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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, 1st Editi
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on


MULTIPLE CHOICE +i




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 +i +i


b. Prenatal care only +i +i


c. Attendance at only low-risk births +i +i +i +i


d. Only present for home births +i +i +i +i




ANS: A + i


The RM provides comprehensive independent prenatal, labour, and postpartum care for u
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p to 6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs
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are regulated health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension +i +i REF: 7 OBJ:
3 TOP:
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KEY: Nursing Process Step: N/A +i +i +i +i




2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
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a. World Health Organization (WHO) +i +i +i


b. Breastfeeding Committee for Canada (BCC) +i +i +i +i


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




ANS: B + i


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 Ca
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nadian context. +i




DIF: Cognitive Level: Knowledge +i +i REF: 7 OBJ:
3 | 9 TOP:
+i +i The Past+i +i 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
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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.‖ +i +i +i +i +i +i


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


c. ―Tell me why you are afraid of childbirth.‖+i +i +i +i +i +i +i


d. ―Your condition will be monitored during labour and birth.‖
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ANS: C + i


Asking the patient about her concerns helps promote understanding and individualizes patie
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nt care. +i




DIF: Cognitive Level: Application +i +i REF: 11 OBJ: 7

, TOP: Culturally Safe Care +i +i 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 + i


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 +i +i OBJ:
10 TOP: +iStatistics
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 +i +i +i +i +i +i


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 + i


Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension REF: 7 | 8+i +i +i +i OBJ:
2 | 8 TOP:
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KEY: Nursing Process Step: N/A +i+i +i +i +i



NURSINGTB.COM i
+

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 + i


The Canadian Nurses Association offers certification exams for registered nurses in specia
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lty areas including perinatal, community, neonatal, and pediatric intensive care. CAPWHN
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, CANN, and CAPN are specialty organizations for nursing groups in Canada.
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DIF: Cognitive Level: Knowledge +i +i REF: 10 OBJ:
2 | 3 TOP:
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KEY: Nursing Process Step: N/A +i +i +i +i




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 +i


b. Cultural awareness +i


c. Cultural humility +i


d. Cultural competence +i




ANS: C
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