,
,Chapter7201:72Overview72of72Perinatal72and72Pediatric72Nursing72in72Canada
Keenan-
Lindsay:72Leifer’s72Introduction72to72Maternity72and72Pediatric72Nursing72in72Canada,72
1st72Edition
MULTIPLE72CHOICE
1. A72patient72chooses72to72have72a72registered72midwife72(RM)72provide72care72during72her72p
regnancy72and72for72her72labour.72What72does72the72RM’s72scope72of72practice72include?
a. Independent72comprehensive72practice
b. Prenatal72care72only
c. Attendance72at72only72low-risk72births
d. Only72present72for72home72births
ANS:7 2 A
The72RM72provides72comprehensive72independent72prenatal,72labour,72and72postpartum72c
are72for72up72to72672weeks,72for72women72who72are72low72risk.72Births72may72occur72in72ho
spital72or72at72home.72RMs72are72regulated72health72professions72who72have72a724-
year72university72degree.
DIF: Cognitive72Level:72Comprehension REF: 7 OBJ:
372TOP: Collaborative72Care
KEY:72Nursing72Process72Step:72N/A
2. Which72organization72is72responsible72for72the72Baby72Friendly72Initiative72(BFI)72in72Canada?
a. World72Health72Organization72(WHO)
b. Breastfeeding72Committee72for72Canada72(BCC)
c. UNICEF
d. Public72Health72Agency72of72N
CUanRaS
daI(N
PGHT
ABC.)72 COM
ANS:7 2 B
The72BCC72is72responsible72for72BFI72designation72in72Canada.72The72BCC72has72developed
72the72BFI721072Steps72and72WHO72Code72Outcome72Indicators72for72Hospitals72and72Com
munity72Health72Services,72which72sets72the72international72standards72for72the72WHO/UNI
CEF72global72criteria72within72the72Canadian72context.
DIF: Cognitive72Level:72Knowledge REF: 7 OBJ:
372|72972TOP: The72Past
KEY:72Nursing72Process72Step:72N/A
3. A72pregnant72woman72who72has72recently72immigrated72Canada72comments72to72a72nurse,72
“I72am72afraid72of72childbirth.72It72is72so72dangerous.72I72am72afraid72I72will72die.”72What72i
s72the72best72nursing72response72reflecting72cultural72safety?
a. “Maternal72mortality72in72Canada72is72extremely72low.”
b. “Anesthesia72is72available72to72relieve72pain72during72labour72and72childbirth.”
c. “Tell72me72why72you72are72afraid72of72childbirth.”
d. “Your72condition72will72be72monitored72during72labour72and72birth.”
ANS:7 2 C
Asking72the72patient72about72her72concerns72helps72promote72understanding72and72individual
izes72patient72care.
DIF: Cognitive72Level:72Application REF: 11 OBJ: 7
, TOP: Culturally72Safe72Care KEY:72Nursing72Process72Step:72Implementation
4. An72urban72area72has72been72reported72to72have72a72high72perinatal72mortality72rate.72Wha
t72information72does72this72provide?
a. Maternal72and72infant72deaths72per72100,00072live72births72per72year
b. Deaths72of72fetuses72weighing72more72than7250072g72per7210,00072births72per72year
c. Deaths72of72infants72up72to72172year72of72age72per72100072live72births72per72year
d. Fetal72and72neonatal72deaths72per72100072live72births72per72year
ANS:7 2 D
The72perinatal72mortality72rate72includes72fetal72and72neonatal72deaths72per72100072live72births72
per72year.
DIF: Cognitive72Level:72Comprehension REF: 8 OBJ:
1072TOP: Statistics
KEY:72Nursing72Process72Step:72Assessment
5. What72is72the72focus72of72current72perinatal72care?
a. Hospital72births72for72the72majority72of72women
b. The72traditional72family72unit
c. Care72in72a72labour72room72and72then72a72birthing72room
d. A72high-quality72family72experience72for72each72patient
ANS:7 2 D
Current72maternity72practice72focuses72on72a72high-
quality72family72experience72for72all72families.
DIF: Cognitive72Level:72Comprehension REF: 772|728 OBJ:
272|72872TOP: Perinatal72Care
KEY:7 2 7 2 Nursing72Process72Step:72N/A
NURSINGTB.COM72
6. Which72organization72offersertification
72c7 2 72for72nurses specialty72areas?
a. CNA 72in
b. CAPWHN
c. CANN
d. CAPN
ANS:7 2 A
The72Canadian72Nurses72Association72offers72certification72exams72for72registered72nurses7
2in72specialty72areas72including72perinatal,72community,72neonatal,72and72pediatric72intensiv
e72care.72CAPWHN,72CANN,72and72CAPN72are72specialty72organizations72for72nursing72gr
oups72in72Canada.
DIF: Cognitive72Level:72Knowledge REF: 10 OBJ:
272|72372TOP: Nursing72Certification
KEY:72Nursing72Process72Step:72N/A
7. Which72of72the72following72requires72self-
reflection72and72discovery72in72order72to72provide72care72that72is72culturally72appropriate?
a. Cultural72safety
b. Cultural72awareness
c. Cultural72humility
d. Cultural72competenc
e72ANS:7 2 C
,Chapter7201:72Overview72of72Perinatal72and72Pediatric72Nursing72in72Canada
Keenan-
Lindsay:72Leifer’s72Introduction72to72Maternity72and72Pediatric72Nursing72in72Canada,72
1st72Edition
MULTIPLE72CHOICE
1. A72patient72chooses72to72have72a72registered72midwife72(RM)72provide72care72during72her72p
regnancy72and72for72her72labour.72What72does72the72RM’s72scope72of72practice72include?
a. Independent72comprehensive72practice
b. Prenatal72care72only
c. Attendance72at72only72low-risk72births
d. Only72present72for72home72births
ANS:7 2 A
The72RM72provides72comprehensive72independent72prenatal,72labour,72and72postpartum72c
are72for72up72to72672weeks,72for72women72who72are72low72risk.72Births72may72occur72in72ho
spital72or72at72home.72RMs72are72regulated72health72professions72who72have72a724-
year72university72degree.
DIF: Cognitive72Level:72Comprehension REF: 7 OBJ:
372TOP: Collaborative72Care
KEY:72Nursing72Process72Step:72N/A
2. Which72organization72is72responsible72for72the72Baby72Friendly72Initiative72(BFI)72in72Canada?
a. World72Health72Organization72(WHO)
b. Breastfeeding72Committee72for72Canada72(BCC)
c. UNICEF
d. Public72Health72Agency72of72N
CUanRaS
daI(N
PGHT
ABC.)72 COM
ANS:7 2 B
The72BCC72is72responsible72for72BFI72designation72in72Canada.72The72BCC72has72developed
72the72BFI721072Steps72and72WHO72Code72Outcome72Indicators72for72Hospitals72and72Com
munity72Health72Services,72which72sets72the72international72standards72for72the72WHO/UNI
CEF72global72criteria72within72the72Canadian72context.
DIF: Cognitive72Level:72Knowledge REF: 7 OBJ:
372|72972TOP: The72Past
KEY:72Nursing72Process72Step:72N/A
3. A72pregnant72woman72who72has72recently72immigrated72Canada72comments72to72a72nurse,72
“I72am72afraid72of72childbirth.72It72is72so72dangerous.72I72am72afraid72I72will72die.”72What72i
s72the72best72nursing72response72reflecting72cultural72safety?
a. “Maternal72mortality72in72Canada72is72extremely72low.”
b. “Anesthesia72is72available72to72relieve72pain72during72labour72and72childbirth.”
c. “Tell72me72why72you72are72afraid72of72childbirth.”
d. “Your72condition72will72be72monitored72during72labour72and72birth.”
ANS:7 2 C
Asking72the72patient72about72her72concerns72helps72promote72understanding72and72individual
izes72patient72care.
DIF: Cognitive72Level:72Application REF: 11 OBJ: 7
, TOP: Culturally72Safe72Care KEY:72Nursing72Process72Step:72Implementation
4. An72urban72area72has72been72reported72to72have72a72high72perinatal72mortality72rate.72Wha
t72information72does72this72provide?
a. Maternal72and72infant72deaths72per72100,00072live72births72per72year
b. Deaths72of72fetuses72weighing72more72than7250072g72per7210,00072births72per72year
c. Deaths72of72infants72up72to72172year72of72age72per72100072live72births72per72year
d. Fetal72and72neonatal72deaths72per72100072live72births72per72year
ANS:7 2 D
The72perinatal72mortality72rate72includes72fetal72and72neonatal72deaths72per72100072live72births72
per72year.
DIF: Cognitive72Level:72Comprehension REF: 8 OBJ:
1072TOP: Statistics
KEY:72Nursing72Process72Step:72Assessment
5. What72is72the72focus72of72current72perinatal72care?
a. Hospital72births72for72the72majority72of72women
b. The72traditional72family72unit
c. Care72in72a72labour72room72and72then72a72birthing72room
d. A72high-quality72family72experience72for72each72patient
ANS:7 2 D
Current72maternity72practice72focuses72on72a72high-
quality72family72experience72for72all72families.
DIF: Cognitive72Level:72Comprehension REF: 772|728 OBJ:
272|72872TOP: Perinatal72Care
KEY:7 2 7 2 Nursing72Process72Step:72N/A
NURSINGTB.COM72
6. Which72organization72offersertification
72c7 2 72for72nurses specialty72areas?
a. CNA 72in
b. CAPWHN
c. CANN
d. CAPN
ANS:7 2 A
The72Canadian72Nurses72Association72offers72certification72exams72for72registered72nurses7
2in72specialty72areas72including72perinatal,72community,72neonatal,72and72pediatric72intensiv
e72care.72CAPWHN,72CANN,72and72CAPN72are72specialty72organizations72for72nursing72gr
oups72in72Canada.
DIF: Cognitive72Level:72Knowledge REF: 10 OBJ:
272|72372TOP: Nursing72Certification
KEY:72Nursing72Process72Step:72N/A
7. Which72of72the72following72requires72self-
reflection72and72discovery72in72order72to72provide72care72that72is72culturally72appropriate?
a. Cultural72safety
b. Cultural72awareness
c. Cultural72humility
d. Cultural72competenc
e72ANS:7 2 C