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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, 2nd Ed
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ition


MULTIPLE CHOICE ma




1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy an
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d for her labour. What does the RM’s scope of practice include?
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a. Independent comprehensive practice ma ma



b. Prenatal care only ma ma



c. Attendance at only low-risk births ma ma ma ma



d. Only present for home births ma ma ma ma




ANS: A m a



The RM provides comprehensive independent prenatal, labour, and postpartum care for u
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p to 6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs
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are regulated health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension ma ma REF: 7 OBJ:
3 TOP:
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KEY: Nursing Process Step: N/A ma ma ma ma




2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
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a. World Health Organization (WHO) ma ma ma



b. Breastfeeding Committee for Canada (BCC) ma ma ma ma



c. UNICEF
d. Public Health Agency of N
CUanRaS
daI(N
PGHT
ABC.
) COM ma ma ma ma ma




ANS: B m a



The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 1
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0 Steps and WHO Code Outcome Indicators for Hospitals and Community Health Service
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s, which sets the international standards for the WHO/UNICEF global criteria within the
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Canadian context. ma




DIF: Cognitive Level: Knowledge ma ma REF: 7 OBJ:
3 | 9 TOP:
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3. A pregnant woman who has recently immigrated Canada comments to a nurse, “I am afrai
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d of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing respon
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se reflecting cultural safety?
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a. “Maternal mortality in Canada is extremely low.” ma ma ma ma ma ma



b. “Anesthesia is available to relieve pain during labour and childbirth.” ma ma ma ma ma ma ma ma ma



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 m a



Asking the patient about her concerns helps promote understanding and individualizes pati
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ent care. ma




DIF: Cognitive Level: Application ma ma REF: 11 OBJ: 7

, TOP: Culturally Safe Care ma ma KEY: Nursing Process Step: Implementation
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4. An urban area has been reported to have a high perinatal mortality rate. What informatio
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n 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 m a



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 ma ma OBJ:
10 TOP: maStatistics
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 ma ma ma ma ma ma



b. The traditional family unit ma ma ma



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 m a



Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension REF: 7 | 8 ma ma ma ma OBJ:
2 | 8 TOP:
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KEY: Nursing Process Step: N/A
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NURSINGTB.COM a
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6. Which organization offers certification for nurses in specialty areas?
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a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A m a



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. CAPWH
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N, CANN, and CAPN are specialty organizations for nursing groups in Canada.
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DIF: Cognitive Level: Knowledge ma ma REF: 10 OBJ:
2 | 3 TOP:
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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 ma



b. Cultural awareness ma



c. Cultural humility ma



d. Cultural competence ma




ANS: C
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