Updated/Latest Leifer’s Introduction to Maternity and Pediatric Nursing in Canada 1st Edition Gloria Leifer Test Bank Complete All Chapters Comprehensive Maternal Child Nursing Resource Practice Questions Answers Rationales Pregnancy Labor Delivery Newbor

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,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 Canada, L
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1st Edition
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1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and
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for her labour. What does the RM’s scope of practice include?
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a. Independent comprehensive practice L
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b. Prenatal care only L
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c. Attendance at only low-risk births FT L FT L L
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d. Only present for home births L
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ANS: A F T L



The RM provides comprehensive independent prenatal, labour, and postpartum care for up
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to 6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs are
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regulated health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension FT L FT L REF: 7 OBJ: 3
TOP: Collaborative Care
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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) FT L L
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b. Breastfeeding Committee for Canada (BCC) FT L FT L L
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c. UNICEF
d. Public Health Agency of N
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ANS: B F T L



The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10
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Steps and WHO Code Outcome Indicators for Hospitals and Community Health Services,
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which sets the international standards for the WHO/UNICEF global criteria within the
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Canadian context.
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DIF: Cognitive Level: Knowledge REF: 7 FT L FT L OBJ: 3 |9 L L
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TOP: The Past
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3. A pregnant woman who has recently immigrated Canada comments to a nurse, “I am afraid
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of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response
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reflecting cultural safety?
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a. “Maternal mortality in Canada is extremely low.” FT L FTL FT L FT L FT L L
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b. “Anesthesia is available to relieve pain during labour and childbirth.” L
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c. “Tell me why you are afraid of childbirth.” FT L FT L FT L FT L L
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d. “Your condition will be monitored during labour and birth.” L
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ANS: C F T L



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 L
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, TOP: Culturally Safe Care L
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4. An urban area has been reported to have a high perinatal mortality rate. What information
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does this provide?
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a. Maternal and infant deaths per 100,000 live births per year FT L FT L FT L FT L FT L FT L L
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b. Deaths of fetuses weighing more than 500 g per 10,000 births per year FT L FT L FT L L
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c. Deaths of infants up to 1 year of age per 1000 live births per year FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L



d. Fetal and neonatal deaths per 1000 live births per year FT L FT L FT L FT L FT L FT L L
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ANS: D F T L



The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF: 8 FT L FT L OBJ: 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 FT L FT L FT L FT L FT L FT L



b. The traditional family unit L
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c. Care in a labour room and then a birthing room L
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d. A high-quality family experience for each patient
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ANS: D F T L



Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension FT L FT L REF: 7 | 8 OBJ: 2 | 8 FT L FT L FT L L
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TOP: Perinatal Care
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N/A
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6. Which organization offers c ertification for nurses in specialty areas?
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a. CNA
b. CAPWHN
c. CANN
d. CAPN
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The Canadian Nurses Association offers certification exams for registered nurses in
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specialty areas including perinatal, community, neonatal, and pediatric intensive care.
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CAPWHN, CANN, and CAPN are specialty organizations for nursing groups in Canada.
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DIF: Cognitive Level: Knowledge FT L FT L REF: 10 OBJ: 2 | 3 L L
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TOP: Nursing Certification
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7. Which of the following requires self-reflection and discovery in order to provide care that is
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culturally appropriate?
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a. Cultural safety FT L



b. Cultural awareness FT L



c. Cultural humility FT L



d. Cultural competence L
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FT LANS: C F T L