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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
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Canada, 2nd Edition
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MULTIPLE CHOICE vb




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 vb vb


b. Prenatal care only vb vb


c. Attendance at only low-risk births vb vb vb vb


d. Only present for home births vb vb vb vb




ANS: A v b


The RM provides comprehensive independent prenatal, labour, and postpartum care
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for up to 6 weeks, for women who are low risk. Births may occur in hospital or at
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home. RMs are regulated health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension vb vb REF: 7 OBJ: 3
TOP: Collaborative Care
vb vb 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) vb vb vb


b. Breastfeeding Committee for Canada (BCC) vb vb vb vb


c. UNICEF
d. Public Health Agency of N
CUanRaS
daI(N
PGHT
ABC.
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ANS: B v b


The BCC is responsible for BFI designation in Canada. The BCC has developed the
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BFI 10 Steps and WHO Code Outcome Indicators for Hospitals and Community
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Health Services, which sets the international standards for the WHO/UNICEF global
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criteria within the Canadian context.
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DIF: Cognitive Level: Knowledge REF: 7 vb vb OBJ: 3|9 vb vb


TOP: The Past
vb KEY: Nursing Process Step: N/A vb vb vb vb vb




3. A pregnant woman who has recently immigrated Canada comments to a nurse, “I am
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afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best
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nursing response reflecting cultural safety?
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a. “Maternal mortality in Canada is extremely low.” vb vb vb vb vb vb


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 v b


Asking the patient about her concerns helps promote understanding and individualizes
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patient care.
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DIF: Cognitive Level: Application vb vb REF: 11 OBJ: 7

, TOP: Culturally Safe Care vb vb KEY: Nursing Process Step: Implementation
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4. An urban area has been reported to have a high perinatal mortality rate. What
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information 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 v b


The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per
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year.
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DIF: Cognitive Level: Comprehension REF: 8 OBJ: vb vb 10
TOP: Statistics
vb KEY: Nursing Process Step: Assessment vb vb vb vb




5. What is the focus of current perinatal care?
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a. Hospital births for the majority of women vb vb vb vb vb vb


b. The traditional family unit vb vb vb


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 v b


Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension vb vb REF: 7 | 8 vb vb OBJ: 2 | vb


8 TOP:
vb vb Perinatal Care vb KEY: vb


Nursing Process Step: N/A
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NURSINGTB.COM b
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6. Which organization offers certification for nurses
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a. CNA in vb


b. CAPWHN
c. CANN
d. CAPN
ANS: A v 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
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Canada.
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DIF: Cognitive Level: Knowledge vb vb REF: 10 OBJ: 2 | 3 vb vb


TOP: Nursing Certification
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N/A
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7. Which of the following requires self-reflection and discovery in order to provide care
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that is culturally appropriate?
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a. Cultural safety vb


b. Cultural awareness vb


c. Cultural humility vb


d. Cultural competence vb




vb ANS: C v b