,Chapter1101:11Overview11of11Perinatal11and11Pediatric11Nursing11in11Canada
Keenan-
Lindsay:11Leifer’s11Introduction11to11Maternity11and11Pediatric11Nursing11in11Canada,11
1st11Edition
MULTIPLE11CHOICE
1. A11patient11chooses11to11have11a11registered11midwife11(RM)11provide11care11during11her11p
regnancy11and11for11her11labour.11What11does11the11RM’s11scope11of11practice11include?
a. Independent11comprehensive11practice
b. Prenatal11care11only
c. Attendance11at11only11low-risk11births
d. Only11present11for11home11births
ANS:1 1 A
The11RM11provides11comprehensive11independent11prenatal,11labour,11and11postpartum11c
are11for11up11to11611weeks,11for11women11who11are11low11risk.11Births11may11occur11in11ho
spital11or11at11home.11RMs11are11regulated11health11professions11who11have11a114-
year11university11degree.
DIF: Cognitive11Level:11Comprehension REF: 7 OBJ:
311TOP: Collaborative11Care
KEY:11Nursing11Process11Step:11N/A
2. Which11organization11is11responsible11for11the11Baby11Friendly11Initiative11(BFI)11in11Canada?
a. World11Health11Organization11(WHO)
b. Breastfeeding11Committee11for11Canada11(BCC)
c. UNICEF
d. Public11Health11Agency11of11N
CUanRaS
daI(N
PGHT
ABC.)11 COM
ANS:1 1 B
The11BCC11is11responsible11for11BFI11designation11in11Canada.11The11BCC11has11developed
11the11BFI111011Steps11and11WHO11Code11Outcome11Indicators11for11Hospitals11and11Com
munity11Health11Services,11which11sets11the11international11standards11for11the11WHO/UNI
CEF11global11criteria11within11the11Canadian11context.
DIF: Cognitive11Level:11Knowledge REF: 7 OBJ:
311|11911TOP: The11Past
KEY:11Nursing11Process11Step:11N/A
3. A11pregnant11woman11who11has11recently11immigrated11Canada11comments11to11a11nurse,11
“I11am11afraid11of11childbirth.11It11is11so11dangerous.11I11am11afraid11I11will11die.”11What11i
s11the11best11nursing11response11reflecting11cultural11safety?
a. “Maternal11mortality11in11Canada11is11extremely11low.”
b. “Anesthesia11is11available11to11relieve11pain11during11labour11and11childbirth.”
c. “Tell11me11why11you11are11afraid11of11childbirth.”
d. “Your11condition11will11be11monitored11during11labour11and11birth.”
ANS:1 1 C
Asking11the11patient11about11her11concerns11helps11promote11understanding11and11individual
izes11patient11care.
DIF: Cognitive11Level:11Application REF: 11 OBJ: 7
, TOP: Culturally11Safe11Care KEY:11Nursing11Process11Step:11Implementation
4. An11urban11area11has11been11reported11to11have11a11high11perinatal11mortality11rate.11Wha
t11information11does11this11provide?
a. Maternal11and11infant11deaths11per11100,00011live11births11per11year
b. Deaths11of11fetuses11weighing11more11than1150011g11per1110,00011births11per11year
c. Deaths11of11infants11up11to11111year11of11age11per11100011live11births11per11year
d. Fetal11and11neonatal11deaths11per11100011live11births11per11year
ANS:1 1 D
The11perinatal11mortality11rate11includes11fetal11and11neonatal11deaths11per11100011live11births11
per11year.
DIF: Cognitive11Level:11Comprehension REF: 8 OBJ:
1011TOP: Statistics
KEY:11Nursing11Process11Step:11Assessment
5. What11is11the11focus11of11current11perinatal11care?
a. Hospital11births11for11the11majority11of11women
b. The11traditional11family11unit
c. Care11in11a11labour11room11and11then11a11birthing11room
d. A11high-quality11family11experience11for11each11patient
ANS:1 1 D
Current11maternity11practice11focuses11on11a11high-
quality11family11experience11for11all11families.
DIF: Cognitive11Level:11Comprehension REF: 711|118 OBJ:
211|11811TOP: Perinatal11Care
KEY:1 1 1 1 Nursing11Process11Step:11N/A
NURSINGTB.COM1
6. Which11organization11offersertification
11c1 1 11for11nurses specialty11areas?
a. CNA 11in
b. CAPWHN
c. CANN
d. CAPN
ANS:1 1 A
The11Canadian11Nurses11Association11offers11certification11exams11for11registered11nurses1
1in11specialty11areas11including11perinatal,11community,11neonatal,11and11pediatric11intensiv
e11care.11CAPWHN,11CANN,11and11CAPN11are11specialty11organizations11for11nursing11gr
oups11in11Canada.
DIF: Cognitive11Level:11Knowledge REF: 10 OBJ:
211|11311TOP: Nursing11Certification
KEY:11Nursing11Process11Step:11N/A
7. Which11of11the11following11requires11self-
reflection11and11discovery11in11order11to11provide11care11that11is11culturally11appropriate?
a. Cultural11safety
b. Cultural11awareness
c. Cultural11humility
d. Cultural11competenc
e11ANS:1 1 C