T T T T T
which sets the international standards for the WHO/UNICEF global criteria within the
T T T T T T T T T T T T
Canadian context. T
DIF: Cognitive Level: Knowledge REF: 7 T T OBJ: 3|9 T T T
TOP: The Past KEY: Nursing Process Step: N/A T T T T T
3. A pregnant woman who has recently immigrated Canada comments to a nurse, “I am afraid
T T T T T T T T T T T T T T T
of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response
T T T T T T T T T T T T T T T T T T
reflecting cultural safety? T T
a. “Maternal mortality in Canada is extremely low.” T T T T T T
b. “Anesthesia is available to relieve pain during labour and childbirth.” T T T T T T T T T
c. “Tell me why you are afraid of childbirth.”
T T T T T T T
d. “Your condition will be monitored during labour and birth.”
T T T T T T T T
ANS: C T T
Asking the patient about her concerns helps promote understanding and individualizes
T T T T T T T T T T T
patient care. T
DIF: Cognitive Level: Application T T REF: 11 OBJ: 7
NURSINGTB.COM
,TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA 1ST
EDITION BY LEIFER
TOP: Culturally Safe Care T T KEY: Nursing Process Step: Implementation
T T T T
4. An urban area has been reported to have a high perinatal mortality rate. What information
T T T T T T T T T T T T T T T
does this provide?
T T
a. Maternal and infant deaths per 100,000 live births per year
T T T T T T T T T
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
T T T T T T T T T T T T
c. Deaths of infants up to 1 year of age per 1000 live births per year
T T T T T T T T T T T T T T
d. Fetal and neonatal deaths per 1000 live births per year
T T T T T T T T T
ANS: D T T
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
T T T T T T T T T T T T T T
DIF: Cognitive Level: Comprehension T T REF: 8 OBJ:
10 TOP: Statistics T KEY: Nursing Process Step: T T T T
Assessment
5. What is the focus of current perinatal care?
T T T T T T T
a. Hospital births for the majority of women T T T T T T
b. The traditional family unit
T T T
c. Care in a labour room and then a birthing room
T T T T T T T T T
d. A high-quality family experience for each patient
T T T T T T
ANS: D T T
Current maternity practice focuses on a high-quality family experience for all families.
T T T T T T T T T T T
DIF: Cognitive Level: Comprehension T T REF: 7 | 8 OBJ: 2 | 8 T T T T T
TOP: Perinatal Care T KEY: Nursing Process Step: T T T T
N/A
NURSINGTB.COM
6. Whichertification
Torganization
T foroffers
nursesc in specialty areas? T T T T
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A T T
The Canadian Nurses Association offers certification exams for registered nurses in
T T T T T T T T T T T
specialty areas including perinatal, community, neonatal, and pediatric intensive care.
T T T T T T T T T T
CAPWHN, CANN, and CAPN are specialty organizations for nursing groups in Canada.
T T T T T T T T T T T
DIF: Cognitive Level: Knowledge T T REF: 10 OBJ: 2 | 3 T T T
TOP: Nursing Certification T KEY: Nursing Process Step: T T T T
N/A
7. Which of the following requires self-reflection and discovery in order to provide care that is
T T T T T T T T T T T T T T T
culturally appropriate? T
a. Cultural safety T
b. Cultural awareness T
c. Cultural humility T
d. Cultural competence T T
ANS: C T
NURSINGTB.COM
,TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA 1ST
EDITION BY LEIFER
Cultural humility is the precursor to providing culturally appropriate care. It is a process of
T T T T T T T T T T T T T T T
self-reflection and discovery to understand one’s own assumptions, biases, and values and
T T T T T T T T T T T T
how one’s background and social environment have shaped one’s experience
T T T T T T T T T
DIF: T T Cognitive Level: Knowledge T T REF: 4 OBJ: 1 | 7 T T T T T T
TOP: T T Cultural Humility T KEY: Nursing Process Step: Evaluation
T T T T
8. In 2015, the WHO developed the Sustainable Development Goals (SDGs). What issues do
T T T T T T T T T T T T T
the new SDG’s include that the Millennium Development Goals (MDGs) did not include?
T T T T T T T T T T T T
a. Climate change and environmental protection T T T T
b. Combating HIV and malaria T T T
c. Eradicating poverty and hunger T T T
d. Achieving universal primary education T T T
ANS: A T T
Climate change and environmental protection are new goals of the SDGs. All other options
T T T T T T T T T T T T T T
are part of the MDGs
T T T T
DIF: Cognitive Level: Knowledge T T REF: 13 OBJ: 16 T
TOP: Sustainable Development Goals T T KEY: Nursing Process Step: N/A T T T T
9. What guidelines define multidisciplinary patient care in terms of expected outcome and
T T T T T T T T T T T T
timeframe from different areas of care provision?
T T T T T T
a. Clinical pathways T
b. Nursing outcome criteria T T
c. Standards of care T T
d. Nursing care plan NURSINGTB.COM T T
ANS: A T T
Clinical pathways, also known as critical pathways or care maps, are collaborative
T T T T T T T T T T T T
guidelines that define patient care across disciplines. Expected progress within a specified
T T T T T T T T T T T T
timeline is identified. T T
DIF: Cognitive Level: Knowledge T T REF: 12 OBJ: 13 T
TOP: Health Care Delivery Systems T T T KEY: Nursing Process Step: N/A T T T T
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her
T T T T T T T T T T T T
mother, and collected admission data. What is the next step the student will take to develop a
T T T T T T T T T T T T T T T T T
nursing care plan for this child?
T T T T T
a. Identify measurable outcomes with a timeline. T T T T T
b. Choose specific nursing interventions for the child.
T T T T T T
c. Determine appropriate nursing diagnoses. T T T
d. State nursing actions related to the child’s medical diagnosis.
T T T T T T T T
ANS: C T T
The nurse uses assessment data to develop appropriate nursing diagnoses. Outcomes and
T T T T T T T T T T T T
interventions are then developed to address the relevant nursing diagnoses.
T T T T T T T T T
DIF: Cognitive Level: Application T T REF: 11 OBJ:
10 TOP: T Nursing Process T
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, TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA 1ST
EDITION BY LEIFER
KEY: Nursing Process Step: Nursing Diagnosis
T T T T T
11. A nursing student on a maternal–newborn rotation questions the floor nurse about the
T T T T T T T T T T T T T
definition of the practical nurse scope of practice. What resource can the nurse suggest to
T T T T T T T T T T T T T T T
the student?
T
a. Canadian Nurses Association T T
b. Provincial regulatory board T T
c. Federal government T
d. Canadian Association of Perinatal & Women’s Health Nursing
T T T T T T T
ANS: B T T
The scope of practice of the practical nurse is determined by the provincial board of nursing.
T T T T T T T T T T T T T T T
DIF: Cognitive Level: Comprehension T T REF: 3 OBJ: 2
TOP: Standards of Practice T T KEY: Nursing Process Step: Implementation
T T T T
12. Which social determinant of health (SDOH) is specifically related to Indigenous people’s
T T T T T T T T T T T T
health?
a. Colonization
b. Education
c. Social support networks T T
d. Employment and working conditions T T T
ANS: A T T
All of the SDOH are important but the impact of colonization is related specifically to
T T T T T T T T T T T T T T T
Indigenous people’s health. T T
NURSINGTB.COM
DIF: Cognitive Level: Knowledge T T REF: 3 OBJ: 6
TOP: Social Determinants of Health T T T KEY: Nursing Process Step: N/A T T T T
13. How does the clinical pathway or critical pathway improve quality of care?
T T T T T T T T T T T
a. Lists diagnosis-specific implementations
T T
b. Outlines expected progress with stated timelines
T T T T T
c. Prioritizes effective nursing diagnoses T T T
d. Describes common complications T T
ANS: B T T
Critical pathways outline expected progress with stated timelines. Any deviation from those
T T T T T T T T T T T T
timelines is called a variance. T T T T
DIF: Cognitive Level: Comprehension T T REF: 12 OBJ: 13
TOP: Critical Pathway T KEY: Nursing Process Step: Implementation
T T T T
14. How does electronic charting ensure comprehensive charting more effectively than
T T T T T T T T T T
handwritten charting? T
a. Provides a uniform style of chart T T T T T
b. Requires certain responses before allowing the user to progress
T T T T T T T T
c. All documentation is reflective of the nursing care plan
T T T T T T T T
d. Requires a daily audit by the charge nurse T T T T T T T T
ANS: B T
NURSINGTB.COM
EDITION BY LEIFER
Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada,
1st Edition
MULTIPLE CHOICE
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and
T T T T T T T T T T T T T T
for her labour. What does the RM’s scope of practice include?
T T T T T T T T T T
a. Independent comprehensive practice T T
b. Prenatal care only T T
c. Attendance at only low-risk births T T T T
d. Only present for home births T T T T
ANS: A T T
The RM provides comprehensive independent prenatal, labour, and postpartum care for up
T T T T T T T T T T T T
to 6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs are
T T T T T T T T T T T T T T T T T T T
regulated health professions who have a 4-year university degree.
T T T T T T T T
DIF: Cognitive Level: Comprehension T T REF: 7 OBJ: 3 T
TOP: Collaborative Care T KEY: Nursing Process Step: N/A T T T T
2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
T T T T T T T T T T T
a. World Health Organization (WHO) T T T
b. Breastfeeding Committee for Canada (BCC) T T T T
c. UNICEF
d. Public Health Agency ofN CU
anRaS
daI(N
PGHTABC.
T) COM T T T T
ANS: B T T
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10
T T T T T T T T T T T T T T T T
Steps and WHO Code Outcome Indicators for Hospitals and Community Health Services,
T T T T T T T T T T T T
which sets the international standards for the WHO/UNICEF global criteria within the
T T T T T T T T T T T T
Canadian context. T
DIF: Cognitive Level: Knowledge REF: 7 T T OBJ: 3|9 T T T
TOP: The Past KEY: Nursing Process Step: N/A T T T T T
3. A pregnant woman who has recently immigrated Canada comments to a nurse, “I am afraid
T T T T T T T T T T T T T T T
of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response
T T T T T T T T T T T T T T T T T T
reflecting cultural safety? T T
a. “Maternal mortality in Canada is extremely low.” T T T T T T
b. “Anesthesia is available to relieve pain during labour and childbirth.” T T T T T T T T T
c. “Tell me why you are afraid of childbirth.”
T T T T T T T
d. “Your condition will be monitored during labour and birth.”
T T T T T T T T
ANS: C T T
Asking the patient about her concerns helps promote understanding and individualizes
T T T T T T T T T T T
patient care. T
DIF: Cognitive Level: Application T T REF: 11 OBJ: 7
NURSINGTB.COM
,TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA 1ST
EDITION BY LEIFER
TOP: Culturally Safe Care T T KEY: Nursing Process Step: Implementation
T T T T
4. An urban area has been reported to have a high perinatal mortality rate. What information
T T T T T T T T T T T T T T T
does this provide?
T T
a. Maternal and infant deaths per 100,000 live births per year
T T T T T T T T T
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
T T T T T T T T T T T T
c. Deaths of infants up to 1 year of age per 1000 live births per year
T T T T T T T T T T T T T T
d. Fetal and neonatal deaths per 1000 live births per year
T T T T T T T T T
ANS: D T T
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
T T T T T T T T T T T T T T
DIF: Cognitive Level: Comprehension T T REF: 8 OBJ:
10 TOP: Statistics T KEY: Nursing Process Step: T T T T
Assessment
5. What is the focus of current perinatal care?
T T T T T T T
a. Hospital births for the majority of women T T T T T T
b. The traditional family unit
T T T
c. Care in a labour room and then a birthing room
T T T T T T T T T
d. A high-quality family experience for each patient
T T T T T T
ANS: D T T
Current maternity practice focuses on a high-quality family experience for all families.
T T T T T T T T T T T
DIF: Cognitive Level: Comprehension T T REF: 7 | 8 OBJ: 2 | 8 T T T T T
TOP: Perinatal Care T KEY: Nursing Process Step: T T T T
N/A
NURSINGTB.COM
6. Whichertification
Torganization
T foroffers
nursesc in specialty areas? T T T T
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A T T
The Canadian Nurses Association offers certification exams for registered nurses in
T T T T T T T T T T T
specialty areas including perinatal, community, neonatal, and pediatric intensive care.
T T T T T T T T T T
CAPWHN, CANN, and CAPN are specialty organizations for nursing groups in Canada.
T T T T T T T T T T T
DIF: Cognitive Level: Knowledge T T REF: 10 OBJ: 2 | 3 T T T
TOP: Nursing Certification T KEY: Nursing Process Step: T T T T
N/A
7. Which of the following requires self-reflection and discovery in order to provide care that is
T T T T T T T T T T T T T T T
culturally appropriate? T
a. Cultural safety T
b. Cultural awareness T
c. Cultural humility T
d. Cultural competence T T
ANS: C T
NURSINGTB.COM
,TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA 1ST
EDITION BY LEIFER
Cultural humility is the precursor to providing culturally appropriate care. It is a process of
T T T T T T T T T T T T T T T
self-reflection and discovery to understand one’s own assumptions, biases, and values and
T T T T T T T T T T T T
how one’s background and social environment have shaped one’s experience
T T T T T T T T T
DIF: T T Cognitive Level: Knowledge T T REF: 4 OBJ: 1 | 7 T T T T T T
TOP: T T Cultural Humility T KEY: Nursing Process Step: Evaluation
T T T T
8. In 2015, the WHO developed the Sustainable Development Goals (SDGs). What issues do
T T T T T T T T T T T T T
the new SDG’s include that the Millennium Development Goals (MDGs) did not include?
T T T T T T T T T T T T
a. Climate change and environmental protection T T T T
b. Combating HIV and malaria T T T
c. Eradicating poverty and hunger T T T
d. Achieving universal primary education T T T
ANS: A T T
Climate change and environmental protection are new goals of the SDGs. All other options
T T T T T T T T T T T T T T
are part of the MDGs
T T T T
DIF: Cognitive Level: Knowledge T T REF: 13 OBJ: 16 T
TOP: Sustainable Development Goals T T KEY: Nursing Process Step: N/A T T T T
9. What guidelines define multidisciplinary patient care in terms of expected outcome and
T T T T T T T T T T T T
timeframe from different areas of care provision?
T T T T T T
a. Clinical pathways T
b. Nursing outcome criteria T T
c. Standards of care T T
d. Nursing care plan NURSINGTB.COM T T
ANS: A T T
Clinical pathways, also known as critical pathways or care maps, are collaborative
T T T T T T T T T T T T
guidelines that define patient care across disciplines. Expected progress within a specified
T T T T T T T T T T T T
timeline is identified. T T
DIF: Cognitive Level: Knowledge T T REF: 12 OBJ: 13 T
TOP: Health Care Delivery Systems T T T KEY: Nursing Process Step: N/A T T T T
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her
T T T T T T T T T T T T
mother, and collected admission data. What is the next step the student will take to develop a
T T T T T T T T T T T T T T T T T
nursing care plan for this child?
T T T T T
a. Identify measurable outcomes with a timeline. T T T T T
b. Choose specific nursing interventions for the child.
T T T T T T
c. Determine appropriate nursing diagnoses. T T T
d. State nursing actions related to the child’s medical diagnosis.
T T T T T T T T
ANS: C T T
The nurse uses assessment data to develop appropriate nursing diagnoses. Outcomes and
T T T T T T T T T T T T
interventions are then developed to address the relevant nursing diagnoses.
T T T T T T T T T
DIF: Cognitive Level: Application T T REF: 11 OBJ:
10 TOP: T Nursing Process T
NURSINGTB.COM
, TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA 1ST
EDITION BY LEIFER
KEY: Nursing Process Step: Nursing Diagnosis
T T T T T
11. A nursing student on a maternal–newborn rotation questions the floor nurse about the
T T T T T T T T T T T T T
definition of the practical nurse scope of practice. What resource can the nurse suggest to
T T T T T T T T T T T T T T T
the student?
T
a. Canadian Nurses Association T T
b. Provincial regulatory board T T
c. Federal government T
d. Canadian Association of Perinatal & Women’s Health Nursing
T T T T T T T
ANS: B T T
The scope of practice of the practical nurse is determined by the provincial board of nursing.
T T T T T T T T T T T T T T T
DIF: Cognitive Level: Comprehension T T REF: 3 OBJ: 2
TOP: Standards of Practice T T KEY: Nursing Process Step: Implementation
T T T T
12. Which social determinant of health (SDOH) is specifically related to Indigenous people’s
T T T T T T T T T T T T
health?
a. Colonization
b. Education
c. Social support networks T T
d. Employment and working conditions T T T
ANS: A T T
All of the SDOH are important but the impact of colonization is related specifically to
T T T T T T T T T T T T T T T
Indigenous people’s health. T T
NURSINGTB.COM
DIF: Cognitive Level: Knowledge T T REF: 3 OBJ: 6
TOP: Social Determinants of Health T T T KEY: Nursing Process Step: N/A T T T T
13. How does the clinical pathway or critical pathway improve quality of care?
T T T T T T T T T T T
a. Lists diagnosis-specific implementations
T T
b. Outlines expected progress with stated timelines
T T T T T
c. Prioritizes effective nursing diagnoses T T T
d. Describes common complications T T
ANS: B T T
Critical pathways outline expected progress with stated timelines. Any deviation from those
T T T T T T T T T T T T
timelines is called a variance. T T T T
DIF: Cognitive Level: Comprehension T T REF: 12 OBJ: 13
TOP: Critical Pathway T KEY: Nursing Process Step: Implementation
T T T T
14. How does electronic charting ensure comprehensive charting more effectively than
T T T T T T T T T T
handwritten charting? T
a. Provides a uniform style of chart T T T T T
b. Requires certain responses before allowing the user to progress
T T T T T T T T
c. All documentation is reflective of the nursing care plan
T T T T T T T T
d. Requires a daily audit by the charge nurse T T T T T T T T
ANS: B T
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