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1ST
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EDITION BY LEIFER q3 q3
Chapter01:Overview of Perinataland Pediatric Nursing inCanada
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Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in q3 q3 q3 q3 q3 q3 q3 q3
Canada, 1st Edition
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MULTIPLE CHOICE q3
1. A patient chooses to have a registered midwife (RM) provide care duringher 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. Prenatal care only q3 q3
c. Attendance at only low-risk births q3 q3 q3 q3
d. Only present for home births q3 q3 q3 q3
ANS: A q3
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: 7
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TOP: Collaborative Care
q3 KEY:NursingProcess 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) q3 q3 q3
b. Breastfeeding Committee for Canada (BCC) q3 q3 q3 q3
c. UNICEF
d. Public Health Agencyof Canada (PHAC) MNURSINGTB.CO q3 q3 q3 q3 q3 3
q
ANS: B q3
The BCC is responsible for BFIdesignation in Canada. The BCC has developed the BFI10 Steps
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and WHO Code Outcome Indicators for Hospitals and Community Health Services, which sets
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the international standards for the WHO/UNICEF global criteria within the Canadian context.
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DIF: Cognitive Level: Knowledge REF: 7 q OBJ:3|9 3 q3 q3 q 3 q3 q3 q3 q3
TOP: The Past
q3 KEY: Nursing Process Step: N/A
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3. A pregnant woman who has recentlyimmigrated Canada comments to a nurse, “I am 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 mortality in Canada is extremely low.” q3 q3 q3 q3 q3 q3
b. “Anesthesia is available to relieve pain during labour and childbirth.” q3 q3 q3 q3 q3 q3 q3 q3 q3
c. “Tell me why you are afraid of childbirth.” q3 q3 q3 q3 q3 q3 q3
d. “Your condition will be monitored during labour and birth.” q3 q3 q3 q3 q3 q3 q3 q3
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1ST
q3
EDITION BY LEIFER q3 q3
ANS: C q3
Asking the patient about her concerns helps promote understandingand individualizes 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 has been reported to have a high perinatal mortalityrate. What information does this
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provide?
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a. Maternal and infant deaths per 100,000 live births per year q3 q3 q3 q3 q3 q3 q3 q3 q3
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
c. Deaths of infants up to 1 year of age per 1000 live births per year q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
d. Fetal and neonatal deaths per 1000 live births per year q3 q3 q3 q3 q3 q3 q3 q3 q3
ANS: D q3
The perinatal mortalityrate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension
q REF: 8
3 OBJ:10 q3 q3 q3 q3
TOP: Statistics
q3 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 q3 q3 q3 q3 q3 q3
b. The traditional family unit q3 q3 q3
c. Care in a labour room and then a birthing room q3 q3 q3 q3 q3 q3 q3 q3 q3
d. A high-quality family experience for each patient
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ANS: D q3
Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension
q REF: 7 | 8
3 OBJ:2|8 q3 q3 q3 q3 q3 q3 q3 q3
TOP: Perinatal Care
q3 KEY: Nursing Process Step: N/A
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6. Which organization offers certification for nurses in specialty areas?
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a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A q3
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 groups in Canada.
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DIF: Cognitive Level: Knowledge REF: 10
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TOP: Nursing Certification KEY: Nursing Process Step: N/A
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1ST
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EDITION BY LEIFER q3 q3
7. Which of the following requires self-reflection and discoveryin order to provide care that is
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culturally appropriate? a. Cultural safety
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b. Cultural awareness q3
c. Cultural humility q3
d. Cultural competence q3
ANS: C q3
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 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
one’s background and social environment have shaped one’s experience
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DIF: Cognitive Level: Knowledge REF: 4 q 3OBJ: 1 | 7 q 3 q3 q3 q 3 q3 q3 q3 q3
TOP: Cultural Humility KEY: Nursing Process Step: Evaluation
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8. In 2015, the WHO developed the Sustainable Development 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 q3 q3 q3 q3
b. Combating HIV and malaria q3 q3 q3
c. Eradicating poverty and hunger q3 q3 q3
d. Achieving universal primary education q3 q3 q3
ANS: A q3
Climate change and environmental protection are new goals 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 q OBJ: 16
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TOP: Sustainable Development Goals KEY: Nursing Process Step: N/A
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9. What guidelines define multidisciplinarypatient care in terms of expected outcome and
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timeframe from different areas of care provision? a. Clinical pathways
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b. Nursing outcome criteria q3 q3
c. Standards of care q3 q3
d. Nursing care plan MNURSINGTB.CO q3 q3
ANS: A q3
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines
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that definepatient care across disciplines. Expected progress within a specified timeline is
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identified.
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DIF: Cognitive Level: Knowledge REF: 12 q OBJ: 13
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TOP: Health Care Delivery Systems 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
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for this child?
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1ST
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EDITION BY LEIFER q3 q3
a. Identifymeasurable outcomes with a timeline. q3 q3 q3 q3 q3
b. Choose specific nursing interventions for the child. q3 q3 q3 q3 q3 q3
c. Determine appropriate nursing diagnoses. q3 q3 q3
d. State nursing actions related to the child’s medical diagnosis.
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ANS: C q3
Thenurse uses assessment data to develop appropriate nursingdiagnoses. 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 Diagnosis
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11. A nursing student on a maternal–newborn rotation questions the floor nurse about the definition 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. Canadian Nurses Association q3 q3
b. Provincial regulatory board q3 q3
c. Federal government q3
d. Canadian Association of Perinatal & Women’s Health Nursing q3 q3 q3 q3 q3 q3 q3
ANS: B q3
The scope of practice of the practical nurse is determined by the provincial board of nursing.
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DIF: Cognitive Level: Comprehension
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TOP: Standards of Practice KEY: Nursing Process Step: Implementation
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12. Which social determinant of health (SDOH) is specificallyrelated to Indigenous people’s
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health?
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a. Colonization
b. Education
c. Social support networks q3 q3
d. Employment and working conditions q3 q3 q3
ANS: A q3
All of the SDOH are important but the impact of colonization is related specificallyto Indigenous
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people’s health.
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DIF: Cognitive Level: Knowledge REF: 3
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TOP: Social Determinants of Health
q3 KEY: Nursing Process Step: N/A q3 q3 q3 q3 q3 q3 q3
13. How does the clinical pathway or critical pathway improve quality of care?
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a. Lists diagnosis-specific implementations q3 q3
b. Outlines expected progress with stated timelines q3 q3 q3 q3 q3
c. Prioritizes effective nursing diagnoses q3 q3 q3
d. Describes common complications q3 q3
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