CANADAa1ST
EDITIONaBYaLEIFER
Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
a a a a a a a a a
Keenan-
Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing inCanada, 1st E
a a a a a a a a a a a
dition
MULTIPLEaCHOICE
1. Aapatientachoosesatoahaveaaaregisteredamidwifea(RM)aprovideacareaduringaherapregnancyaandaforahe
ralabour.aWhatadoesatheaRM’sascopeaofapracticeainclude?aa.aIndependentacomprehensiveapractice
b. Prenatalacareaonly
c. Attendanceaataonlyalow-riskabirths
d. Onlyapresentaforahomeabirths
ANS:aA
TheaRMaprovidesacomprehensiveaindependentaprenatal,alabour,aandapostpartumacareaforaupato
a6aweeks,aforawomenawhoaarealowarisk.aBirthsamayaoccurainahospitalaoraatahome.aRMsaarearegu
latedahealthaprofessionsawhoahaveaaa4-yearauniversityadegree.
DIF:aaa CognitiveaLevel:aComprehension REF:a7
OBJ:a3aTOP:aCollaborativeaCare
KEY:aNursingaProcessaStep:aN/A
2. WhichaorganizationaisaresponsibleaforatheaBabyaFriendlyaInitiativea(BFI)ainaCanada?
a. WorldaHealthaOrganizationa(WHO)
b. BreastfeedingaCommitteeaforaCanadaa(BCC)
c. UNICEF
d. PublicaHealthaAgencyaofaCanadaa(PHAC) MNURSINGTB.aCO
ANS:aB
TheaBCCaisaresponsibleaforaBFIadesignationainaCanada.aTheaBCCahasadevelopedatheaBFIa10aSt
epsaandaWHOaCodeaOutcomeaIndicatorsaforaHospitalsaandaCommunityaHealthaServices,awhic
hasetsatheainternationalastandardsaforatheaWHO/UNICEFaglobalacriteriaawithinatheaCanadianac
ontext.
DIF:aaa CognitiveaLevel:aKnowledgea REF:a7
OBJ:a3a|a9aTOP:aTheaPast
KEY:aNursingaProcessaStep:aN/A
3. AapregnantawomanawhoahasarecentlyaimmigratedaCanadaacommentsatoaaanurse,a“Iaamaafraidaofach
ildbirth.aItaisasoadangerous.aIaamaafraidaIawilladie.”aWhataisatheabestanursingaresponseareflectingacu
lturalasafety?
a. “MaternalamortalityainaCanadaaisaextremelyalow.”
b. “Anesthesiaaisaavailableatoarelieveapainaduringalabouraandachildbirth.”ac
.a “Tellameawhyayouaareaafraidaofachildbirth.”
d.a “Youraconditionawillabeamonitoredaduringalabouraandabirth.”
NURSINGTB.COM
,TESTaBANKaFORa LEIFER'SaINTRODUCTIONa TOaMATERNITYaANDa PEDIATRICaNURSINGaIN
CANADAa1ST
EDITIONaBYaLEIFER
ANS:aC
Askingatheapatientaaboutaheraconcernsahelpsapromoteaunderstandingaandaindividualizesap
atientacare.
DIF:aaa CognitiveaLevel:aApplicationa REF:a11 OBJ:a7
TOP:aCulturallyaSafeaCare KEY:aNursingaProcessaStep:aImplementation
4. Anaurbanaareaahasabeenareportedatoahaveaaahighaperinatalamortalityarate.aWhatainformationadoesath
isaprovide?
a. Maternalaandainfantadeathsapera100,000aliveabirthsaperayear
b. Deathsaofafetusesaweighingamoreathana500agapera10,000abirthsaperayear
c. Deathsaofainfantsaupatoa1ayearaofaageapera1000aliveabirthsaperayearad.
a Fetalaandaneonataladeathsapera1000aliveabirthsaperayear
ANS:aD
Theaperinatalamortalityarateaincludesafetalaandaneonataladeathsapera1000aliveabirthsaperayear.
DIF:aaa CognitiveaLevel:aComprehension REF:a8
OBJ:a10aTOP:aStatistics
KEY:aNursingaProcessaStep:aAssessment
5. Whataisatheafocusaofacurrentaperinatalacare?
a. Hospitalabirthsaforatheamajorityaofawomen
b. Theatraditionalafamilyaunit
c. Careainaaalabouraroomaandathenaaabirthingaroomad.
a Aahigh-qualityafamilyaexperienceaforaeachapatient
ANS:aD
Currentamaternityapracticeafocusesaonaaahigh-qualityafamilyaexperienceaforaallafamilies.
DIF:aaa CognitiveaLevel:aComprehension REF:a7a|a8
OBJ:a2a|a8aTOP:aPerinatalaCare
KEY:aNursingaProcessaStep:aN/A
MNURSINGTB.CO
6. Whichaorganizationaoffersacertificationaforanursesainaspecialtyaareas?
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS:aA
TheaCanadianaNursesaAssociationaoffersacertificationaexamsaforaregisteredanursesainaspecia
ltyaareasaincludingaperinatal,acommunity,aneonatal,aandapediatricaintensiveacare.aCAPWH
N,aCANN,aandaCAPNaareaspecialtyaorganizationsaforanursingagroupsainaCanada.
DIF:aaa CognitiveaLevel:aKnowledgea REF:a10
OBJ:a2a|a3a
TOP:aNursingaCertificationa KEY:aNursingaProcessaStep:aN/A
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,TESTaBANKaFORa LEIFER'SaINTRODUCTIONa TOaMATERNITYaANDa PEDIATRICaNURSINGaIN
CANADAa1ST
EDITIONaBYaLEIFER
7. Whichaofatheafollowingarequiresaself-
reflectionaandadiscoveryainaorderatoaprovideacareathataisaculturallyaappropriate?aa.aCulturalasafet
y
b.a Culturalaawarenessac.
a Culturalahumility
d.a Culturalacompetence
ANS:aC
Culturalahumilityaisatheaprecursoratoaprovidingaculturallyaappropriateacare.aItaisaaaprocessaofase
lf-
reflectionaandadiscoveryatoaunderstandaone’saownaassumptions,abiases,aandavaluesaandahowao
ne’sabackgroundaandasocialaenvironmentahaveashapedaone’saexperience
DIF:aaa CognitiveaLevel:aKnowledgea REF:a4 OBJ:a1a|a7
TOP:aCulturalaHumility KEY:aNursingaProcessaStep:aEvaluation
8. Ina2015,atheaWHOadevelopedatheaSustainableaDevelopmentaGoalsa(SDGs).aWhataissuesadoathean
ewaSDG’saincludeathatatheaMillenniumaDevelopmentaGoalsa(MDGs)adidanotainclude?aa.
Climateachangeaandaenvironmentalaprotection
b. CombatingaHIVaandamalaria
c. Eradicatingapovertyaandahunger
d. Achievingauniversalaprimaryaeducation
ANS:aA
ClimateachangeaandaenvironmentalaprotectionaareanewagoalsaofatheaSDGs.aAllaotheraoptionsaar
eapartaofatheaMDGs
DIF:aaa CognitiveaLevel:aKnowledgea REF:a13 OBJ:a16
TOP:aSustainableaDevelopmentaGoals KEY:aNursingaProcessaStep:aN/A
9. Whataguidelinesadefineamultidisciplinaryapatientacareainatermsaofaexpectedaoutcomeaandati
meframeafromadifferentaareasaofacareaprovision?aa.aClinicalapathways
b. Nursingaoutcomeacriteria
c. Standardsaofacare
d. Nursingacareaplan MNURSINGTB.CO
ANS:aA
Clinicalapathways,aalsoaknownaasacriticalapathwaysaoracareamaps,aareacollaborativeaguidelin
esathatadefineapatientacareaacrossadisciplines.aExpectedaprogressawithinaaaspecifiedatimelineai
saidentified.
DIF:aaa CognitiveaLevel:aKnowledgea REF:a12 OBJ:a13
TOP:aHealthaCareaDeliveryaSystems KEY:aNursingaProcessaStep:aN/A
10. Aanursingastudentahasareviewedaaahospitalizedapediatricapatientachart,ainterviewedaheramother,aa
ndacollectedaadmissionadata.aWhataisatheanextastepatheastudentawillatakeatoadevelopaaanursingacar
eaplanaforathisachild?
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CANADAa1ST
EDITIONaBYaLEIFER
a. Identifyameasurableaoutcomesawithaaatimeline.
b. Chooseaspecificanursingainterventionsaforatheachild.ac
.a Determineaappropriateanursingadiagnoses.
d.a Stateanursingaactionsarelatedatoatheachild’samedicaladiagnosis.
ANS:aC
Theanurseausesaassessmentadataatoadevelopaappropriateanursingadiagnoses.aOutcomesaandain
terventionsaareathenadevelopedatoaaddressathearelevantanursingadiagnoses.
DIF:aaa CognitiveaLevel:aApplicationa REF:a11
OBJ:a10a
TOP:aNursingaProcess
KEY:aNursingaProcessaStep:aNursingaDiagnosis
11. Aanursingastudentaonaaamaternal–
newbornarotationaquestionsatheaflooranurseaaboutatheadefinitionaofatheapracticalanurseascopeaofapract
ice.aWhataresourceacanatheanurseasuggestatoatheastudent?
a.aCanadianaNursesaAssociationab.
aaProvincialaregulatoryaboard
c. Federalagovernment
d. CanadianaAssociationaofaPerinatala&aWomen’saHealthaNursing
ANS:aB
Theascopeaofapracticeaofatheapracticalanurseaisadeterminedabyatheaprovincialaboardaofanursing.
DIF:aaa CognitiveaLevel:aComprehension REF:a3 OBJ:a2
TOP:aStandardsaofaPracticea KEY:aNursingaProcessaStep:aImplementation
12. Whichasocialadeterminantaofahealtha(SDOH)aisaspecificallyarelatedatoaIndigenousapeople’sah
ealth?
a. Colonization
b. Education
c. Socialasupportanetworks
d. Employmentaandaworkingaconditions
ANS:aA
AllaofatheaSDOHaareaimportantabutatheaimpactaofacolonizationaisarelatedaspecificallyatoaIn
digenousapeople’sahealth.
a MNURSINGTB.CO
DIF:aaa CognitiveaLevel:aKnowledgea REF:a3 OBJ:a6
TOP:aSocialaDeterminantsaofaHealth KEY:aNursingaProcessaStep:aN/A
13. Howadoesatheaclinicalapathwayaoracriticalapathwayaimproveaqualityaofacare?
a. Listsadiagnosis-specificaimplementations
b. Outlinesaexpectedaprogressawithastatedatimelines
c. Prioritizesaeffectiveanursingadiagnoses
d. Describesacommonacomplications
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