,
,Chapter 01: Overview of Perinatal and Pediatric Nursing in
l# l# l# l# l# l# l# l#
Canada Keenan-
l# l#
Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st
l# l# l# l# l# l# l# l# l# l#
Editi on
l# l#
MULTIPLE l#CHOICE
1. A l#patient l#chooses l#to l#have l#a l#registered midwife l#(RM) l#provide l#care l#during l#her l#pregnancy
C
l#and l#f l#or l#her l#labour. l#What l#does l#the l#RM‘s l#scope l#of l#practice l#include?
a. Independent l#comprehensive l#practice
b. Prenatal l#care l#only
c. Attendance l#at l#only l#low-risk l#births
d. Only l#present l#for l#home l#births
ANS: l # A
The l#RM l#provides l#comprehensive l#independent l#prenatal, l#labour, l#and l#postpartum l#care l#for
l#up l#t l#o l#6 l#weeks, l#for l#women l#who l#are l#low l#risk. l#Births l#may l#occur l#in l#hospital l#or l#at
l#home. l#RMs l#are l#r l#egulated l#health l#professions l#who l#have l#a l#4-year l#university l#degree.
DIF: Cognitive l#Level: l#Comprehension REF: 7 OBJ:
l#3l#TOP: Collaborative l#Care
KEY: l#Nursing l#Process l#Step: l#N/A
2. Which l#organization l#is l#responsible l#for l#the l#Baby l#Friendly l#Initiative l#(BFI) l#in l#Canada?
a. World l#Health l#Organization l#(WHO)
b. Breastfeeding l#Committee l#for l#Canada l#(BCC)
c. UNICEF
d. Publicl#Health l#Agency l#ofl#N
CUanRaS
daI(NPG
HT AB
C. ) l#COM C
ANS: l # B
The l#BCC l#is l#responsible l#for l#BFI l#designation l#in l#Canada. l#The l#BCC l#has l#developed l#the
l#BFI 10 l#S l#teps l#and l#WHO l#Code l#Outcome l#Indicators l#for l#Hospitals l#and l#Community
C
l#Health l#Services, l#wh l#ich l#sets l#the l#international l#standards l#for l#the l#WHO/UNICEF l#global
l#criteria l#within l#the l#Canadia l#n l#context.
DIF: Cognitive l#Level: l#Knowledge REF: 7 OBJ:
3l#|l#9 l#TOP: The l#Past KEY: l#Nursing l#Process l#Step: l#N/A
3. A l#pregnant l#woman l#who l#has l#recently l#immigrated l#Canada l#comments l#to l#a l#nurse, l#―I l#am
l#afraid l#of l#childbirth. l#It l#is l#so l#dangerous. l#I am l#afraid I l#will l#die.‖ l#What l#is l#the l#best
C C
l#nursing response l#ref l#lecting l#cultural l#safety?
C
a. ―Maternal l#mortality l#in Canada l#is l#extremely l#low.‖
C
b. ―Anesthesia is l#available l#to l#relieve l#pain l#during l#labour l#and l#childbirth.‖
C
c. ―Tell l#me l#why l#you l#are l#afraid l#of l#childbirth.‖
d. ―Your l#condition l#will l#be l#monitored l#during l#labour l#and l#birth.‖
ANS: l # C
Asking l#the l#patient l#about her l#concerns l#helps l#promote l#understanding l#and l#individualizes
C
l#patien l#t l#care.
DIF: Cognitive l#Level: l#Application REF: 11 OBJ: 7
, TOP: Culturally l#Safe l#Care KEY: l#Nursing l#Process l#Step: l#Implementation
4. An l#urban l#area l#has l#been l#reported l#to l#have l#a l#high l#perinatal l#mortality l#rate. l#What
l#information l#does l#this l#provide?
a. Maternal l#and l#infant l#deaths l#per l#100,000 l#live l#births l#per l#year
b. Deaths l#of l#fetuses l#weighing l#more l#than l#500 l#g l#per l#10,000 l#births l#per l#year
c. Deaths l#of l#infants l#up l#to l#1 l#year l#of l#age l#per l#1000 l#live l#births l#per l#year
d. Fetal l#and l#neonatal l#deaths l#per l#1000 l#live l#births l#per l#year
ANS: l # D
The l#perinatal l#mortality l#rate l#includes l#fetal l#and l#neonatal l#deaths l#per l#1000 l#live l#births l#per l#year.
DIF: Cognitive l#Level: l#Comprehension REF: 8 OBJ:
l#10 TOP:
C Statistics
KEY: l#Nursing l#Process l#Step: l#Assessment
5. What l#is l#the l#focus l#of l#current l#perinatal l#care?
a. Hospital l#births l#for l#the l#majority l#of l#women
b. The l#traditional l#family l#unit
c. Care l#in l#a l#labour l#room l#and l#then l#a l#birthing l#room
d. A l#high-quality l#family l#experience l#for l#each l#patient
ANS: l # D
Current l#maternity l#practice l#focuses l#on a high-quality l#family l#experience l#for l#all l#families.
C C
DIF: Cognitive l#Level: l#Comprehension REF: 7 l#| l#8 OBJ:
l#2 l#| l#8 l#TOP: Perinatal l#Care
KEY: l # Nursing l#Process l#Step:l#N/A
NURSINGTB.COM
6. l#Which
c l#organization l#offers specialty l # areas?
ertification l#for l#nurses l#in
C
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: l # A
The l#Canadian l#Nurses l#Association l#offers l#certification l#exams l#for l#registered l#nurses l#in
l#specialt l#y l#areas l#including l#perinatal, l#community, l#neonatal, l#and l#pediatric l#intensive l#care.
l#CAPWHN, l#C l#ANN, l#and l#CAPN l#are l#specialty l#organizations l#for l#nursing l#groups l#in
l#Canada.
DIF: Cognitive l#Level: l#Knowledge REF: 10 OBJ:
l#2 l#| l#3 l#TOP: Nursing l#Certification
l#KEY: l#Nursing l#Process l#Step: l#N/A
7. Which l#of l#the l#following l#requires l#self-
reflection l#and l#discovery l#in l#order l#to l#provide l#care l#that is l#culturally l#appropriate?
C
a. Cultural l#safety
b. Cultural l#awareness
c. Cultural l#humility
d. Cultural
competence l#ANS:
l#
l# C
,Chapter 01: Overview of Perinatal and Pediatric Nursing in
l# l# l# l# l# l# l# l#
Canada Keenan-
l# l#
Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st
l# l# l# l# l# l# l# l# l# l#
Editi on
l# l#
MULTIPLE l#CHOICE
1. A l#patient l#chooses l#to l#have l#a l#registered midwife l#(RM) l#provide l#care l#during l#her l#pregnancy
C
l#and l#f l#or l#her l#labour. l#What l#does l#the l#RM‘s l#scope l#of l#practice l#include?
a. Independent l#comprehensive l#practice
b. Prenatal l#care l#only
c. Attendance l#at l#only l#low-risk l#births
d. Only l#present l#for l#home l#births
ANS: l # A
The l#RM l#provides l#comprehensive l#independent l#prenatal, l#labour, l#and l#postpartum l#care l#for
l#up l#t l#o l#6 l#weeks, l#for l#women l#who l#are l#low l#risk. l#Births l#may l#occur l#in l#hospital l#or l#at
l#home. l#RMs l#are l#r l#egulated l#health l#professions l#who l#have l#a l#4-year l#university l#degree.
DIF: Cognitive l#Level: l#Comprehension REF: 7 OBJ:
l#3l#TOP: Collaborative l#Care
KEY: l#Nursing l#Process l#Step: l#N/A
2. Which l#organization l#is l#responsible l#for l#the l#Baby l#Friendly l#Initiative l#(BFI) l#in l#Canada?
a. World l#Health l#Organization l#(WHO)
b. Breastfeeding l#Committee l#for l#Canada l#(BCC)
c. UNICEF
d. Publicl#Health l#Agency l#ofl#N
CUanRaS
daI(NPG
HT AB
C. ) l#COM C
ANS: l # B
The l#BCC l#is l#responsible l#for l#BFI l#designation l#in l#Canada. l#The l#BCC l#has l#developed l#the
l#BFI 10 l#S l#teps l#and l#WHO l#Code l#Outcome l#Indicators l#for l#Hospitals l#and l#Community
C
l#Health l#Services, l#wh l#ich l#sets l#the l#international l#standards l#for l#the l#WHO/UNICEF l#global
l#criteria l#within l#the l#Canadia l#n l#context.
DIF: Cognitive l#Level: l#Knowledge REF: 7 OBJ:
3l#|l#9 l#TOP: The l#Past KEY: l#Nursing l#Process l#Step: l#N/A
3. A l#pregnant l#woman l#who l#has l#recently l#immigrated l#Canada l#comments l#to l#a l#nurse, l#―I l#am
l#afraid l#of l#childbirth. l#It l#is l#so l#dangerous. l#I am l#afraid I l#will l#die.‖ l#What l#is l#the l#best
C C
l#nursing response l#ref l#lecting l#cultural l#safety?
C
a. ―Maternal l#mortality l#in Canada l#is l#extremely l#low.‖
C
b. ―Anesthesia is l#available l#to l#relieve l#pain l#during l#labour l#and l#childbirth.‖
C
c. ―Tell l#me l#why l#you l#are l#afraid l#of l#childbirth.‖
d. ―Your l#condition l#will l#be l#monitored l#during l#labour l#and l#birth.‖
ANS: l # C
Asking l#the l#patient l#about her l#concerns l#helps l#promote l#understanding l#and l#individualizes
C
l#patien l#t l#care.
DIF: Cognitive l#Level: l#Application REF: 11 OBJ: 7
, TOP: Culturally l#Safe l#Care KEY: l#Nursing l#Process l#Step: l#Implementation
4. An l#urban l#area l#has l#been l#reported l#to l#have l#a l#high l#perinatal l#mortality l#rate. l#What
l#information l#does l#this l#provide?
a. Maternal l#and l#infant l#deaths l#per l#100,000 l#live l#births l#per l#year
b. Deaths l#of l#fetuses l#weighing l#more l#than l#500 l#g l#per l#10,000 l#births l#per l#year
c. Deaths l#of l#infants l#up l#to l#1 l#year l#of l#age l#per l#1000 l#live l#births l#per l#year
d. Fetal l#and l#neonatal l#deaths l#per l#1000 l#live l#births l#per l#year
ANS: l # D
The l#perinatal l#mortality l#rate l#includes l#fetal l#and l#neonatal l#deaths l#per l#1000 l#live l#births l#per l#year.
DIF: Cognitive l#Level: l#Comprehension REF: 8 OBJ:
l#10 TOP:
C Statistics
KEY: l#Nursing l#Process l#Step: l#Assessment
5. What l#is l#the l#focus l#of l#current l#perinatal l#care?
a. Hospital l#births l#for l#the l#majority l#of l#women
b. The l#traditional l#family l#unit
c. Care l#in l#a l#labour l#room l#and l#then l#a l#birthing l#room
d. A l#high-quality l#family l#experience l#for l#each l#patient
ANS: l # D
Current l#maternity l#practice l#focuses l#on a high-quality l#family l#experience l#for l#all l#families.
C C
DIF: Cognitive l#Level: l#Comprehension REF: 7 l#| l#8 OBJ:
l#2 l#| l#8 l#TOP: Perinatal l#Care
KEY: l # Nursing l#Process l#Step:l#N/A
NURSINGTB.COM
6. l#Which
c l#organization l#offers specialty l # areas?
ertification l#for l#nurses l#in
C
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: l # A
The l#Canadian l#Nurses l#Association l#offers l#certification l#exams l#for l#registered l#nurses l#in
l#specialt l#y l#areas l#including l#perinatal, l#community, l#neonatal, l#and l#pediatric l#intensive l#care.
l#CAPWHN, l#C l#ANN, l#and l#CAPN l#are l#specialty l#organizations l#for l#nursing l#groups l#in
l#Canada.
DIF: Cognitive l#Level: l#Knowledge REF: 10 OBJ:
l#2 l#| l#3 l#TOP: Nursing l#Certification
l#KEY: l#Nursing l#Process l#Step: l#N/A
7. Which l#of l#the l#following l#requires l#self-
reflection l#and l#discovery l#in l#order l#to l#provide l#care l#that is l#culturally l#appropriate?
C
a. Cultural l#safety
b. Cultural l#awareness
c. Cultural l#humility
d. Cultural
competence l#ANS:
l#
l# C
