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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, 2nd Editi
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on


MULTIPLE CHOICE yh




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 yh yh



b. Prenatal care only yh yh



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



d. Only present for home births yh yh yh yh




ANS: A y h



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



KEY: Nursing Process Step: N/A yh yh yh yh




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



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



c. UNICEF
d. Public Health Agency ofNCUanRaS
daI(N
PGHT
ABC.
) COM yh yh yh yh yh




ANS: B y h



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 Can
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adian context. yh




DIF: Cognitive Level: Knowledge yh yh REF: 7 OBJ:
3 | 9 TOP:
yh yh The Pastyh yh KEY: Nursing Process Step: N/Ayh yh yh yh




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 r
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eflecting cultural safety? yh yh



a. “Maternal mortality in Canada is extremely low.” yh yh yh yh yh yh



b. “Anesthesia is available to relieve pain during labour and childbirth.” yh yh yh yh yh yh yh yh yh



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 y h



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

, TOP: Culturally Safe Care yh yh 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? yh yh



a. Maternal and infant deaths per 100,000 live births per yearyh yh yh yh yh yh yh yh yh



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 y h



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 yh yh 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 yh yh yh yh yh yh



b. The traditional family unit yh yh yh



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 y h



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



KEY: Nursing Process Step: N/A y h y h yh yh yh




NURSINGTB.COM h
y

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 y h



The Canadian Nurses Association offers certification exams for registered nurses in specialt
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y 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 yh yh REF: 10 OBJ:
2 | 3 TOP:
yh yh yh Nursing Certification yh



KEY: Nursing Process Step: N/A yh yh yh yh




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 yh



b. Cultural awareness yh



c. Cultural humility yh



d. Cultural competence yh y




hANS: C y h