,
,Chapter301:3Overview3of3Perinatal3and3Pediatric3Nursing3in3Canada
Keenan-
Lindsay:3Leifer’s3Introduction3to3Maternity3and3Pediatric3Nursing3in3Canada,31st3Edit
ion
MULTIPLE3CHOICE
1. A3patient3chooses3to3have3a3registered3midwife3(RM)3provide3care3during3her3pregnancy3an
d3for3her3labour.3What3does3the3RM’s3scope3of3practice3include?
a. Independent3comprehensive3practice
b. Prenatal3care3only
c. Attendance3at3only3low-risk3births
d. Only3present3for3home3births
ANS:3 A
The3RM3provides3comprehensive3independent3prenatal,3labour,3and3postpartum3care3for3u
p3to363weeks,3for3women3who3are3low3risk.3Births3may3occur3in3hospital3or3at3home.3RMs
3are3regulated3health3professions3who3have3a34-year3university3degree.
DIF: Cognitive3Level:3Comprehension REF: 7 OBJ:
33TOP: Collaborative3Care
KEY:3Nursing3Process3Step:3N/A
2. Which3organization3is3responsible3for3the3Baby3Friendly3Initiative3(BFI)3in3Canada?
a. World3Health3Organization3(WHO)
b. Breastfeeding3Committee3for3Canada3(BCC)
c. UNICEF
d. Public3Health3Agency3of3NCUanRaS
daI(NPG
HTAB
C.)3 COM
ANS:3 B
The3BCC3is3responsible3for3BFI3designation3in3Canada.3The3BCC3has3developed3the3BFI31
03Steps3and3WHO3Code3Outcome3Indicators3for3Hospitals3and3Community3Health3Service
s,3which3sets3the3international3standards3for3the3WHO/UNICEF3global3criteria3within3the3
Canadian3context.
DIF: Cognitive3Level:3Knowledge REF: 7 OBJ:
33|393TOP: The3Past KEY:3Nursing3Process3Step:3N/A
3. A3pregnant3woman3who3has3recently3immigrated3Canada3comments3to3a3nurse,3“I3am3afrai
d3of3childbirth.3It3is3so3dangerous.3I3am3afraid3I3will3die.”3What3is3the3best3nursing3respon
se3reflecting3cultural3safety?
a. “Maternal3mortality3in3Canada3is3extremely3low.”
b. “Anesthesia3is3available3to3relieve3pain3during3labour3and3childbirth.”
c. “Tell3me3why3you3are3afraid3of3childbirth.”
d. “Your3condition3will3be3monitored3during3labour3and3birth.”
ANS:3 C
Asking3the3patient3about3her3concerns3helps3promote3understanding3and3individualizes3pati
ent3care.
DIF: Cognitive3Level:3Application REF: 11 OBJ: 7
, TOP: Culturally3Safe3Care KEY:3Nursing3Process3Step:3Implementation
4. An3urban3area3has3been3reported3to3have3a3high3perinatal3mortality3rate.3What3informatio
n3does3this3provide?
a. Maternal3and3infant3deaths3per3100,0003live3births3per3year
b. Deaths3of3fetuses3weighing3more3than35003g3per310,0003births3per3year
c. Deaths3of3infants3up3to313year3of3age3per310003live3births3per3year
d. Fetal3and3neonatal3deaths3per310003live3births3per3year
ANS:3 D
The3perinatal3mortality3rate3includes3fetal3and3neonatal3deaths3per310003live3births3per3year.
DIF: Cognitive3Level:3Comprehension REF: 8 OBJ:
103TOP: Statistics
KEY:3Nursing3Process3Step:3Assessment
5. What3is3the3focus3of3current3perinatal3care?
a. Hospital3births3for3the3majority3of3women
b. The3traditional3family3unit
c. Care3in3a3labour3room3and3then3a3birthing3room
d. A3high-quality3family3experience3for3each3patient
ANS:3 D
Current3maternity3practice3focuses3on3a3high-quality3family3experience3for3all3families.
DIF: Cognitive3Level:3Comprehension REF: 73|38 OBJ:
23|383TOP: Perinatal3Care
KEY:3 3 Nursing3Process3Step:3N/A
NURSINGTB.COM3
6. Which3organization3offers3certification
3 3for3nurses3i specialty3areas?
a. CNA n
b. CAPWHN
c. CANN
d. CAPN
ANS:3 A
The3Canadian3Nurses3Association3offers3certification3exams3for3registered3nurses3in3specia
lty3areas3including3perinatal,3community,3neonatal,3and3pediatric3intensive3care.3CAPWHN
,3CANN,3and3CAPN3are3specialty3organizations3for3nursing3groups3in3Canada.
DIF: Cognitive3Level:3Knowledge REF: 10 OBJ:
23|333TOP: Nursing3Certification
KEY:3Nursing3Process3Step:3N/A
7. Which3of3the3following3requires3self-
reflection3and3discovery3in3order3to3provide3care3that3is3culturally3appropriate?
a. Cultural3safety
b. Cultural3awareness
c. Cultural3humility
d. Cultural3competence
3ANS:3 C
,Chapter301:3Overview3of3Perinatal3and3Pediatric3Nursing3in3Canada
Keenan-
Lindsay:3Leifer’s3Introduction3to3Maternity3and3Pediatric3Nursing3in3Canada,31st3Edit
ion
MULTIPLE3CHOICE
1. A3patient3chooses3to3have3a3registered3midwife3(RM)3provide3care3during3her3pregnancy3an
d3for3her3labour.3What3does3the3RM’s3scope3of3practice3include?
a. Independent3comprehensive3practice
b. Prenatal3care3only
c. Attendance3at3only3low-risk3births
d. Only3present3for3home3births
ANS:3 A
The3RM3provides3comprehensive3independent3prenatal,3labour,3and3postpartum3care3for3u
p3to363weeks,3for3women3who3are3low3risk.3Births3may3occur3in3hospital3or3at3home.3RMs
3are3regulated3health3professions3who3have3a34-year3university3degree.
DIF: Cognitive3Level:3Comprehension REF: 7 OBJ:
33TOP: Collaborative3Care
KEY:3Nursing3Process3Step:3N/A
2. Which3organization3is3responsible3for3the3Baby3Friendly3Initiative3(BFI)3in3Canada?
a. World3Health3Organization3(WHO)
b. Breastfeeding3Committee3for3Canada3(BCC)
c. UNICEF
d. Public3Health3Agency3of3NCUanRaS
daI(NPG
HTAB
C.)3 COM
ANS:3 B
The3BCC3is3responsible3for3BFI3designation3in3Canada.3The3BCC3has3developed3the3BFI31
03Steps3and3WHO3Code3Outcome3Indicators3for3Hospitals3and3Community3Health3Service
s,3which3sets3the3international3standards3for3the3WHO/UNICEF3global3criteria3within3the3
Canadian3context.
DIF: Cognitive3Level:3Knowledge REF: 7 OBJ:
33|393TOP: The3Past KEY:3Nursing3Process3Step:3N/A
3. A3pregnant3woman3who3has3recently3immigrated3Canada3comments3to3a3nurse,3“I3am3afrai
d3of3childbirth.3It3is3so3dangerous.3I3am3afraid3I3will3die.”3What3is3the3best3nursing3respon
se3reflecting3cultural3safety?
a. “Maternal3mortality3in3Canada3is3extremely3low.”
b. “Anesthesia3is3available3to3relieve3pain3during3labour3and3childbirth.”
c. “Tell3me3why3you3are3afraid3of3childbirth.”
d. “Your3condition3will3be3monitored3during3labour3and3birth.”
ANS:3 C
Asking3the3patient3about3her3concerns3helps3promote3understanding3and3individualizes3pati
ent3care.
DIF: Cognitive3Level:3Application REF: 11 OBJ: 7
, TOP: Culturally3Safe3Care KEY:3Nursing3Process3Step:3Implementation
4. An3urban3area3has3been3reported3to3have3a3high3perinatal3mortality3rate.3What3informatio
n3does3this3provide?
a. Maternal3and3infant3deaths3per3100,0003live3births3per3year
b. Deaths3of3fetuses3weighing3more3than35003g3per310,0003births3per3year
c. Deaths3of3infants3up3to313year3of3age3per310003live3births3per3year
d. Fetal3and3neonatal3deaths3per310003live3births3per3year
ANS:3 D
The3perinatal3mortality3rate3includes3fetal3and3neonatal3deaths3per310003live3births3per3year.
DIF: Cognitive3Level:3Comprehension REF: 8 OBJ:
103TOP: Statistics
KEY:3Nursing3Process3Step:3Assessment
5. What3is3the3focus3of3current3perinatal3care?
a. Hospital3births3for3the3majority3of3women
b. The3traditional3family3unit
c. Care3in3a3labour3room3and3then3a3birthing3room
d. A3high-quality3family3experience3for3each3patient
ANS:3 D
Current3maternity3practice3focuses3on3a3high-quality3family3experience3for3all3families.
DIF: Cognitive3Level:3Comprehension REF: 73|38 OBJ:
23|383TOP: Perinatal3Care
KEY:3 3 Nursing3Process3Step:3N/A
NURSINGTB.COM3
6. Which3organization3offers3certification
3 3for3nurses3i specialty3areas?
a. CNA n
b. CAPWHN
c. CANN
d. CAPN
ANS:3 A
The3Canadian3Nurses3Association3offers3certification3exams3for3registered3nurses3in3specia
lty3areas3including3perinatal,3community,3neonatal,3and3pediatric3intensive3care.3CAPWHN
,3CANN,3and3CAPN3are3specialty3organizations3for3nursing3groups3in3Canada.
DIF: Cognitive3Level:3Knowledge REF: 10 OBJ:
23|333TOP: Nursing3Certification
KEY:3Nursing3Process3Step:3N/A
7. Which3of3the3following3requires3self-
reflection3and3discovery3in3order3to3provide3care3that3is3culturally3appropriate?
a. Cultural3safety
b. Cultural3awareness
c. Cultural3humility
d. Cultural3competence
3ANS:3 C
