Anton Sol
TEST BANK
Leifer's Introduction to Maternity & Pediatric Nursing in Canada, 1st Edition
by Lisa Keenan-Lindsay and Gloria Leifer.
Chapter 1-33 Exam Guide | Verified and Updated for 2025
,Anton Sol
Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
MULTIPLE CHOICE
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and for her labor.
What does the RM’s scope of practice include?
a. Independent comprehensive practice
b. Prenatal care only
c. Attendance at only low-risk births
d. Only present for home births
@ANSWER: A
The RM provides comprehensive independent prenatal, labor, and postpartum care for up to 6 weeks, for women
who are low-risk. Births may occur in the hospital or at home. RMs are regulated health professionals who have a 4-
year university degree.
DIF: Cognitive Level: Comprehension REF: 7 OBJ: 3 TOP: Collaborative Care KEY: Nursing Process
Step: N/A
2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
a. World Health Organization (WHO)
b. Breastfeeding Committee for Canada (BCC)
c. UNICEF
d. Public Health Agency of Canada (PHAC)
@ANSWER: B
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10 Steps and WHO Code
Outcome Indicators for Hospitals and Community Health Services, which sets the international standards for the
WHO/UNICEF global criteria within the Canadian context.
DIF: Cognitive Level: Knowledge REF: 7 OBJ: 3 | 9 TOP: The Past KEY: Nursing Process Step: N/A
3. A pregnant woman who has recently immigrated to Canada comments to a nurse, “I am afraid of childbirth.
It is so dangerous. I am afraid I will die.” What is the best nursing response reflecting cultural safety?
a. “Maternal mortality in Canada is extremely low.”
b. “Anesthesia is available to relieve pain during labor and childbirth.”
c. “Tell me why you are afraid of childbirth.”
d. “Your condition will be monitored during labor and birth.”
@ANSWER: C
,Anton Sol
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: 11 OBJ: 7
TOP: Culturally Safe Care KEY: Nursing Process Step: Implementation
4. An urban area has been reported to have a high perinatal mortality rate. What information does this
provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 live births per year
d. Fetal and neonatal deaths per 1000 live births per year
@ANSWER: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: 8 OBJ: 10 TOP: Statistics KEY: Nursing Process Step:
Assessment
5. What is the focus of current perinatal care?
a. Hospital births for the majority of women
b. The traditional family unit
c. Care in a labor room and then a birthing room
d. A high-quality family experience for each patient
@ANSWER: D
Current maternity practice focuses on a high-quality family experience for all families.
DIF: Cognitive Level: Comprehension REF: 7 | 8 OBJ: 2 | 8 TOP: Perinatal Care KEY: Nursing
Process Step: N/A
6. Which organization offers certification for nurses in specialty areas?
a. CNA
b. CAPWHN
c. CANN
d. CAPN
, Anton Sol
@ANSWER: A
The Canadian Nurses Association offers certification exams for registered nurses in specialty areas including
perinatal, community, neonatal, and pediatric intensive care. CAPWHN, CANN, and CAPN are specialty
organizations for nursing groups in Canada.
DIF: Cognitive Level: Knowledge REF: 10 OBJ: 2 | 3 TOP: Nursing Certification KEY: Nursing Process Step: N/A
7. Which of the following requires self-reflection and discovery in order to provide care that is culturally
appropriate? a. Cultural safety
b. Cultural awareness
c. Cultural humility
d. Cultural competence
@ANSWER: C
Cultural humility is the precursor to providing culturally appropriate care. It is a process of self-reflection and
discovery to understand one’s own assumptions, biases, and values and how one’s background and social
environment have shaped one’s experience
DIF: Cognitive Level: Knowledge REF: 4 OBJ: 1 | 7
TOP: Cultural Humility KEY: Nursing Process Step: Evaluation
8. In 2015, the WHO developed the Sustainable Development Goals (SDGs). What issues do the new SDG’s
include that the Millennium Development Goals (MDGs) did not include? a.
Climate change and environmental protection
b. Combating HIV and malaria
c. Eradicating poverty and hunger
d. Achieving universal primary education
@ANSWER: A
Climate change and environmental protection are new goals of the SDGs. All other options are part of the MDGs
DIF: Cognitive Level: Knowledge REF: 13 OBJ: 16
TOP: Sustainable Development Goals KEY: Nursing Process Step: N/A
TEST BANK
Leifer's Introduction to Maternity & Pediatric Nursing in Canada, 1st Edition
by Lisa Keenan-Lindsay and Gloria Leifer.
Chapter 1-33 Exam Guide | Verified and Updated for 2025
,Anton Sol
Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
MULTIPLE CHOICE
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and for her labor.
What does the RM’s scope of practice include?
a. Independent comprehensive practice
b. Prenatal care only
c. Attendance at only low-risk births
d. Only present for home births
@ANSWER: A
The RM provides comprehensive independent prenatal, labor, and postpartum care for up to 6 weeks, for women
who are low-risk. Births may occur in the hospital or at home. RMs are regulated health professionals who have a 4-
year university degree.
DIF: Cognitive Level: Comprehension REF: 7 OBJ: 3 TOP: Collaborative Care KEY: Nursing Process
Step: N/A
2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
a. World Health Organization (WHO)
b. Breastfeeding Committee for Canada (BCC)
c. UNICEF
d. Public Health Agency of Canada (PHAC)
@ANSWER: B
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10 Steps and WHO Code
Outcome Indicators for Hospitals and Community Health Services, which sets the international standards for the
WHO/UNICEF global criteria within the Canadian context.
DIF: Cognitive Level: Knowledge REF: 7 OBJ: 3 | 9 TOP: The Past KEY: Nursing Process Step: N/A
3. A pregnant woman who has recently immigrated to Canada comments to a nurse, “I am afraid of childbirth.
It is so dangerous. I am afraid I will die.” What is the best nursing response reflecting cultural safety?
a. “Maternal mortality in Canada is extremely low.”
b. “Anesthesia is available to relieve pain during labor and childbirth.”
c. “Tell me why you are afraid of childbirth.”
d. “Your condition will be monitored during labor and birth.”
@ANSWER: C
,Anton Sol
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: 11 OBJ: 7
TOP: Culturally Safe Care KEY: Nursing Process Step: Implementation
4. An urban area has been reported to have a high perinatal mortality rate. What information does this
provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 live births per year
d. Fetal and neonatal deaths per 1000 live births per year
@ANSWER: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: 8 OBJ: 10 TOP: Statistics KEY: Nursing Process Step:
Assessment
5. What is the focus of current perinatal care?
a. Hospital births for the majority of women
b. The traditional family unit
c. Care in a labor room and then a birthing room
d. A high-quality family experience for each patient
@ANSWER: D
Current maternity practice focuses on a high-quality family experience for all families.
DIF: Cognitive Level: Comprehension REF: 7 | 8 OBJ: 2 | 8 TOP: Perinatal Care KEY: Nursing
Process Step: N/A
6. Which organization offers certification for nurses in specialty areas?
a. CNA
b. CAPWHN
c. CANN
d. CAPN
, Anton Sol
@ANSWER: A
The Canadian Nurses Association offers certification exams for registered nurses in specialty areas including
perinatal, community, neonatal, and pediatric intensive care. CAPWHN, CANN, and CAPN are specialty
organizations for nursing groups in Canada.
DIF: Cognitive Level: Knowledge REF: 10 OBJ: 2 | 3 TOP: Nursing Certification KEY: Nursing Process Step: N/A
7. Which of the following requires self-reflection and discovery in order to provide care that is culturally
appropriate? a. Cultural safety
b. Cultural awareness
c. Cultural humility
d. Cultural competence
@ANSWER: C
Cultural humility is the precursor to providing culturally appropriate care. It is a process of self-reflection and
discovery to understand one’s own assumptions, biases, and values and how one’s background and social
environment have shaped one’s experience
DIF: Cognitive Level: Knowledge REF: 4 OBJ: 1 | 7
TOP: Cultural Humility KEY: Nursing Process Step: Evaluation
8. In 2015, the WHO developed the Sustainable Development Goals (SDGs). What issues do the new SDG’s
include that the Millennium Development Goals (MDGs) did not include? a.
Climate change and environmental protection
b. Combating HIV and malaria
c. Eradicating poverty and hunger
d. Achieving universal primary education
@ANSWER: A
Climate change and environmental protection are new goals of the SDGs. All other options are part of the MDGs
DIF: Cognitive Level: Knowledge REF: 13 OBJ: 16
TOP: Sustainable Development Goals KEY: Nursing Process Step: N/A
