,
,Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
9i 9i 9i 9i 9i 9i 9i 9i 9i
Keenan-
Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Editi
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
on
MULTIPLE CHOICE 9i
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
for her labour. What does the RM‘s scope of practice include?
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
a. Independent comprehensive practice 9i 9i
b. Prenatal care only 9i 9i
c. Attendance at only low-risk births 9i 9i 9i 9i
d. Only present for home births 9i 9i 9i 9i
ANS: A 9 i
The RM provides comprehensive independent prenatal, labour, and postpartum care for up
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9
to 6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs are
i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
regulated health professions who have a 4-year university degree.
9i 9i 9i 9i 9i 9i 9i 9i 9i
DIF: Cognitive Level: Comprehension 9i 9i REF: 7 OBJ:
3 TOP:
9i Collaborative Care 9i
KEY: Nursing Process Step: N/A 9i 9i 9i 9i
2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
a. World Health Organization (WHO) 9i 9i 9i
b. Breastfeeding Committee for Canada (BCC) 9i 9i 9i 9i
c. UNICEF
d. Public Health Agency of N
CUanRaS
daI(N
PGHT
ABC.
) COM 9i 9i 9i 9i 9i
ANS: B 9 i
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
Steps and WHO Code Outcome Indicators for Hospitals and Community Health Services,
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
which sets the international standards for the WHO/UNICEF global criteria within the Can
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
adian context. 9i
DIF: Cognitive Level: Knowledge 9i 9i REF: 7 OBJ:
3 | 9 TOP:
9i 9i The Past9i 9i KEY: Nursing Process Step: N/A 9i 9i 9i 9i
3. A pregnant woman who has recently immigrated Canada comments to a nurse, ―I am afraid
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
of childbirth. It is so dangerous. I am afraid I will die.‖ What is the best nursing response r
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
eflecting cultural safety? 9i 9i
a. ―Maternal mortality in Canada is extremely low.‖ 9i 9i 9i 9i 9i 9i
b. ―Anesthesia is available to relieve pain during labour and childbirth.‖ 9i 9i 9i 9i 9i 9i 9i 9i 9i
c. ―Tell me why you are afraid of childbirth.‖
9i 9i 9i 9i 9i 9i 9i
d. ―Your condition will be monitored during labour and birth.‖
9i 9i 9i 9i 9i 9i 9i 9i
ANS: C 9 i
Asking the patient about her concerns helps promote understanding and individualizes patie
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
nt care. 9i
DIF: Cognitive Level: Application 9i 9i REF: 11 OBJ: 7
, TOP: Culturally Safe Care 9i 9i KEY: Nursing Process Step: Implementation
9i 9i 9i 9i
4. An urban area has been reported to have a high perinatal mortality rate. What information
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
does this provide? 9i 9i
a. Maternal and infant deaths per 100,000 live births per year
9i 9i 9i 9i 9i 9i 9i 9i 9i
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
c. Deaths of infants up to 1 year of age per 1000 live births per year
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
d. Fetal and neonatal deaths per 1000 live births per year
9i 9i 9i 9i 9i 9i 9i 9i 9i
ANS: D 9 i
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
DIF: Cognitive Level: Comprehension REF: 8 9i 9i OBJ:
10 TOP: 9iStatistics
KEY: Nursing Process Step: Assessment
9i 9i 9i 9i
5. What is the focus of current perinatal care?
9i 9i 9i 9i 9i 9i 9i
a. Hospital births for the majority of women 9i 9i 9i 9i 9i 9i
b. The traditional family unit 9i 9i 9i
c. Care in a labour room and then a birthing room
9i 9i 9i 9i 9i 9i 9i 9i 9i
d. A high-quality family experience for each patient
9i 9i 9i 9i 9i 9i
ANS: D 9 i
Current maternity practice focuses on a high-quality family experience for all families.
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
DIF: Cognitive Level: Comprehension REF: 7 | 8 9i 9i 9i 9i OBJ:
2 | 8 TOP:
9i 9i 9i Perinatal Care 9i
KEY: Nursing Process Step: N/A 9i9i 9i 9i 9i
NURSINGTB.COM i
9
6. Which organization offers certification for nurses in specialty areas?
9i 9i 9i 9 i 9i 9i 9i 9i
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A 9 i
The Canadian Nurses Association offers certification exams for registered nurses in special
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ty areas including perinatal, community, neonatal, and pediatric intensive care. CAPWHN,
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
CANN, and CAPN are specialty organizations for nursing groups in Canada.
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
DIF: Cognitive Level: Knowledge 9i 9i REF: 10 OBJ:
2 | 3 TOP:
9i 9i 9i Nursing Certification 9i
KEY: Nursing Process Step: N/A 9i 9i 9i 9i
7. Which of the following requires self-
9i 9i 9i 9i 9i
reflection and discovery in order to provide care that is culturally appropriate?
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
a. Cultural safety 9i
b. Cultural awareness 9i
c. Cultural humility 9i
d. Cultural competence 9i 9
iANS: C 9 i
,Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
9i 9i 9i 9i 9i 9i 9i 9i 9i
Keenan-
Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Editi
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
on
MULTIPLE CHOICE 9i
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
for her labour. What does the RM‘s scope of practice include?
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
a. Independent comprehensive practice 9i 9i
b. Prenatal care only 9i 9i
c. Attendance at only low-risk births 9i 9i 9i 9i
d. Only present for home births 9i 9i 9i 9i
ANS: A 9 i
The RM provides comprehensive independent prenatal, labour, and postpartum care for up
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9
to 6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs are
i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
regulated health professions who have a 4-year university degree.
9i 9i 9i 9i 9i 9i 9i 9i 9i
DIF: Cognitive Level: Comprehension 9i 9i REF: 7 OBJ:
3 TOP:
9i Collaborative Care 9i
KEY: Nursing Process Step: N/A 9i 9i 9i 9i
2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
a. World Health Organization (WHO) 9i 9i 9i
b. Breastfeeding Committee for Canada (BCC) 9i 9i 9i 9i
c. UNICEF
d. Public Health Agency of N
CUanRaS
daI(N
PGHT
ABC.
) COM 9i 9i 9i 9i 9i
ANS: B 9 i
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
Steps and WHO Code Outcome Indicators for Hospitals and Community Health Services,
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
which sets the international standards for the WHO/UNICEF global criteria within the Can
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
adian context. 9i
DIF: Cognitive Level: Knowledge 9i 9i REF: 7 OBJ:
3 | 9 TOP:
9i 9i The Past9i 9i KEY: Nursing Process Step: N/A 9i 9i 9i 9i
3. A pregnant woman who has recently immigrated Canada comments to a nurse, ―I am afraid
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
of childbirth. It is so dangerous. I am afraid I will die.‖ What is the best nursing response r
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
eflecting cultural safety? 9i 9i
a. ―Maternal mortality in Canada is extremely low.‖ 9i 9i 9i 9i 9i 9i
b. ―Anesthesia is available to relieve pain during labour and childbirth.‖ 9i 9i 9i 9i 9i 9i 9i 9i 9i
c. ―Tell me why you are afraid of childbirth.‖
9i 9i 9i 9i 9i 9i 9i
d. ―Your condition will be monitored during labour and birth.‖
9i 9i 9i 9i 9i 9i 9i 9i
ANS: C 9 i
Asking the patient about her concerns helps promote understanding and individualizes patie
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
nt care. 9i
DIF: Cognitive Level: Application 9i 9i REF: 11 OBJ: 7
, TOP: Culturally Safe Care 9i 9i KEY: Nursing Process Step: Implementation
9i 9i 9i 9i
4. An urban area has been reported to have a high perinatal mortality rate. What information
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
does this provide? 9i 9i
a. Maternal and infant deaths per 100,000 live births per year
9i 9i 9i 9i 9i 9i 9i 9i 9i
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
c. Deaths of infants up to 1 year of age per 1000 live births per year
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
d. Fetal and neonatal deaths per 1000 live births per year
9i 9i 9i 9i 9i 9i 9i 9i 9i
ANS: D 9 i
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
DIF: Cognitive Level: Comprehension REF: 8 9i 9i OBJ:
10 TOP: 9iStatistics
KEY: Nursing Process Step: Assessment
9i 9i 9i 9i
5. What is the focus of current perinatal care?
9i 9i 9i 9i 9i 9i 9i
a. Hospital births for the majority of women 9i 9i 9i 9i 9i 9i
b. The traditional family unit 9i 9i 9i
c. Care in a labour room and then a birthing room
9i 9i 9i 9i 9i 9i 9i 9i 9i
d. A high-quality family experience for each patient
9i 9i 9i 9i 9i 9i
ANS: D 9 i
Current maternity practice focuses on a high-quality family experience for all families.
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
DIF: Cognitive Level: Comprehension REF: 7 | 8 9i 9i 9i 9i OBJ:
2 | 8 TOP:
9i 9i 9i Perinatal Care 9i
KEY: Nursing Process Step: N/A 9i9i 9i 9i 9i
NURSINGTB.COM i
9
6. Which organization offers certification for nurses in specialty areas?
9i 9i 9i 9 i 9i 9i 9i 9i
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A 9 i
The Canadian Nurses Association offers certification exams for registered nurses in special
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ty areas including perinatal, community, neonatal, and pediatric intensive care. CAPWHN,
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
CANN, and CAPN are specialty organizations for nursing groups in Canada.
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
DIF: Cognitive Level: Knowledge 9i 9i REF: 10 OBJ:
2 | 3 TOP:
9i 9i 9i Nursing Certification 9i
KEY: Nursing Process Step: N/A 9i 9i 9i 9i
7. Which of the following requires self-
9i 9i 9i 9i 9i
reflection and discovery in order to provide care that is culturally appropriate?
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
a. Cultural safety 9i
b. Cultural awareness 9i
c. Cultural humility 9i
d. Cultural competence 9i 9
iANS: C 9 i