Ax1ST
EDITIONxBYxLEIFER
Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
x x x x x x x x x
Keenan-
Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st
x x x x x x x x x x x
Edition
MULTIPLExCHOICE
1. Axpatientxchoosesxtoxhavexaxregisteredxmidwifex(RM)xprovidexcarexduringxherxpregnancyxandxforxh
erxlabour.xWhatxdoesxthexRM’sxscopexofxpracticexinclude?xa.xIndependentxcomprehensivexpractice
b. Prenatalxcarexonly
c. Attendancexatxonlyxlow-riskxbirths
d. Onlyxpresentxforxhomexbirths
ANS:xA
ThexRMxprovidesxcomprehensivexindependentxprenatal,xlabour,xandxpostpartumxcarexforxupxt
ox6xweeks,xforxwomenxwhoxarexlowxrisk.xBirthsxmayxoccurxinxhospitalxorxatxhome.xRMsxarexre
gulatedxhealthxprofessionsxwhoxhavexax4-yearxuniversityxdegree.
DIF:x CognitivexLevel:xComprehension REF:x7
OBJ:x3xTOP:xCollaborativexCare
KEY:xNursingxProcessxStep:xN/A
2. WhichxorganizationxisxresponsiblexforxthexBabyxFriendlyxInitiativex(BFI)xinxCanada?
a. WorldxHealthxOrganizationx(WHO)
b. BreastfeedingxCommitteexforxCanadax(BCC)
c. UNICEF
d. PublicxHealthxAgencyxofxCanadax(PHAC) MNURSINGTB.xCO
ANS:xB
ThexBCCxisxresponsiblexforxBFIxdesignationxinxCanada.xThexBCCxhasxdevelopedxthexBFIx10xSt
epsxandxWHOxCodexOutcomexIndicatorsxforxHospitalsxandxCommunityxHealthxServices,xwhic
hxsetsxthexinternationalxstandardsxforxthexWHO/UNICEFxglobalxcriteriaxwithinxthexCanadianxc
ontext.
DIF:x CognitivexLevel:xKnowledgex REF:x7
OBJ:x3x|x9xTOP:xThexPast
KEY:xNursingxProcessxStep:xN/A
3. AxpregnantxwomanxwhoxhasxrecentlyximmigratedxCanadaxcommentsxtoxaxnurse,x“Ixamxafraidxofxc
hildbirth.xItxisxsoxdangerous.xIxamxafraidxIxwillxdie.”xWhatxisxthexbestxnursingxresponsexreflectingx
culturalxsafety?
a. “MaternalxmortalityxinxCanadaxisxextremelyxlow.”
b. “Anesthesiaxisxavailablextoxrelievexpainxduringxlabourxandxchildbirth.”
c. “Tellxmexwhyxyouxarexafraidxofxchildbirth.”
d. “Yourxconditionxwillxbexmonitoredxduringxlabourxandxbirth.”
NURSINGTB.COM
,TESTxBANKxFORxLEIFER'SxINTRODUCTIONxTOxMATERNITYxANDxPEDIATRICxNURSINGxINxCANAD
Ax1ST
EDITIONxBYxLEIFER
ANS:xC
Askingxthexpatientxaboutxherxconcernsxhelpsxpromotexunderstandingxandxindividualizesxpatien
txcare.
DIF:x x CognitivexLevel:xApplicationx REF:x11 OBJ:x7
TOP:xCulturallyxSafexCare KEY:xNursingxProcessxStep:xImplementation
4. Anxurbanxareaxhasxbeenxreportedxtoxhavexaxhighxperinatalxmortalityxrate.xWhatxinformationxdoesxt
hisxprovide?
a. Maternalxandxinfantxdeathsxperx100,000xlivexbirthsxperx year
b. Deathsxofxfetusesxweighingxmorexthanx500xgxperx10,000xbirthsxperxyear
c. Deathsxofxinfantsxupxtox1xyearxofxagexperx1000xlivexbirthsxperxyear
d. Fetalxandxneonatalxdeathsxperx1000xlivexbirthsxperxyear
ANS:xD
Thexperinatalxmortalityxratexincludesxfetalxandxneonatalxdeathsxperx1000xlivexbirthsxperx year.
DIF:x CognitivexLevel:xComprehension REF:x8
OBJ:x10xTOP:xStatistics
KEY:xNursingxProcessxStep:xAssessment
5. Whatxisxthexfocusxofxcurrentxperinatalxcare?
a. Hospitalxbirthsxforxthexmajorityxofxwomen
b. Thextraditionalxfamilyxunit
c. Carexinxaxlabourxroomxandxthenxaxbirthingxroom
d. Axhigh-qualityxfamilyxexperiencexforxeachxpatient
ANS:xD
Currentxmaternityxpracticexfocusesxonxaxhigh-qualityxfamilyxexperiencexforxallxfamilies.
DIF:x CognitivexLevel:xComprehension REF:x7x|x8
OBJ:x2x|x8xTOP:xPerinatalxCare
KEY:xNursingxProcessxStep:xN/A
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6. Whichxorganizationxoffersxcertificationxforxnursesxinxspecialtyxareas?
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS:xA
ThexCanadianxNursesxAssociationxoffersxcertificationxexamsxforxregisteredxnursesxinxspecialt
yxareasxincludingxperinatal,xcommunity,xneonatal,xandxpediatricxintensivexcare.xCAPWHN,xC
ANN,xandxCAPNxarexspecialtyxorganizationsxforxnursingxgroupsxinxCanada.
DIF:x CognitivexLevel:xKnowledgex REF:x10
OBJ:x2x|x3x
TOP:xNursingxCertificationx KEY:xNursingxProcessxStep:xN/A
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,TESTxBANKxFORxLEIFER'SxINTRODUCTIONxTOxMATERNITYxANDxPEDIATRICxNURSINGxINxCANAD
Ax1ST
EDITIONxBYxLEIFER
7. Whichxofxthexfollowingxrequiresxself-
reflectionxandxdiscoveryxinxorderxtoxprovidexcarexthatxisxculturallyxappropriate?xa.xCulturalxsaf
ety
b. Culturalxawareness
c. Culturalxhumility
d. Culturalxcompetence
ANS:xC
Culturalxhumilityxisxthexprecursorxtoxprovidingxculturallyxappropriatexcare.xItxisxaxprocessxofxs
elf-
reflectionxandxdiscoveryxtoxunderstandxone’sxownxassumptions,xbiases,xandxvaluesxandxhowx
one’sxbackgroundxandxsocialxenvironmentxhavexshapedxone’sxexperience
DIF:x x CognitivexLevel:xKnowledgex REF:x4 OBJ:x1x|x7
TOP:xCulturalxHumility KEY:xNursingxProcessxStep:xEvaluation
8. Inx2015,xthexWHOxdevelopedxthexSustainablexDevelopmentxGoalsx(SDGs).xWhatxissuesxdoxthexn
ewxSDG’sxincludexthatxthexMillenniumxDevelopmentxGoalsx(MDGs)xdidxnotxinclude?xa.
Climatexchangexandxenvironmentalxprotection
b. CombatingxHIVxandxmalaria
c. Eradicatingxpovertyxandxhunger
d. Achievingxuniversalxprimaryxeducation
ANS:xA
ClimatexchangexandxenvironmentalxprotectionxarexnewxgoalsxofxthexSDGs.xAllxotherxoptionsxare
xpartxofxthexMDGs
DIF:x x CognitivexLevel:xKnowledgex REF:x13 OBJ:x16
TOP:xSustainablexDevelopmentxGoals KEY:xNursingxProcessxStep:xN/A
9. Whatxguidelinesxdefinexmultidisciplinaryxpatientxcarexinxtermsxofxexpectedxoutcomexandxt
imeframexfromxdifferentxareasxofxcarexprovision?xa.xClinicalxpathways
b. Nursingxoutcomexcriteria
c. Standardsxofxcare
d. Nursingxcarexplan MNURSINGTB.CO
ANS:xA
Clinicalxpathways,xalsoxknownxasxcriticalxpathwaysxorxcarexmaps,xarexcollaborativexguideline
sxthatxdefinexpatientxcarexacrossxdisciplines.xExpectedxprogressxwithinxaxspecifiedxtimelinexisxi
dentified.
DIF:x x CognitivexLevel:xKnowledgex REF:x12 OBJ:x13
TOP:xHealthxCarexDeliveryxSystems KEY:xNursingxProcessxStep:xN/A
10. Axnursingxstudentxhasxreviewedxaxhospitalizedxpediatricxpatientxchart,xinterviewedxherxmother,xa
ndxcollectedxadmissionxdata.xWhatxisxthexnextxstepxthexstudentxwillxtakextoxdevelopxaxnursingxca
rexplanxforxthisxchild?
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, TESTxBANKxFORxLEIFER'SxINTRODUCTIONxTOxMATERNITYxANDxPEDIATRICxNURSINGxINxCANAD
Ax1ST
EDITIONxBYxLEIFER
a. Identifyxmeasurablexoutcomesxwithxaxtimeline.
b. Choosexspecificxnursingxinterventionsxforxthexchild.
c. Determinexappropriatexnursingxdiagnoses.
d. Statexnursingxactionsxrelatedxtoxthexchild’sxmedicalxdiagnosis.
ANS:xC
Thexnursexusesxassessmentxdataxtoxdevelopxappropriatexnursingxdiagnoses.xOutcomesxandxinter
ventionsxarexthenxdevelopedxtoxaddressxthexrelevantxnursingxdiagnoses.
DIF:x CognitivexLevel:xApplicationxREF:x11
OBJ:x10
TOP:xNursingxProcess
x
KEY:xNursingxProcessxStep:xNursingxDiagnosis
11. Axnursingxstudentxonxaxmaternal–
newbornxrotationxquestionsxthexfloorxnursexaboutxthexdefinitionxofxthexpracticalxnursexscopexofxpra
ctice.xWhatxresourcexcanxthexnursexsuggestxtoxthexstudent?
a. CanadianxNursesxAssociation
b. Provincialxregulatoryxboard
c. Federalxgovernment
d. CanadianxAssociationxofxPerinatalx&xWomen’sxHealthxNursing
ANS:xB
Thexscopexofxpracticexofxthexpracticalxnursexisxdeterminedxbyxthexprovincialxboardxofxnursing.
DIF:x x CognitivexLevel:xComprehension REF:x3 OBJ:x2
TOP:xStandardsxofxPracticex x KEY:xNursingxProcessxStep:xImplementation
12. Whichxsocialxdeterminantxofxhealthx(SDOH)xisxspecificallyxrelatedxtoxIndigenousxpeople’sx
health?
a. Colonization
b. Education
c. Socialxsupportxnetworks
d. Employmentxandxworkingxconditions
ANS:xA
AllxofxthexSDOHxareximportantxbutxtheximpactxofxcolonizationxisxrelatedxspecificallyxtoxIndigen
ousxpeople’sxhealth.
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DIF:x x CognitivexLevel:xKnowledgex REF:x3 OBJ:x6
TOP:xSocialxDeterminantsxofxHealth KEY:xNursingxProcessxStep:xN/A
13. Howxdoesxthexclinicalxpathwayxorxcriticalxpathwayximprovexqualityxofxcare?
a. Listsxdiagnosis-specificximplementations
b. Outlinesxexpectedxprogressxwithxstatedxtimelines
c. Prioritizesxeffectivexnursingxdiagnoses
d. Describesxcommonxcomplications
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