,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, 1st Edition
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MULTIPLE CHOICE z
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and for
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her labour. What does the RM‘s scope of practice include?
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a. Independent comprehensive practice z z
b. Prenatal care only z z
c. Attendance at only low-risk births z z z z
d. Only present for home births z z z z
ANS: A z
The RM provides comprehensive independent prenatal, labour, and postpartum care for up to
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6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs are regulat
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ed health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension z z REF: 7 OBJ:
3 TOP: z Collaborative Care z
KEY: Nursing Process Step: N/A z z z z
2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
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a. World Health Organization (WHO) z z z
b. Breastfeeding Committee for Canada (BCC) z z z z
c. UNICEF
d. Public Health Agency ofNCUanRaS
daI(N
PGHTABC.
) COM z z z z z
ANS: B z
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10 Ste
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ps and WHO Code Outcome Indicators for Hospitals and Community Health Services, which s
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ets the international standards for the WHO/UNICEF global criteria within the Canadian conte
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xt.
DIF: Cognitive Level: Knowledge z z REF: 7 OBJ:
3 | 9 TOP:
z z The Past z z KEY: Nursing Process Step: N/A
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3. A pregnant woman who has recently immigrated Canada comments to a nurse, ―I am afraid of c
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hildbirth. It is so dangerous. I am afraid I will die.‖ What is the best nursing response reflecting
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cultural safety?
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a. ―Maternal mortality in Canada is extremely low.‖ z z z z z z
b. ―Anesthesia is available to relieve pain during labour and childbirth.‖ z z z z z z z z z
c. ―Tell me why you are afraid of childbirth.‖ z z z z z z z
d. ―Your condition will be monitored during labour and birth.‖ z z z z z z z z
ANS: C z
Asking the patient about her concerns helps promote understanding and individualizes patient c
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are.
DIF: Cognitive Level: Application z z REF: 11 OBJ: 7
, TOP: Culturally Safe Care z z 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 doe
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s this provide?
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a. Maternal and infant deaths per 100,000 live births per yearz z z z z z z z z
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 z
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 z z OBJ:
10TOP: z Statistics
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 z z z z z z
b. The traditional family unitz z z
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 z
Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension z z REF: 7 | 8 z z OBJ:
2 | 8 TOP:
z z z Perinatal Care z
KEY: Nursing Process Step: N/A zz z z z
NURSINGTB.COM z
6. Which organization offers c ertification for nurses inspecialty areas?
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a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A z
The Canadian Nurses Association offers certification exams for registered nurses in specialty a
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reas including perinatal, community, neonatal, and pediatric intensive care. CAPWHN, CAN
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N, and CAPN are specialty organizations for nursing groups in Canada.
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DIF: Cognitive Level: Knowledge z z REF: 10 OBJ:
2 | 3 TOP:
z z z Nursing Certification z
KEY: Nursing Process Step: N/A z z z z
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 z
b. Cultural awareness z
c. Cultural humility z
d. Cultural competence z z
ANS: C z