Page 1 of 105
LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN
CANADA, 1ST EDITION QUESTIONS LATEST EDITION 2026 – 2027
VERSION SOLVED QUESTIONS & ANSWERS
LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA,
1ST EDITION
Questions with Answers & Rationales
Authors: Lisa Keenan-Lindsay, Gloria Leifer | Publisher: Elsevier Canada
ISBN: 9781771722049 | Published: 2020
UNIT I: OVERVIEW OF PERINATAL AND PEDIATRIC NURSING IN CANADA (Chapter 1)
Question 1: A patient chooses to have a registered midwife (RM) provide care during her
pregnancy and labour. What does the RM's scope of practice include?
A) Independent comprehensive practice
B) Prenatal care only
C) Attendance at only low-risk births
D) Only present for home births
Correct Answer: A
Rationale: The RM provides comprehensive independent prenatal, labour, and
postpartum care for up to 6 weeks for women who are low risk. Births may occur in
hospital or at home. RMs are regulated health professionals who have a 4-year
university degree.
Question 2: Which organization is responsible for the Baby-Friendly Initiative (BFI) in
Canada?
A) World Health Organization (WHO)
B) Breastfeeding Committee for Canada (BCC)
, Page 2 of 105
C) UNICEF
D) Public Health Agency of Canada (PHAC)
Correct Answer: B
Rationale: The BCC is responsible for BFI designation in Canada. The BCC has
developed the BFI 10 Steps and WHO Code Outcome Indicators for Hospitals and
Community Health Services, which sets the international standards for the
WHO/UNICEF global criteria within the Canadian context.
Question 3: A pregnant woman who has recently immigrated to Canada comments to a
nurse, "I am afraid of childbirth. It is so dangerous. I am afraid I will die." What is the best
nursing response reflecting cultural safety?
A) "Maternal mortality in Canada is extremely low."
B) "Anaesthesia is available to relieve pain during labour and childbirth."
C) "Tell me why you are afraid of childbirth."
D) "Your condition will be monitored during labour and birth."
Correct Answer: C
Rationale: Nursing responses should reflect an understanding of cultural fears and
provide reassurance to patients. Asking the patient to explain her fears demonstrates
cultural safety and allows the nurse to address specific concerns.
Question 4: Perinatal nursing in Canada focuses primarily on:
A) Care of women during pregnancy and childbirth
B) Care of infants only
C) Care of women with chronic illnesses
D) Care of adolescents
Correct Answer: A
Rationale: Perinatal nursing focuses on the care of women during pregnancy and
childbirth, emphasizing safety and support.
Question 5: Pediatric nursing involves:
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A) Care of adults with chronic conditions
B) Specialized care for infants and children
C) Care of elderly patients
D) Care of women during pregnancy
Correct Answer: B
Rationale: Pediatric nursing involves specialized care for infants and children,
addressing their unique health needs.
Question 6: The nursing process is a systematic approach to patient care that includes
which of the following steps?
A) Assessment, Diagnosis, Planning, Implementation, Evaluation
B) Assessment, Planning, Implementation, Evaluation
C) Diagnosis, Planning, Implementation, Evaluation
D) Assessment, Diagnosis, Implementation, Evaluation
Correct Answer: A
Rationale: The nursing process is a systematic approach to patient care that includes
assessment, diagnosis, planning, implementation, and evaluation.
Question 7: A nurse is caring for a patient who is receiving care from a midwife. The
nurse understands that midwives in Canada:
A) Are not regulated healthcare professionals
B) Have a 4-year university degree
C) Can only attend home births
D) Provide care only during labour
Correct Answer: B
Rationale: RMs are regulated health professionals who have a 4-year university degree.
Question 8: Which of the following is a key principle of the Baby-Friendly Initiative?
A) Encouraging formula feeding
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B) Supporting breastfeeding
C) Discouraging skin-to-skin contact
D) Separating mothers and newborns
Correct Answer: B
Rationale: The Baby-Friendly Initiative promotes breastfeeding standards in healthcare.
Question 9: A nurse is providing care to a patient from a different cultural background.
Which approach best demonstrates cultural safety?
A) Assuming the patient's beliefs are the same as the nurse's
B) Avoiding discussion of cultural differences
C) Understanding cultural fears and providing reassurance
D) Encouraging the patient to adopt Canadian healthcare practices
Correct Answer: C
Rationale: Cultural safety involves understanding cultural fears and providing
reassurance to patients.
Question 10: The primary goal of perinatal nursing is to:
A) Reduce the cost of healthcare
B) Provide safety and support during pregnancy and childbirth
C) Increase the number of home births
D) Reduce the use of epidural anaesthesia
Correct Answer: B
Rationale: Perinatal nursing focuses on the care of women during pregnancy and
childbirth, emphasizing safety and support.
Question 11: A nurse is working in a paediatric unit. Which of the following best
describes the focus of paediatric nursing?
A) Care of adults with chronic illnesses
B) Care of infants, children, and adolescents
LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN
CANADA, 1ST EDITION QUESTIONS LATEST EDITION 2026 – 2027
VERSION SOLVED QUESTIONS & ANSWERS
LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA,
1ST EDITION
Questions with Answers & Rationales
Authors: Lisa Keenan-Lindsay, Gloria Leifer | Publisher: Elsevier Canada
ISBN: 9781771722049 | Published: 2020
UNIT I: OVERVIEW OF PERINATAL AND PEDIATRIC NURSING IN CANADA (Chapter 1)
Question 1: A patient chooses to have a registered midwife (RM) provide care during her
pregnancy and labour. What does the RM's scope of practice include?
A) Independent comprehensive practice
B) Prenatal care only
C) Attendance at only low-risk births
D) Only present for home births
Correct Answer: A
Rationale: The RM provides comprehensive independent prenatal, labour, and
postpartum care for up to 6 weeks for women who are low risk. Births may occur in
hospital or at home. RMs are regulated health professionals who have a 4-year
university degree.
Question 2: Which organization is responsible for the Baby-Friendly Initiative (BFI) in
Canada?
A) World Health Organization (WHO)
B) Breastfeeding Committee for Canada (BCC)
, Page 2 of 105
C) UNICEF
D) Public Health Agency of Canada (PHAC)
Correct Answer: B
Rationale: The BCC is responsible for BFI designation in Canada. The BCC has
developed the BFI 10 Steps and WHO Code Outcome Indicators for Hospitals and
Community Health Services, which sets the international standards for the
WHO/UNICEF global criteria within the Canadian context.
Question 3: A pregnant woman who has recently immigrated to Canada comments to a
nurse, "I am afraid of childbirth. It is so dangerous. I am afraid I will die." What is the best
nursing response reflecting cultural safety?
A) "Maternal mortality in Canada is extremely low."
B) "Anaesthesia is available to relieve pain during labour and childbirth."
C) "Tell me why you are afraid of childbirth."
D) "Your condition will be monitored during labour and birth."
Correct Answer: C
Rationale: Nursing responses should reflect an understanding of cultural fears and
provide reassurance to patients. Asking the patient to explain her fears demonstrates
cultural safety and allows the nurse to address specific concerns.
Question 4: Perinatal nursing in Canada focuses primarily on:
A) Care of women during pregnancy and childbirth
B) Care of infants only
C) Care of women with chronic illnesses
D) Care of adolescents
Correct Answer: A
Rationale: Perinatal nursing focuses on the care of women during pregnancy and
childbirth, emphasizing safety and support.
Question 5: Pediatric nursing involves:
, Page 3 of 105
A) Care of adults with chronic conditions
B) Specialized care for infants and children
C) Care of elderly patients
D) Care of women during pregnancy
Correct Answer: B
Rationale: Pediatric nursing involves specialized care for infants and children,
addressing their unique health needs.
Question 6: The nursing process is a systematic approach to patient care that includes
which of the following steps?
A) Assessment, Diagnosis, Planning, Implementation, Evaluation
B) Assessment, Planning, Implementation, Evaluation
C) Diagnosis, Planning, Implementation, Evaluation
D) Assessment, Diagnosis, Implementation, Evaluation
Correct Answer: A
Rationale: The nursing process is a systematic approach to patient care that includes
assessment, diagnosis, planning, implementation, and evaluation.
Question 7: A nurse is caring for a patient who is receiving care from a midwife. The
nurse understands that midwives in Canada:
A) Are not regulated healthcare professionals
B) Have a 4-year university degree
C) Can only attend home births
D) Provide care only during labour
Correct Answer: B
Rationale: RMs are regulated health professionals who have a 4-year university degree.
Question 8: Which of the following is a key principle of the Baby-Friendly Initiative?
A) Encouraging formula feeding
, Page 4 of 105
B) Supporting breastfeeding
C) Discouraging skin-to-skin contact
D) Separating mothers and newborns
Correct Answer: B
Rationale: The Baby-Friendly Initiative promotes breastfeeding standards in healthcare.
Question 9: A nurse is providing care to a patient from a different cultural background.
Which approach best demonstrates cultural safety?
A) Assuming the patient's beliefs are the same as the nurse's
B) Avoiding discussion of cultural differences
C) Understanding cultural fears and providing reassurance
D) Encouraging the patient to adopt Canadian healthcare practices
Correct Answer: C
Rationale: Cultural safety involves understanding cultural fears and providing
reassurance to patients.
Question 10: The primary goal of perinatal nursing is to:
A) Reduce the cost of healthcare
B) Provide safety and support during pregnancy and childbirth
C) Increase the number of home births
D) Reduce the use of epidural anaesthesia
Correct Answer: B
Rationale: Perinatal nursing focuses on the care of women during pregnancy and
childbirth, emphasizing safety and support.
Question 11: A nurse is working in a paediatric unit. Which of the following best
describes the focus of paediatric nursing?
A) Care of adults with chronic illnesses
B) Care of infants, children, and adolescents
