,Chapter01:Overview ofPerinatalandPediatric Nursingin Canada K
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eenan-
Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Editi on
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MULTIPLE CHOICE py
1. A patient chooses to have aregistered midwife (RM) provide care during her pregnancyand f or
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her labour. What does the RM’s scope of practice include?
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a. Independent comprehensive practice py py
b. Prenatal care only py py
c. Attendance at onlylow-risk births py py py py
d. Onlypresent for home births py py py py
ANS: A
The RM provides comprehensive independent prenatal, labour, and postpartum care for up t o
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6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs are r egu
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lated health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension py py REF: 7
OBJ: 3TOP: py
Collaborative Care py
KEY:Nursing Process Step:N/A py gd gd
2. Which organization is responsible for the BabyFriendly Initiative (BFI) in Canada?
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a. World Health Organization (WHO) py py py
b. Breastfeeding Committee for Canada (BCC) py py py py
c. UNICEF
d. PublicHealth AgencyofN CU
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ANS: B
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10 S
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teps 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 a
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dian context. py
DIF: Cognitive Level: Knowledge py py REF: 7 OBJ:
3|9 TOP: The Past py py KEY: Nursing Process Step: N/A py py py py
3. A pregnant woman who has recently immigrated Canada comments to a nurse, “I am afraid o f
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childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response r e fl
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ecting cultural safety? py py
a. “Maternal mortalityin Canada is extremelylow.” py py py py py py
b. “Anesthesia is available to relieve pain during labour and childbirth.” gd py py py py py py py py
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 patie
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nt care. py
DIF: p y Cognitive Level: Application py py REF: p y 11 OBJ: p y 7
, TOP: CulturallySafe Care py py KEY: Nursing Process Step:Implementation
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4. An urban area has been reported to have a high perinatal mortalityrate. Whatinformation d oe
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s this provide?
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a. Maternal and infant deaths per 100,000 live births per year py py py py py py py py py
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
Theperinatal mortalityrate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension py py REF: 8
OBJ: 10 TOP: py py
Statistics
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5. What is the focus of current perinatal care?
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a. Hospital births for the majorityof women py py py py py py
b. Thetraditional familyunit py py py
c. Care in a labour room and then a birthing room py py py py py gd py gd py
d. A high-quality family experience for each patient
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ANS: D
Current maternitypractice focuses on a high-qualityfamily experience for all families.
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DIF: Cognitive Level: Comprehension py py REF: 7 | 8 py py
OBJ: 2 | 8 TOP: py py py py
Perinatal Care py
KEY: Nursing Proce ss S te p :N/ A
N U R S I N G TB.COM py
6. Which organization offers c py
specialty areas? py py
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e rtification for nurses in # py py py py
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A
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, C
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ANN, and CAPN are specialty organizations for nursing groups in Canada.
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DIF: p y Cognitive Level: Knowledge py py REF: 10 p y
OBJ: 2 |3 TOP: py py py py
Nursing Certification KEY py py
: Nursing Process Step: N/A
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7. Which of the following requires self-
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reflection and discoveryin order to provide care thatis culturally appropriate?
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a. Cultural safety py
b. Cultural awareness py
c. Cultural humility py
d. Culturalcompetenc
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