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CANADA 1ST
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EDITION BY LEIFER p0q3 p0q3
Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
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NURSINGTB.COM
,TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN
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CANADA 1ST
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EDITION BY LEIFER p0q3 p0q3
Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3
Canada, 1st Edition
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MULTIPLE CHOICE p0q3
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? a. Independent
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comprehensive practice
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b. Prenatal care only p0q3 p0q3
c. Attendance at only low-risk births p0q3 p0q3 p0q3 p0q3
d. Only present for home births p0q3 p0q3 p0q3 p0q3
ANS: A p0q3
The RM provides comprehensive independent prenatal, labour, and postpartum care for
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up to 6 weeks, for women who are low risk. Births may occur in hospital or at home.
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RMs are regulated health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension REF: 7
p 0 q OBJ: 3
3 p0q3 p0q3 p0q3 p0q3
TOP: Collaborative Care
p0q3 KEY: Nursing Process Step: N/A
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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) p0q3 p0q3 p0q3
b. Breastfeeding Committee for Canada (BCC) p0q3 p0q3 p0q3 p0q3
c. UNICEF
d. Public Health Agency of Canada (PHAC) MNURSINGTB.CO p0q3 p0q3 p0q3 p0q3 p0q3 3
q
0
p
ANS: B p0q3
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI
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10 Steps and WHO Code Outcome Indicators for Hospitals and Community Health
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Services, which sets the international standards for the WHO/UNICEF global criteria
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within the Canadian context.
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DIF: Cognitive Level: Knowledge REF: 7 OBJ: 3 | 9
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TOP: The Past
p0q3 KEY: Nursing Process Step: N/A
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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
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response reflecting cultural safety?
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a. “Maternal mortality in Canada is extremely low.” p0q3 p0q3 p0q3 p0q3 p0q3 p0q3
b. “Anesthesia is available to relieve pain during labour and childbirth.” p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3
c. “Tell me why you are afraid of childbirth.” p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3
d. “Your condition will be monitored during labour and birth.” p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3
NURSINGTB.COM
,TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN
p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3
CANADA 1ST
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EDITION BY LEIFER p0q3 p0q3
ANS: C p0q3
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 REF: 11 OBJ: 7
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TOP: Culturally Safe Care 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?
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a. Maternal and infant deaths per 100,000 live births per year p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3
c. Deaths of infants up to 1 year of age per 1000 live births per year p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3
d. Fetal and neonatal deaths per 1000 live births per year p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3
ANS: D p0q3
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per
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year.
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DIF: Cognitive Level: Comprehension REF: 8
p 0 OBJ: 10
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TOP: Statistics
p0q3 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 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3
b. The traditional family unit p0q3 p0q3 p0q3
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 p0q3
Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension REF: 7 | 8
p 0 OBJ: 2 | 8
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TOP: Perinatal Care
p0q3 KEY: Nursing Process Step: N/A
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MNURSINGTB.CO
6. Which organization offers certification for nurses in specialty areas?
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a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A p0q3
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 REF: 10 OBJ: 2 | 3
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TOP: Nursing Certification
p0q3 KEY: Nursing Process Step:
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N/A
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NURSINGTB.COM
, TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN
p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3 p0q3
CANADA 1ST
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EDITION BY LEIFER p0q3 p0q3
7. Which of the following requires self-reflection and discovery in order to provide care that
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is culturally appropriate? a. Cultural safety
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b. Cultural awareness p0q3
c. Cultural humility p0q3
d. Cultural competence p0q3
ANS: C p0q3
Cultural humility is the precursor to providing culturally appropriate care. It is a process
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of self-reflection and discovery to understand one’s own assumptions, biases, and
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values and how one’s background and social environment have shaped one’s
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experience
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DIF: Cognitive Level: Knowledge REF: 4 OBJ: 1 | 7
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TOP: Cultural Humility KEY: Nursing Process Step: Evaluation
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8. In 2015, the WHO developed the Sustainable Development Goals (SDGs). What issues do
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the new SDG’s include that the Millennium Development Goals (MDGs) did not
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include? a.
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Climate change and environmental protection p0q3 p0q3 p0q3 p0q3
b. Combating HIV and malaria p0q3 p0q3 p0q3
c. Eradicating poverty and hunger p0q3 p0q3 p0q3
d. Achieving universal primary education p0q3 p0q3 p0q3
ANS: A p0q3
Climate change and environmental protection are new goals of the SDGs. All other options
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are part of the MDGs
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DIF: Cognitive Level: Knowledge
p 0 q 3 p 0 q 3 p0q3 p0q3 p 0 q 3 REF: 13 OBJ: 16 p0q3 p0q3
TOP: Sustainable Development Goals p0q3 p0q3 p0q3 KEY: Nursing Process Step: N/A p0q3 p0q3 p0q3 p0q3
9. What guidelines define multidisciplinary patient care in terms of expected outcome
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and timeframe from different areas of care provision? a. Clinical pathways
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b. Nursing outcome criteria p0q3 p0q3
c. Standards of care p0q3 p0q3
d. Nursing care plan MNURSINGTB.CO p0q3 p0q3
ANS: A p0q3
Clinical pathways, also known as critical pathways or care maps, are collaborative
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guidelines that define patient care across disciplines. Expected progress within a
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specified timeline is identified.
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DIF: Cognitive Level: Knowledge
p 0 q 3 p 0 q 3 p0q3 p0q3 p 0 q 3 REF: 12 OBJ: 13 p0q3 p0q3
TOP: Health Care Delivery Systems p0q3 p0q3 p0q3 p0q3 KEY: Nursing Process Step: N/A p0q3 p0q3 p0q3 p0q3
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her
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mother, and collected admission data. What is the next step the student will take to
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develop a nursing care plan for this child?
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NURSINGTB.COM