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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, 2nd Edit
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ion


MULTIPLE CHOICE ka




1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and f
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or her labour. What does the RM’s scope of practice include?
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a. Independent comprehensive practice ka ka



b. Prenatal care only ka ka



c. Attendance at only low-risk births ka ka ka ka



d. Only present for home births ka ka ka ka




ANS: A k a



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 r
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egulated health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension ka ka REF: 7 OBJ:
3 TOP:ka Collaborative Care ka



KEY: Nursing Process Step: N/A ka ka ka ka




2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
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a. World Health Organization (WHO) ka ka ka



b. Breastfeeding Committee for Canada (BCC) ka ka ka ka



c. UNICEF
d. Public Health Agency ofNCUanRaS
daI(N
PGHT
ABC.
) COM ka ka ka ka ka




ANS: B k a



The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10 S
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teps and WHO Code Outcome Indicators for Hospitals and Community Health Services, wh
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ich sets the international standards for the WHO/UNICEF global criteria within the Canadia
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n context.
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DIF: Cognitive Level: Knowledge ka ka REF: 7 OBJ:
3 | 9 TOP:
ka ka The Past ka ka KEY: Nursing Process Step: N/A ka ka ka ka




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 re
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flecting cultural safety? ka ka



a. “Maternal mortality in Canada is extremely low.” ka ka ka ka ka ka



b. “Anesthesia is available to relieve pain during labour and childbirth.” ka ka ka ka ka ka ka ka ka



c. “Tell me why you are afraid of childbirth.” ka ka ka ka ka ka ka



d. “Your condition will be monitored during labour and birth.”
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ANS: C k a



Asking the patient about her concerns helps promote understanding and individualizes patien
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t care.
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DIF: Cognitive Level: Application ka ka REF: 11 OBJ: 7

, TOP: Culturally Safe Care ka ka KEY: Nursing Process Step: Implementation
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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? ka ka



a. Maternal and infant deaths per 100,000 live births per year ka ka ka ka ka ka ka ka ka



b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
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c. Deaths of infants up to 1 year of age per 1000 live births per year
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d. Fetal and neonatal deaths per 1000 live births per year
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ANS: D k a



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 ka ka OBJ:
10 TOP: Statistics
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KEY: Nursing Process Step: Assessment
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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 ka ka ka ka ka ka



b. The traditional family unit ka ka ka



c. Care in a labour room and then a birthing room
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d. A high-quality family experience for each patient
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ANS: D k a



Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension REF: 7 | 8 ka ka ka ka OBJ:
2 | 8 TOP:
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KEY: Nursing Process Step: N/A k a k a ka ka ka




NURSINGTB.COM 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
ANS: A k a



The Canadian Nurses Association offers certification exams for registered nurses in specialt
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y areas including perinatal, community, neonatal, and pediatric intensive care. CAPWHN,
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CANN, and CAPN are specialty organizations for nursing groups in Canada.
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DIF: Cognitive Level: Knowledge ka ka REF: 10 OBJ:
2 | 3 TOP:
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KEY: Nursing Process Step: N/A ka ka ka ka




7. Which of the following requires self-
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reflection and discovery in order to provide care that is culturally appropriate?
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a. Cultural safety ka



b. Cultural awareness ka



c. Cultural humility ka



d. Cultural competence ka k




aANS: C k a