,Chapter8701:87Overview87of87Perinatal87and87Pediatric87Nursing87in87Canada
Keenan-
Lindsay:87Leifer’s87Introduction87to87Maternity87and87Pediatric87Nursing87in87Canada,87
1st87Edition
MULTIPLE87CHOICE
1. A87patient87chooses87to87have87a87registered87midwife87(RM)87provide87care87during87her87p
regnancy87and87for87her87labour.87What87does87the87RM’s87scope87of87practice87include?
a. Independent87comprehensive87practice
b. Prenatal87care87only
c. Attendance87at87only87low-risk87births
d. Only87present87for87home87births
ANS:8 7 A
The87RM87provides87comprehensive87independent87prenatal,87labour,87and87postpartum87c
are87for87up87to87687weeks,87for87women87who87are87low87risk.87Births87may87occur87in87ho
spital87or87at87home.87RMs87are87regulated87health87professions87who87have87a874-
year87university87degree.
DIF: Cognitive87Level:87Comprehension REF: 7 OBJ:
387TOP: Collaborative87Care
KEY:87Nursing87Process87Step:87N/A
2. Which87organization87is87responsible87for87the87Baby87Friendly87Initiative87(BFI)87in87Canada?
a. World87Health87Organization87(WHO)
b. Breastfeeding87Committee87for87Canada87(BCC)
c. UNICEF
d. Public87Health87Agency87of87N
CUanRaS
daI(N
PGHT
ABC.)87 COM
ANS:8 7 B
The87BCC87is87responsible87for87BFI87designation87in87Canada.87The87BCC87has87developed
87the87BFI871087Steps87and87WHO87Code87Outcome87Indicators87for87Hospitals87and87Com
munity87Health87Services,87which87sets87the87international87standards87for87the87WHO/UNI
CEF87global87criteria87within87the87Canadian87context.
DIF: Cognitive87Level:87Knowledge REF: 7 OBJ:
387|87987TOP: The87Past
KEY:87Nursing87Process87Step:87N/A
3. A87pregnant87woman87who87has87recently87immigrated87Canada87comments87to87a87nurse,87
“I87am87afraid87of87childbirth.87It87is87so87dangerous.87I87am87afraid87I87will87die.”87What87i
s87the87best87nursing87response87reflecting87cultural87safety?
a. “Maternal87mortality87in87Canada87is87extremely87low.”
b. “Anesthesia87is87available87to87relieve87pain87during87labour87and87childbirth.”
c. “Tell87me87why87you87are87afraid87of87childbirth.”
d. “Your87condition87will87be87monitored87during87labour87and87birth.”
ANS:8 7 C
Asking87the87patient87about87her87concerns87helps87promote87understanding87and87individual
izes87patient87care.
DIF: Cognitive87Level:87Application REF: 11 OBJ: 7
, TOP: Culturally87Safe87Care KEY:87Nursing87Process87Step:87Implementation
4. An87urban87area87has87been87reported87to87have87a87high87perinatal87mortality87rate.87Wha
t87information87does87this87provide?
a. Maternal87and87infant87deaths87per87100,00087live87births87per87year
b. Deaths87of87fetuses87weighing87more87than8750087g87per8710,00087births87per87year
c. Deaths87of87infants87up87to87187year87of87age87per87100087live87births87per87year
d. Fetal87and87neonatal87deaths87per87100087live87births87per87year
ANS:8 7 D
The87perinatal87mortality87rate87includes87fetal87and87neonatal87deaths87per87100087live87births87
per87year.
DIF: Cognitive87Level:87Comprehension REF: 8 OBJ:
1087TOP: Statistics
KEY:87Nursing87Process87Step:87Assessment
5. What87is87the87focus87of87current87perinatal87care?
a. Hospital87births87for87the87majority87of87women
b. The87traditional87family87unit
c. Care87in87a87labour87room87and87then87a87birthing87room
d. A87high-quality87family87experience87for87each87patient
ANS:8 7 D
Current87maternity87practice87focuses87on87a87high-
quality87family87experience87for87all87families.
DIF: Cognitive87Level:87Comprehension REF: 787|878 OBJ:
287|87887TOP: Perinatal87Care
KEY:8 7 8 7 Nursing87Process87Step:87N/A
NURSINGTB.COM87
6. Which87organization87offersertification
87c8 7 87for87nurses specialty87areas?
a. CNA 87in
b. CAPWHN
c. CANN
d. CAPN
ANS:8 7 A
The87Canadian87Nurses87Association87offers87certification87exams87for87registered87nurses8
7in87specialty87areas87including87perinatal,87community,87neonatal,87and87pediatric87intensiv
e87care.87CAPWHN,87CANN,87and87CAPN87are87specialty87organizations87for87nursing87gr
oups87in87Canada.
DIF: Cognitive87Level:87Knowledge REF: 10 OBJ:
287|87387TOP: Nursing87Certification
KEY:87Nursing87Process87Step:87N/A
7. Which87of87the87following87requires87self-
reflection87and87discovery87in87order87to87provide87care87that87is87culturally87appropriate?
a. Cultural87safety
b. Cultural87awareness
c. Cultural87humility
d. Cultural87competenc
e87ANS:8 7 C