,Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
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Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in
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Canada, 2nd Edition
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MULTIPLE CHOICE mg
1. A patient chooses to have a registered midwife (RM) provide care during her
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pregnancy and for her labour. What does the RM’s scope of practice include?
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a. Independent comprehensive practice mg mg
b. Prenatal care only mg mg
c. Attendance at only low-risk births mg mg mg mg
d. Only present for home births mg mg mg mg
ANS: A m g
The RM provides comprehensive independent prenatal, labour, and postpartum care
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for up to 6 weeks, for women who are low risk. Births may occur in hospital or
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at home. RMs are regulated health professions who have a 4-year university
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degree.
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DIF: Cognitive Level: Comprehension REF: 7 OBJ: 3 mg mg
TOP: Collaborative Care
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N/A
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2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
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a. World Health Organization (WHO) mg mg mg
b. Breastfeeding Committee for Canada (BCC) mg mg mg mg
c. UNICEF
d. Public Health Agency of N
CUanRaS
daI(N
PGHT
ABC.
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ANS: B m g
The BCC is responsible for BFI designation in Canada. The BCC has developed the
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BFI 10 Steps and WHO Code Outcome Indicators for Hospitals and Community
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Health Services, which sets the international standards for the WHO/UNICEF
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global criteria within the Canadian context.
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DIF: Cognitive Level: Knowledge mg mg REF: 7 OBJ: 3 | mg
9 TOP:
mg mg The Past mg KEY: Nursing Process Step:
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N/A
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3. A pregnant woman who has recently immigrated Canada comments to a nurse, “I
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am afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the
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best nursing response reflecting cultural safety?
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a. “Maternal mortality in Canada is extremely low.” mg mg mg mg mg mg
b. “Anesthesia is available to relieve pain during labour and childbirth.”
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c. “Tell me why you are afraid of childbirth.”
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d. “Your condition will be monitored during labour and birth.”
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ANS: C m g
Asking the patient about her concerns helps promote understanding and individualizes
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patient care.
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DIF: Cognitive Level: Application mg mg REF: 11 OBJ: 7
, TOP: Culturally Safe Care mg mg KEY: Nursing Process Step: Implementation
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4. An urban area has been reported to have a high perinatal mortality rate. What
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information does this provide?
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a. Maternal and infant deaths per 100,000 live births per year
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b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
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c. Deaths of infants up to 1 year of age per 1000 live births per year
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d. Fetal and neonatal deaths per 1000 live births per year
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ANS: D m g
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per
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year.
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DIF: Cognitive Level: Comprehension REF: 8 OBJ: mg mg 10
TOP: Statistics
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5. What is the focus of current perinatal care?
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a. Hospital births for the majority of women
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b. The traditional family unit
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c. Care in a labour room and then a birthing room
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d. A high-quality family experience for each patient
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ANS: D m g
Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension REF: 7 | 8 mg mg mg mg OBJ: 2 | mg
8 TOP:
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mgNursing Process Step: N/A mg mg mg
NURSINGTB.COM g
m
6. Which organization offers ertification
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a. CNA in mg
b. CAPWHN
c. CANN
d. CAPN
ANS: A m g
The Canadian Nurses Association offers certification exams for registered nurses in
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specialty areas including perinatal, community, neonatal, and pediatric intensive
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care. CAPWHN, CANN, and CAPN are specialty organizations for nursing groups
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in Canada.
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DIF: Cognitive Level: Knowledge mg mg REF: 10 OBJ: 2 | mg
3 TOP:
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Nursing Process Step: N/A
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7. Which of the following requires self-reflection and discovery in order to provide
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care that is culturally appropriate?
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a. Cultural safety mg
b. Cultural awareness mg
c. Cultural humility mg
d. Cultural
competence ANS:
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