,Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
r r r r r r r r r
Keenan-
Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Editio
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n
MULTIPLErCHOICE
1. Arpatientrchoosesrtorhaverarregisteredrmidwifer(RM)rprovidercarerduringrherrpregnancyrandrforr
herrlabour.rWhatrdoesrtherRM’srscoperofrpracticerinclude?
a. Independentrcomprehensiverpractice
b. Prenatalrcareronly
c. Attendanceratronlyrlow-riskrbirths
d. Onlyrpresentrforrhomerbirths
ANS:r A
TherRMrprovidesrcomprehensiverindependentrprenatal,rlabour,randrpostpartumrcarerforruprtor
6rweeks,rforrwomenrwhorarerlowrrisk.rBirthsrmayroccurrinrhospitalrorratrhome.rRMsrarerregulat
edrhealthrprofessionsrwhorhaverar4-yearruniversityrdegree.
DIF: CognitiverLevel:rComprehension REF: 7 OBJ:
3rTOP: CollaborativerCare
KEY:rNursingrProcessrStep:rN/A
2. WhichrorganizationrisrresponsiblerforrtherBabyrFriendlyrInitiativer(BFI)rinrCanada?
a. WorldrHealthrOrganizationr(WHO)
b. BreastfeedingrCommitteerforrCanadar(BCC)
c. UNICEF
d. PublicrHealthrAgencyrofrN
CUanRaS
daI(N
PGHTABC.
)r COM
ANS:r B
TherBCCrisrresponsiblerforrBFIrdesignationrinrCanada.rTherBCCrhasrdevelopedrtherBFIr10rStep
srandrWHOrCoderOutcomerIndicatorsrforrHospitalsrandrCommunityrHealthrServices,rwhichrse
tsrtherinternationalrstandardsrforrtherWHO/UNICEFrglobalrcriteriarwithinrtherCanadianrcontex
t.
DIF: CognitiverLevel:rKnowledge REF: 7 OBJ:
3r|r9rTOP: TherPast KEY:rNursingrProcessrStep:rN/A
3. ArpregnantrwomanrwhorhasrrecentlyrimmigratedrCanadarcommentsrtorarnurse,r“Iramrafraidrofrc
hildbirth.rItrisrsordangerous.rIramrafraidrIrwillrdie.”rWhatrisrtherbestrnursingrresponserreflectingr
culturalrsafety?
a. “MaternalrmortalityrinrCanadarisrextremelyrlow.”
b. “Anesthesiarisravailablertorrelieverpainrduringrlabourrandrchildbirth.”
c. “Tellrmerwhyryourarerafraidrofrchildbirth.”
d. “Yourrconditionrwillrbermonitoredrduringrlabourrandrbirth.”
ANS:r C
Askingrtherpatientraboutrherrconcernsrhelpsrpromoterunderstandingrandrindividualizesrpatientrc
are.
DIF: CognitiverLevel:rApplication REF: 11 OBJ: 7
, TOP: CulturallyrSaferCare KEY:rNursingrProcessrStep:rImplementation
4. Anrurbanrarearhasrbeenrreportedrtorhaverarhighrperinatalrmortalityrrate.rWhatrinformationrdoe
srthisrprovide?
a. Maternalrandrinfantrdeathsrperr100,000rliverbirthsrperryear
b. Deathsrofrfetusesrweighingrmorerthanr500rgrperr10,000rbirthsrperryear
c. Deathsrofrinfantsruprtor1ryearrofragerperr1000rliverbirthsrperryear
d. Fetalrandrneonatalrdeathsrperr1000rliverbirthsrperryear
ANS:r D
Therperinatalrmortalityrraterincludesrfetalrandrneonatalrdeathsrperr1000rliverbirthsrperryear.
DIF: CognitiverLevel:rComprehension REF: 8 OBJ:
10rTOP: Statistics
KEY:rNursingrProcessrStep:rAssessment
5. Whatrisrtherfocusrofrcurrentrperinatalrcare?
a. Hospitalrbirthsrforrthermajorityrofrwomen
b. Thertraditionalrfamilyrunit
c. Carerinrarlabourrroomrandrthenrarbirthingrroom
d. Arhigh-qualityrfamilyrexperiencerforreachrpatient
ANS:r D
Currentrmaternityrpracticerfocusesronrarhigh-qualityrfamilyrexperiencerforrallrfamilies.
DIF: CognitiverLevel:rComprehension REF: 7r|r8 OBJ:
2r|r8rTOP: PerinatalrCare
KEY:r r NursingrProcessrStep:rN/A
NURSINGTB.COM r
6. Whichrorganizationroffersrcr ertificationrforrnursesrinspecialtyrareas?
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS:r A
TherCanadianrNursesrAssociationroffersrcertificationrexamsrforrregisteredrnursesrinrspecialtyra
reasrincludingrperinatal,rcommunity,rneonatal,randrpediatricrintensivercare.rCAPWHN,rCAN
N,randrCAPNrarerspecialtyrorganizationsrforrnursingrgroupsrinrCanada.
DIF: CognitiverLevel:rKnowledge REF: 10 OBJ:
2r|r3rTOP: NursingrCertification
KEY:rNursingrProcessrStep:rN/A
7. Whichrofrtherfollowingrrequiresrself-
reflectionrandrdiscoveryrinrorderrtorprovidercarerthatrisrculturallyrappropriate?
a. Culturalrsafety
b. Culturalrawareness
c. Culturalrhumility
d. Culturalrcompetencer
ANS:r C