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