,
,Chapter01:Overview ofPerinatalandPediatricNursinginCanada K
ib ib ib ib ib ib ib ib ib ib
eenan-
Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Editi on
ib ib ib ib ib ib gd ib ib ib ib i b
MULTIPLE CHOICE ib
1. A patient chooses to havearegistered midwife(RM) provide careduring her pregnancyand f or h
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
er labour. What does the RM’s scope of practice include?
ib ib ib ib ib ib ib ib ib
a. Independent comprehensive practice ib ib
b. Prenatal care only ib ib
c. Attendance at onlylow-risk births ib ib ib ib
d. Onlypresent for home births ib ib ib ib
ANS: A
TheRM provides comprehensive independent prenatal, labour, and postpartum careforup t o 6
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
weeks, for women who are low risk. Births mayoccur in hospital or at home. RMs are r egulate
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
d health professions who have a 4-year university degree.
ib ib ib ib ib ib ib ib
DIF: Cognitive Level: Comprehension ib ib REF: 7
OBJ:3TOP: ib
Collaborative Care ib
KEY:Nursing Process Step:N/A ib gd gd
2. Which organization is responsible for the BabyFriendly Initiative (BFI) in Canada?
ib ib ib ib ib ib ib ib ib ib ib
a. World Health Organization (WHO) ib ib ib
b. Breastfeeding Committee for Canada (BCC) ib ib ib ib
c. UNICEF
d. PublicHealth AgencyofN CUanRaS
daI(N
PGHTABC.
) COM ib i b
ANS: B
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10 Ste
ib ib ib ib ib ib ib ib ib ib ib ib ib ib gd ib
ps and WHO Code Outcome Indicators for Hospitals and Community Health Services, whic
ib ib ib ib ib ib ib ib ib ib ib ib
h sets the international standards for the WHO/UNICEF global criteria within the Can adian c
ib ib ib ib ib ib ib ib ib ib ib ib ib ib
ontext.
DIF: Cognitive Level: Knowledge ib ib REF: 7 OBJ:
3|9 TOP: The Past ib ib KEY: Nursing Process Step: N/A ib ib ib ib
3. A pregnant woman who has recently immigrated Canada comments to a nurse, “I am afraid o f ch
ib gd ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
ildbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response r e flectin
ib ib ib ib ib gd ib ib y# ib ib ib ib ib ib ib ib ib ib
g cultural safety?
ib ib
a. “Maternal mortalityin Canada is extremelylow.” ib ib ib ib ib ib
b. “Anesthesia is available to relieve pain during labour and childbirth.” gd ib ib ib ib ib ib ib ib
c. “Tell me why you are afraid of childbirth.” ib ib ib ib ib ib ib
d. “Your condition will be monitored during labour and birth.” ib ib ib ib ib gd ib ib
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patie nt
ib ib ib ib ib ib ib ib gd gd ib ib i
care.
b
DIF: i b i b i b Cognitive Level: Application ib ib REF: i b i b 11 OBJ: i b i b i b 7
, TOP: CulturallySafe Care ib ib KEY: Nursing Process Step:Implementation
ib ib ib
4. Anurban areahas been reported to have ahigh perinatal mortalityrate. Whatinformation d oes
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
this provide? ib
a. Maternal and infant deaths per 100,000 live births per year ib ib ib ib ib ib ib ib ib
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
ib ib ib ib ib ib ib ib ib ib ib ib
c. Deaths of infants up to 1 year of age per 1000 live births per year
ib ib ib ib ib ib ib ib ib ib ib ib ib ib
d. Fetal and neonatal deaths per 1000 live births per year
ib ib ib ib ib ib ib ib ib
ANS: D
Theperinatal mortalityrate includes fetal and neonatal deaths per 1000 live births per year.
ib ib ib ib ib ib ib ib ib ib ib ib ib ib
DIF: Cognitive Level: Comprehension ib ib REF: 8
OBJ: 10 TOP: ib ib
Statistics i
b KEY: Nursing Process Step: Assessment ib gd ib ib
5. What is the focus of current perinatal care?
ib ib ib ib ib ib ib
a. Hospital births for the majorityof women ib ib ib ib ib ib
b. Thetraditional familyunit ib ib ib
c. Care in a labour room and then a birthing room ib ib ib ib ib gd ib gd ib
d. A high-quality family experience for each patient
ib ib ib ib ib ib
ANS: D
Current maternitypractice focuses on a high-qualityfamily experience for all families.
ib ib ib ib ib ib ib ib ib ib ib
DIF: Cognitive Level: Comprehension ib ib REF: 7 | 8 ib ib
OBJ: 2 | 8 TOP: ib ib ib ib
Perinatal Care ib
KEY: Nursing Proce ss S te p :N/ A
N U R S I N G TB.COM ib
6. Which organization offers c ib
specialty areas? ib ib
ib
e rtification fornurses in # ib ib ib ib
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A
The Canadian Nurses Association offers certification exams for registered nurses in specialt
ib ib ib ib ib ib ib ib ib ib ib gdi b
y areas including perinatal, community, neonatal, and pediatric intensive care. CAPWHN, C A
ib ib ib ib ib ib ib ib ib ib ib ib
NN, and CAPN are specialty organizations for nursing groups in Canada.
ib ib ib ib ib ib ib ib ib ib
DIF: i b i b Cognitive Level: Knowledge ib ib REF: 10 i b i b
OBJ: 2 |3 TOP: ib ib ib ib
Nursing Certification KEY ib ib
: Nursing Process Step: N/A
ib ib ib ib
7. Which of the following requires self-
ib ib ib ib ib
reflection and discoveryin order to provide care thatis culturally appropriate?
gd ib ib ib ib ib ib ib ib ib
a. Cultural safety ib
b. Cultural awareness ib
c. Cultural humility ib
d. Culturalcompetenc i
b e ANS: C
ib i b
,Chapter01:Overview ofPerinatalandPediatricNursinginCanada K
ib ib ib ib ib ib ib ib ib ib
eenan-
Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Editi on
ib ib ib ib ib ib gd ib ib ib ib i b
MULTIPLE CHOICE ib
1. A patient chooses to havearegistered midwife(RM) provide careduring her pregnancyand f or h
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
er labour. What does the RM’s scope of practice include?
ib ib ib ib ib ib ib ib ib
a. Independent comprehensive practice ib ib
b. Prenatal care only ib ib
c. Attendance at onlylow-risk births ib ib ib ib
d. Onlypresent for home births ib ib ib ib
ANS: A
TheRM provides comprehensive independent prenatal, labour, and postpartum careforup t o 6
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
weeks, for women who are low risk. Births mayoccur in hospital or at home. RMs are r egulate
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
d health professions who have a 4-year university degree.
ib ib ib ib ib ib ib ib
DIF: Cognitive Level: Comprehension ib ib REF: 7
OBJ:3TOP: ib
Collaborative Care ib
KEY:Nursing Process Step:N/A ib gd gd
2. Which organization is responsible for the BabyFriendly Initiative (BFI) in Canada?
ib ib ib ib ib ib ib ib ib ib ib
a. World Health Organization (WHO) ib ib ib
b. Breastfeeding Committee for Canada (BCC) ib ib ib ib
c. UNICEF
d. PublicHealth AgencyofN CUanRaS
daI(N
PGHTABC.
) COM ib i b
ANS: B
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10 Ste
ib ib ib ib ib ib ib ib ib ib ib ib ib ib gd ib
ps and WHO Code Outcome Indicators for Hospitals and Community Health Services, whic
ib ib ib ib ib ib ib ib ib ib ib ib
h sets the international standards for the WHO/UNICEF global criteria within the Can adian c
ib ib ib ib ib ib ib ib ib ib ib ib ib ib
ontext.
DIF: Cognitive Level: Knowledge ib ib REF: 7 OBJ:
3|9 TOP: The Past ib ib KEY: Nursing Process Step: N/A ib ib ib ib
3. A pregnant woman who has recently immigrated Canada comments to a nurse, “I am afraid o f ch
ib gd ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
ildbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response r e flectin
ib ib ib ib ib gd ib ib y# ib ib ib ib ib ib ib ib ib ib
g cultural safety?
ib ib
a. “Maternal mortalityin Canada is extremelylow.” ib ib ib ib ib ib
b. “Anesthesia is available to relieve pain during labour and childbirth.” gd ib ib ib ib ib ib ib ib
c. “Tell me why you are afraid of childbirth.” ib ib ib ib ib ib ib
d. “Your condition will be monitored during labour and birth.” ib ib ib ib ib gd ib ib
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patie nt
ib ib ib ib ib ib ib ib gd gd ib ib i
care.
b
DIF: i b i b i b Cognitive Level: Application ib ib REF: i b i b 11 OBJ: i b i b i b 7
, TOP: CulturallySafe Care ib ib KEY: Nursing Process Step:Implementation
ib ib ib
4. Anurban areahas been reported to have ahigh perinatal mortalityrate. Whatinformation d oes
ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib ib
this provide? ib
a. Maternal and infant deaths per 100,000 live births per year ib ib ib ib ib ib ib ib ib
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
ib ib ib ib ib ib ib ib ib ib ib ib
c. Deaths of infants up to 1 year of age per 1000 live births per year
ib ib ib ib ib ib ib ib ib ib ib ib ib ib
d. Fetal and neonatal deaths per 1000 live births per year
ib ib ib ib ib ib ib ib ib
ANS: D
Theperinatal mortalityrate includes fetal and neonatal deaths per 1000 live births per year.
ib ib ib ib ib ib ib ib ib ib ib ib ib ib
DIF: Cognitive Level: Comprehension ib ib REF: 8
OBJ: 10 TOP: ib ib
Statistics i
b KEY: Nursing Process Step: Assessment ib gd ib ib
5. What is the focus of current perinatal care?
ib ib ib ib ib ib ib
a. Hospital births for the majorityof women ib ib ib ib ib ib
b. Thetraditional familyunit ib ib ib
c. Care in a labour room and then a birthing room ib ib ib ib ib gd ib gd ib
d. A high-quality family experience for each patient
ib ib ib ib ib ib
ANS: D
Current maternitypractice focuses on a high-qualityfamily experience for all families.
ib ib ib ib ib ib ib ib ib ib ib
DIF: Cognitive Level: Comprehension ib ib REF: 7 | 8 ib ib
OBJ: 2 | 8 TOP: ib ib ib ib
Perinatal Care ib
KEY: Nursing Proce ss S te p :N/ A
N U R S I N G TB.COM ib
6. Which organization offers c ib
specialty areas? ib ib
ib
e rtification fornurses in # ib ib ib ib
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A
The Canadian Nurses Association offers certification exams for registered nurses in specialt
ib ib ib ib ib ib ib ib ib ib ib gdi b
y areas including perinatal, community, neonatal, and pediatric intensive care. CAPWHN, C A
ib ib ib ib ib ib ib ib ib ib ib ib
NN, and CAPN are specialty organizations for nursing groups in Canada.
ib ib ib ib ib ib ib ib ib ib
DIF: i b i b Cognitive Level: Knowledge ib ib REF: 10 i b i b
OBJ: 2 |3 TOP: ib ib ib ib
Nursing Certification KEY ib ib
: Nursing Process Step: N/A
ib ib ib ib
7. Which of the following requires self-
ib ib ib ib ib
reflection and discoveryin order to provide care thatis culturally appropriate?
gd ib ib ib ib ib ib ib ib ib
a. Cultural safety ib
b. Cultural awareness ib
c. Cultural humility ib
d. Culturalcompetenc i
b e ANS: C
ib i b