,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
b b
MULTIPLE CHOICE b
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 b b
b. Prenatal care only b b
c. Attendance at only low-risk births b b b b
d. Only present for home births b b b b
ANS: A b
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 b b REF: 7 OBJ: 3
TOP: Collaborative Care
b b KEY: Nursing Process Step: N/A b b b b
2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
b b b b b b b b b b b
a. World Health Organization (WHO) b b b
b. Breastfeeding Committee for Canada (BCC) b b b b
c. UNICEF
d. Public Health Agency of N
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ANS: B b
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.
b b
DIF: Cognitive Level: Knowledge REF: 7 b b OBJ: 3|9 b b
TOP: The Past
b KEY: Nursing Process Step: N/A b b b b b
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?
b b b
a. ―Maternal mortality in Canada is extremely low.‖ b b b b b b
b. ―Anesthesia is available to relieve pain during labour and childbirth.‖ b b b b b b b b b
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 b
Asking the patient about her concerns helps promote understanding and individualizes
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patient care.
b b
DIF: Cognitive Level: Application b b REF: 11 OBJ: 7
, TOP: Culturally Safe Care b b KEY: Nursing Process Step: Implementation
b b b b
4. An urban area has been reported to have a high perinatal mortality rate. What information
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does this provide?
b b b
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 b
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 b b OBJ: 10
TOP: Statistics
b KEY: Nursing Process Step: Assessment b b b b
5. What is the focus of current perinatal care?
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a. Hospital births for the majority of women b b b b b b
b. The traditional family unit
b b b
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 b
Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension b b REF: 7 | 8 OBJ: 2 | 8 b b b b
TOP: Perinatal Care
b b KEY: Nursing Process Step: b b b b
N/A
b
NURSINGTB.COM b
6. Which organization offers c ertification for nurses in specialty areas?
b b b b b b b b
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A b
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 b b REF: 10 OBJ: 2 | 3 b b
TOP: Nursing Certification
b b KEY: Nursing Process Step: N/A
b b b b
7. Which of the following requires self-reflection and discovery in order to provide care that is
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culturally appropriate?
b b
a. Cultural safety b
b. Cultural awareness b
c. Cultural humility b
d. Cultural competence b
bANS: C b