Test Bank For Leifer's Introduction to Maternity & Pediatric Nursing in Canada, 1st Edition, by Gloria Leifer; Lisa Keenan Lindsay, All Chapters 1-33 LATEST

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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,
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1st Edition
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MULTIPLE CHOICE v




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


b. Prenatal care only v v


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


d. Only present for home births v v v v




ANS: A v


The RM provides comprehensive independent prenatal, labour, and postpartum care for up
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to 6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs are
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regulated health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension v v REF: 7 OBJ: 3
TOP: Collaborative Care
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2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
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a. World Health Organization (WHO) v v v


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


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




ANS: B v


The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10
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Steps and WHO Code Outcome Indicators for Hospitals and Community Health Services,
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which sets the international standards for the WHO/UNICEF global criteria within the
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Canadian context.
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DIF: Cognitive Level: Knowledge REF: 7 v v OBJ: 3 |9 v v


TOP: The Past
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3. A pregnant woman who has recently immigrated Canada comments to a nurse, ―I am afraid
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of childbirth. It is so dangerous. I am afraid I will die.‖ What is the best nursing response
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reflecting cultural safety?
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a. ―Maternal mortality in Canada is extremely low.‖ v v v v v v


b. ―Anesthesia is available to relieve pain during labour and childbirth.‖ v v v v v v v v v


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 v


Asking the patient about her concerns helps promote understanding and individualizes
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patient care.
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DIF: Cognitive Level: Application v v REF: 11 OBJ: 7

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


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 v v OBJ: 10
TOP: Statistics
v KEY: Nursing Process Step: Assessment v v v v




5. What is the focus of current perinatal care?
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a. Hospital births for the majority of women v v v v v v


b. The traditional family unit
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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 v


Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension v v REF: 7 | 8 OBJ: 2 | 8 v v v v


TOP: Perinatal Care
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N/A
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NURSINGTB.COM v

6. Which organization offers c ertification for nurses in specialty areas?
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a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A v


The Canadian Nurses Association offers certification exams for registered nurses in
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specialty areas including perinatal, community, neonatal, and pediatric intensive care.
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CAPWHN, CANN, and CAPN are specialty organizations for nursing groups in Canada.
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DIF: Cognitive Level: Knowledge v v REF: 10 OBJ: 2 | 3 v v


TOP: Nursing Certification
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7. Which of the following requires self-reflection and discovery in order to provide care that is
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culturally appropriate?
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a. Cultural safety v


b. Cultural awareness v


c. Cultural humility v


d. Cultural competence v




vANS: C v