,
,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, 2nd Editi
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on
MULTIPLE CHOICE lr
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and fo
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r her labour. What does the RM‘s scope of practice include?
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a. Independent comprehensive practice lr lr
b. Prenatal care only lr lr
c. Attendance at only low-risk births lr lr lr lr
d. Only present for home births lr lr lr lr
ANS: A l r
The RM provides comprehensive independent prenatal, labour, and postpartum care for up t
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o 6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs are re
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gulated health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension lr lr REF: 7 OBJ:
3 TOP: lr Collaborative Care lr
KEY: Nursing Process Step: N/A lr lr lr lr
2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
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a. World Health Organization (WHO) lr lr lr
b. Breastfeeding Committee for Canada (BCC) lr lr lr lr
c. UNICEF
d. Public Health Agency ofNCUanRaS
daI(N
PGHT
ABC.
) COM lr lr lr lr lr
ANS: B l r
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10 St
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eps and WHO Code Outcome Indicators for Hospitals and Community Health Services, whic
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h sets the international standards for the WHO/UNICEF global criteria within the Canadian c
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ontext.
DIF: Cognitive Level: Knowledge lr lr REF: 7 OBJ:
3 | 9 TOP: The Past
lr lr lr lr KEY: Nursing Process Step: N/A lr lr lr lr
3. A pregnant woman who has recently immigrated Canada comments to a nurse, ―I am afraid of
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childbirth. It is so dangerous. I am afraid I will die.‖ What is the best nursing response reflec
lr lr lr lr lr lr lr lr lr lr lr lr lr lr lr lr lr lr
ting cultural safety? lr lr
a. ―Maternal mortality in Canada is extremely low.‖ lr lr lr lr lr lr
b. ―Anesthesia is available to relieve pain during labour and childbirth.‖ lr lr lr lr lr lr lr lr lr
c. ―Tell me why you are afraid of childbirth.‖ lr lr lr lr lr lr lr
d. ―Your condition will be monitored during labour and birth.‖ lr lr lr lr lr lr lr lr
ANS: C l r
Asking the patient about her concerns helps promote understanding and individualizes patient
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care.
r
DIF: Cognitive Level: Application lr lr REF: 11 OBJ: 7
, TOP: Culturally Safe Care lr lr 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 lr lr lr lr lr lr lr lr lr
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 l r
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 lr lr OBJ:
10TOP: Statistics
lr
KEY: Nursing Process Step: Assessment lr lr lr lr
5. What is the focus of current perinatal care?
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a. Hospital births for the majority of women lr lr lr lr lr lr
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 l r
Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension lr lr REF: 7 | 8 lr lr OBJ:
2 | 8 TOP:lr lr lr Perinatal Care lr
KEY: Nursing Process Step: N/A lrlr lr lr lr
NURSINGTB.COM r
l
6. Which organization offers c ertification for nurses in specialty areas?
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a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A l r
The Canadian Nurses Association offers certification exams for registered nurses in specialty
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areas including perinatal, community, neonatal, and pediatric intensive care. CAPWHN, CA
lr lr lr lr lr lr lr lr lr lr lr
NN, and CAPN are specialty organizations for nursing groups in Canada.
lr lr lr lr lr lr lr lr lr lr
DIF: Cognitive Level: Knowledge lr lr REF: 10 OBJ:
2 | 3 TOP:lr lr lr Nursing Certification lr
KEY: Nursing Process Step: N/A lr lr lr lr
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 lr
b. Cultural awareness lr
c. Cultural humility lr
d. Cultural competence lr lr
ANS: C l r
,Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
lr lr lr lr lr lr lr lr lr
Keenan-
Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 2nd Editi
lr lr lr lr lr lr lr lr lr lr lr
on
MULTIPLE CHOICE lr
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and fo
lr lr lr lr lr lr lr lr lr lr lr lr lr lr lr
r her labour. What does the RM‘s scope of practice include?
lr lr lr lr lr lr lr lr lr lr
a. Independent comprehensive practice lr lr
b. Prenatal care only lr lr
c. Attendance at only low-risk births lr lr lr lr
d. Only present for home births lr lr lr lr
ANS: A l r
The RM provides comprehensive independent prenatal, labour, and postpartum care for up t
lr lr lr lr lr lr lr lr lr lr lr lr
o 6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs are re
lr lr lr lr lr lr lr lr lr lr lr lr lr lr lr lr lr lr lr
gulated health professions who have a 4-year university degree.
lr lr lr lr lr lr lr lr
DIF: Cognitive Level: Comprehension lr lr REF: 7 OBJ:
3 TOP: lr Collaborative Care lr
KEY: Nursing Process Step: N/A lr lr lr lr
2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
lr lr lr lr lr lr lr lr lr lr lr
a. World Health Organization (WHO) lr lr lr
b. Breastfeeding Committee for Canada (BCC) lr lr lr lr
c. UNICEF
d. Public Health Agency ofNCUanRaS
daI(N
PGHT
ABC.
) COM lr lr lr lr lr
ANS: B l r
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10 St
lr lr lr lr lr lr lr lr lr lr lr lr lr lr lr lr
eps and WHO Code Outcome Indicators for Hospitals and Community Health Services, whic
lr lr lr lr lr lr lr lr lr lr lr lr
h sets the international standards for the WHO/UNICEF global criteria within the Canadian c
lr lr lr lr lr lr lr lr lr lr lr lr lr
ontext.
DIF: Cognitive Level: Knowledge lr lr REF: 7 OBJ:
3 | 9 TOP: The Past
lr lr lr lr KEY: Nursing Process Step: N/A lr lr lr lr
3. A pregnant woman who has recently immigrated Canada comments to a nurse, ―I am afraid of
lr lr lr lr lr lr lr lr lr lr lr lr lr lr lr
childbirth. It is so dangerous. I am afraid I will die.‖ What is the best nursing response reflec
lr lr lr lr lr lr lr lr lr lr lr lr lr lr lr lr lr lr
ting cultural safety? lr lr
a. ―Maternal mortality in Canada is extremely low.‖ lr lr lr lr lr lr
b. ―Anesthesia is available to relieve pain during labour and childbirth.‖ lr lr lr lr lr lr lr lr lr
c. ―Tell me why you are afraid of childbirth.‖ lr lr lr lr lr lr lr
d. ―Your condition will be monitored during labour and birth.‖ lr lr lr lr lr lr lr lr
ANS: C l r
Asking the patient about her concerns helps promote understanding and individualizes patient
lr lr lr lr lr lr lr lr lr lr lr l
care.
r
DIF: Cognitive Level: Application lr lr REF: 11 OBJ: 7
, TOP: Culturally Safe Care lr lr KEY: Nursing Process Step: Implementation
lr lr lr lr
4. An urban area has been reported to have a high perinatal mortality rate. What information d
lr lr lr lr lr lr lr lr lr lr lr lr lr lr lr
oes this provide?
lr lr
a. Maternal and infant deaths per 100,000 live births per year lr lr lr lr lr lr lr lr lr
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
lr lr lr lr lr lr lr lr lr lr lr lr
c. Deaths of infants up to 1 year of age per 1000 live births per year
lr lr lr lr lr lr lr lr lr lr lr lr lr lr
d. Fetal and neonatal deaths per 1000 live births per year
lr lr lr lr lr lr lr lr lr
ANS: D l r
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
lr lr lr lr lr lr lr lr lr lr lr lr lr lr
DIF: Cognitive Level: Comprehension REF: 8 lr lr OBJ:
10TOP: Statistics
lr
KEY: Nursing Process Step: Assessment lr lr lr lr
5. What is the focus of current perinatal care?
lr lr lr lr lr lr lr
a. Hospital births for the majority of women lr lr lr lr lr lr
b. The traditional family unit
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c. Care in a labour room and then a birthing room
lr lr lr lr lr lr lr lr lr
d. A high-quality family experience for each patient
lr lr lr lr lr lr
ANS: D l r
Current maternity practice focuses on a high-quality family experience for all families.
lr lr lr lr lr lr lr lr lr lr lr
DIF: Cognitive Level: Comprehension lr lr REF: 7 | 8 lr lr OBJ:
2 | 8 TOP:lr lr lr Perinatal Care lr
KEY: Nursing Process Step: N/A lrlr lr lr lr
NURSINGTB.COM r
l
6. Which organization offers c ertification for nurses in specialty areas?
lr lr lr l r lr lr lr lr
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A l r
The Canadian Nurses Association offers certification exams for registered nurses in specialty
lr lr lr lr lr lr lr lr lr lr lr
areas including perinatal, community, neonatal, and pediatric intensive care. CAPWHN, CA
lr lr lr lr lr lr lr lr lr lr lr
NN, and CAPN are specialty organizations for nursing groups in Canada.
lr lr lr lr lr lr lr lr lr lr
DIF: Cognitive Level: Knowledge lr lr REF: 10 OBJ:
2 | 3 TOP:lr lr lr Nursing Certification lr
KEY: Nursing Process Step: N/A lr lr lr lr
7. Which of the following requires self-
lr lr lr lr lr
reflection and discovery in order to provide care that is culturally appropriate?
lr lr lr lr lr lr lr lr lr lr lr
a. Cultural safety lr
b. Cultural awareness lr
c. Cultural humility lr
d. Cultural competence lr lr
ANS: C l r