,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 E
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dition
MULTIPLE CHOICE j@
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy
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@and for her labour. What does the RM‘s scope of practice include?
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a. Independent comprehensive practice j@ j@
b. Prenatal care only j@ j@
c. Attendance at only low-risk births j@ j@ j@ j@
d. Only present for home births j@ j@ j@ j@
ANS: A j @
The RM provides comprehensive independent prenatal, labour, and postpartum care for
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up to 6 weeks, for women who are low risk. Births may occur in hospital or at home
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. RMs are regulated health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension j@ j@ REF: 7 OBJ:
3 TOP: j@ Collaborative Care j@
KEY: Nursing Process Step: N/A
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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) j@ j@ j@
b. Breastfeeding Committee for Canada (BCC) j@ j@ j@ j@
c. UNICEF
d. Public Health Agency of NCU
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ANS: B j @
The BCC is responsible for BFI designation in Canada. The BCC has developed the BF
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I 10 Steps and WHO Code Outcome Indicators for Hospitals and Community Health S
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ervices, which sets the international standards for the WHO/UNICEF global criteria wit
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hin the Canadian context.
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DIF: Cognitive Level: Knowledge REF: 7 j@ j@ OBJ:
3 | 9 TOP: The Past
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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 a
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fraid of childbirth. It is so dangerous. I am afraid I will die.‖ What is the best nursing
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response reflecting cultural safety?
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a. ―Maternal mortality in Canada is extremely low.‖ j@ j@ j@ j@ j@ j@
b. ―Anesthesia is available to relieve pain during labour and childbirth.‖
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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 j @
Asking the patient about her concerns helps promote understanding and individualizes p
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atient care. j@
DIF: Cognitive Level: Application j@ j@ REF: 11 OBJ: 7
, TOP: Culturally Safe Care j@ j@ KEY: Nursing Process Step: Implementation
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4. An urban area has been reported to have a high perinatal mortality rate. What inform
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ation 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 j @
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 j@ j@ OBJ:
10 TOP: Statistics
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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
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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 j @
Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension REF: 7 | 8 j@ j@ j@ j@ OBJ:
2 | 8 TOP:
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KEY: Nursing Process Step: N/Aj@j@ j@ j@ j@
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6. Which organization offers certification for nurses i specialty areas?
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a. CNA n
b. CAPWHN
c. CANN
d. CAPN
ANS: A j @
The Canadian Nurses Association offers certification exams for registered nurses in spe
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cialty areas including perinatal, community, neonatal, and pediatric intensive care. CAP
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WHN, CANN, and CAPN are specialty organizations for nursing groups in Canada.
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DIF: Cognitive Level: Knowledge REF: 10 j@ OBJ: j@
2 | 3 TOP:
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KEY: Nursing Process Step: N/Aj@ j@ j@ j@
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 j@
b. Cultural awareness j@
c. Cultural humility j@
d. Cultural competence j@
ANS: C
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