,Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
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Keenan-
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Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Editi on
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MULTIPLE CHOICE n%
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancyand f
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%or her labour. What does the RM’s scope of practice include?
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a. Independent comprehensive practice n% n%
b. Prenatal care only n% n%
c. Attendance at only low-risk births n% n% n% n%
d. Only present for home births n% n% n% n%
ANS: A
The RM provides comprehensive independent prenatal, labour, and postpartum care for up
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t o 6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs ar
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e r egulated health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension n% n% REF: 7
OBJ: 3TOP: n%
Collaborative Care n%
KEY: Nursing Process Step:N/A n% gd gd
2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
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a. World Health Organization (WHO) n% n% n%
b. Breastfeeding Committee for Canada (BCC) n% n% n% n%
c. UNICEF
d. PublicHealth AgencyofN CU
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ABC.
) COM n% n %
ANS: B
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 1
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0 Steps and WHO Code Outcome Indicators for Hospitals and Community Health Servi
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ces, which sets the international standards for the WHO/UNICEF global criteria within th
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e Can adian context.
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DIF: Cognitive Level: Knowledge n% n% REF: 7 OBJ:
3|9 TOP: The Past
n% n% 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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o f childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing respons
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e r e flecting cultural safety?
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a. “Maternal mortality in Canada is extremely low.” n% n% n% n% n% n%
b. “Anesthesia is available to relieve pain during labour and childbirth.” gd n% n% n% n% n% n% n% n%
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
Asking the patient about her concerns helps promote understanding and individualizes pati
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e nt care.
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DIF: n % n % n % Cognitive Level: Application n% n% REF: n % n % 11 OBJ: n % n % n % 7
, TOP: Culturally Safe Care n% n% 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 d
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oes this provide?
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a. Maternal and infant deaths per 100,000 live births per year n% n% n% n% n% n% n% n% n%
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
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension n% n% REF: 8
OBJ: 10 TOP: n% n%
Statistics
n% 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 n% n% n% n% n% n%
b. The traditional family unit n% n% n%
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
Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension n% n% REF: 7 | 8 n% n%
OBJ: 2 | 8 TOP: n% n% n% n%
Perinatal Care n%
KEY: Nursing Proce ss S te p :N/ A
N U R S I N G TB.COM n%
6. Which organization offers n%
specialty areas? n% n%
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c e rtification for nurses i # n% n% n% n%
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a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A
The Canadian Nurses Association offers certification exams for registered nurses in special
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t y areas including perinatal, community, neonatal, and pediatric intensive care. CAPWH
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N, C ANN, and CAPN are specialty organizations for nursing groups in Canada.
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DIF: n % n % Cognitive Level: Knowledge n% n% REF: 10 n % n %
OBJ: 2 | 3 TOP: n% n% n% n%
Nursing Certification KEY n% n%
: Nursing Process Step: N/A
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7. Which of the following requires self-
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reflection and discovery in order to provide care thatis culturally appropriate?
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a. Cultural safety n%
b. Cultural awareness n%
c. Cultural humility n%
d. Culturalcompetenc