Leifer's Introduction to Maternity and Pediatric Nursing, 10th Edition By Gloria Leifer | Chapters 1-34 TEST BANK

TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA
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1ST
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EDITION BY LEIFER 5 5




Chapter01:Overview ofPerinatalandPediatricNursinginCanada
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Keenan-Lindsay:Leifer’sIntroduction toMaternityandPediatric Nursingin 5 5 5 5 5 5 5 5




Canada, 1st Edition
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MULTIPLE CHOICE 5




1. Apatientchoosesto have aregistered midwife (RM) provide careduringher pregnancyand for her
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labour. What does the RM’s scope of practice include? a. Independent comprehensive practice
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b. Prenatalcare only 5 5




c. Attendance at onlylow-risk births 5 5 5 5




d. Only present for home births 5 5 5 5




ANS: A 5




The RM provides comprehensive independent prenatal, labour, and postpartum care for up to 6
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weeks, for women who are low risk. Births may occur in hospital or at home. RMs are regulated
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health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension REF: 75 OBJ: 3 5 5 5 5




TOP: Collaborative Care
5 KEY:NursingProcessStep:N/A
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2. Whichorganization is responsible for theBabyFriendly Initiative (BFI) in Canada?
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a. World Health Organization (WHO) 5 5 5




b. Breastfeeding Committee for Canada (BCC) 5 5 5 5




c. UNICEF
d. Public Health Agencyof Canada (PHAC) MNURSINGTB.CO 5 5 5 5 5 5




ANS: B 5




TheBCC isresponsible for BFIdesignationin Canada. TheBCC hasdeveloped theBFI10 Steps and
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WHO Code Outcome Indicators for Hospitals and Community Health Services, which sets the
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international standards for the WHO/UNICEF global criteria within the Canadian context.
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DIF: Cognitive Level: Knowledge REF: 7 5 OBJ:3|9 5 5 5 5 5 5 5




TOP: The Past
5 KEY: Nursing Process Step: N/A
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3. Apregnantwoman who hasrecentlyimmigrated Canadacomments toa nurse, “Iam afraid of
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childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response reflecting
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cultural safety?
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a. “Maternal mortalityin Canada is extremelylow.” 5 5 5 5 5 5




b. “Anesthesiais available to relieve pain during labour and childbirth.” 5 5 5 5 5 5 5 5 5




c. “Tell me why you are afraid of childbirth.” 5 5 5 5 5 5 5




d. “Your condition will be monitored during labour and birth.” 5 5 5 5 5 5 5 5




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,TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA
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1ST
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EDITION BY LEIFER 5 5




ANS: C 5




Askingthe patient about herconcerns helpspromoteunderstandingandindividualizes patient
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care.
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DIF: Cognitive Level:Application REF: 11
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TOP: CulturallySafe Care KEY: Nursing Process Step: Implementation
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4. An urban area hasbeenreportedto have a highperinatalmortalityrate.Whatinformation does this
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provide?
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a. Maternal and infant deaths per 100,000 livebirths per year 5 5 5 5 5 5 5 5 5




b. Deaths of fetuses weighing morethan 500 gper 10,000 births per year 5 5 5 5 5 5 5 5 5 5 5 5




c. Deaths of infants up to 1 year of age per 1000 live births per year 5 5 5 5 5 5 5 5 5 5 5 5 5 5




d. Fetal and neonatal deaths per 1000 live births per year 5 5 5 5 5 5 5 5 5




ANS: D 5




Theperinatal mortalityrate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension
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TOP: Statistics
5 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 themajorityof women 5 5 5 5 5 5




b. The traditional familyunit 5 5 5




c. Care in a labour room and then a birthing room 5 5 5 5 5 5 5 5 5




d. A high-qualityfamilyexperience for each patient
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ANS: D 5




Current maternitypractice focuses on a high-qualityfamilyexperience for all families.
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DIF: Cognitive Level: Comprehension
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TOP: Perinatal Care
5 KEY: Nursing Process Step: N/A
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6. Which organization offers certification for nurses in specialtyareas?
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a. CNA
b. CAPWHN
c. CANN
d. CAPN


ANS: A 5




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,
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CANN, and CAPN are specialtyorganizations for nursing groupsin Canada.
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DIF: Cognitive Level: Knowledge REF: 10
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TOP: NursingCertification KEY:NursingProcess Step: N/A
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,TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA
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1ST
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EDITION BY LEIFER 5 5




7. Whichof thefollowingrequires self-reflection and discoveryin order to provide carethatis
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culturally appropriate? a. Cultural safety
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b. Culturalawareness 5




c. Culturalhumility 5




d. Culturalcompetence 5




ANS: C 5




Cultural humility is the precursor to providing culturally appropriate care. It is a process of self-
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reflection and discovery to understand one’s own assumptions, biases, and values and how one’s
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background and social environment have shaped one’s experience
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DIF: Cognitive Level:Knowledge REF: 4
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TOP: Cultural Humility KEY: Nursing Process Step: Evaluation
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8. In 2015, the WHOdeveloped theSustainableDevelopment Goals (SDGs). What issues do the new
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SDG’s include that the Millennium Development Goals (MDGs) did not include? a.
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Climate change and environmental protection 5 5 5 5




b. CombatingHIV and malaria 5 5 5




c. Eradicatingpovertyand hunger 5 5 5




d. Achievinguniversal primaryeducation 5 5 5




ANS: A 5




Climatechangeand environmental protection arenewgoals of the SDGs. All other options are part
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of the MDGs
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DIF: Cognitive Level:Knowledge REF: 13
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TOP: Sustainable Development Goals KEY: Nursing Process Step: N/A
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9. Whatguidelines definemultidisciplinarypatientcareinterms of expected outcomeand
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timeframe from different areas of care provision? a. Clinical pathways
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b. Nursing outcome criteria 5 5




c. Standards of care 5 5




d. Nursing care plan MNURSINGTB.CO 5 5




ANS: A 5




Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that
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definepatientcare across disciplines. Expected progress withinaspecified timeline is identified.
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DIF: Cognitive Level:Knowledge REF: 12
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TOP: Health CareDeliverySystems KEY: Nursing Process Step: N/A
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10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
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collected admission data. What is the next step the student will take to develop a nursing care plan for
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this child?
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, TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA
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1ST
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EDITION BY LEIFER 5 5




a. Identifymeasurable outcomes with a timeline. 5 5 5 5 5




b. Choose specific nursinginterventions for the child. 5 5 5 5 5 5




c. Determine appropriatenursing diagnoses. 5 5 5




d. Statenursingactions related to the child’s medical diagnosis.
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ANS: C 5




Thenurseusesassessment datatodevelopappropriatenursingdiagnoses. Outcomes and
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interventions are then developed to address the relevant nursing diagnoses.
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DIF: Cognitive Level: Application REF: 11
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TOP: Nursing Process
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KEY: Nursing Process Step: Nursing Diagnosis5 5 5 5 5




11. Anursing student on a maternal–newborn rotation questions thefloor nurse aboutthedefinition of the
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practical nurse scope of practice. What resource can the nurse suggest to the student?
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a. CanadianNurses Association 5 5




b. Provincialregulatoryboard 5 5




c. Federal government 5




d. CanadianAssociation of Perinatal & Women’sHealth Nursing 5 5 5 5 5 5 5




ANS: B 5




Thescope of practice of the practical nurseis determined bythe provincial board of nursing.
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DIF: CognitiveLevel:Comprehension
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TOP: Standards of Practice KEY: NursingProcess Step: Implementation
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12. Whichsocialdeterminantof health(SDOH) isspecificallyrelatedto Indigenous people’s
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health?
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a. Colonization
b. Education
c. Social support networks 5 5




d. Employmentand workingconditions 5 5 5




ANS: A 5




All of the SDOHare important but theimpactof colonizationisrelatedspecificallyto Indigenous
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people’s health.
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MNURSINGTB.CO
DIF: Cognitive Level:Knowledge REF: 3
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TOP: Social Determinants of Health
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13. How does the clinical pathwayor critical pathway improve qualityof care?
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a. Lists diagnosis-specific implementations 5 5




b. Outlines expected progress with stated timelines 5 5 5 5 5




c. Prioritizes effective nursing diagnoses 5 5 5




d. Describes common complications 5 5





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