LEIFER'S INTRODUCTION TO MATERNITY & PEDIATRIC
NURSING IN CANADA, 1E
BY LISA KEENAN-LINDSAY RN MN PNC(C) LCCE (AUTHOR)
GLORIA LEIFER MA RN CNE (AUTHOR)
,
,Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada,
1st Edition
MULTIPLE CHOICE
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and
for her labour. 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
ANS: A
The RM provides comprehensive independent prenatal, labour, and postpartum care for up
to 6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs are
regulated health professions 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 NCU
anRaS
daI(N
PGHTAB
C.) COM
ANS: 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 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 labour and childbirth.”
c. “Tell me why you are afraid of childbirth.”
d. “Your condition will be monitored during labour and birth.”
ANS: C
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
ANS: 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 labour room and then a birthing room
d. A high-quality family experience for each patient
ANS: 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
NURSINGTB.COM
6. Which organization offers c ertification for nurses in specialty areas?
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: 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
ANS: C
NURSING IN CANADA, 1E
BY LISA KEENAN-LINDSAY RN MN PNC(C) LCCE (AUTHOR)
GLORIA LEIFER MA RN CNE (AUTHOR)
,
,Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada,
1st Edition
MULTIPLE CHOICE
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and
for her labour. 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
ANS: A
The RM provides comprehensive independent prenatal, labour, and postpartum care for up
to 6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs are
regulated health professions 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 NCU
anRaS
daI(N
PGHTAB
C.) COM
ANS: 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 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 labour and childbirth.”
c. “Tell me why you are afraid of childbirth.”
d. “Your condition will be monitored during labour and birth.”
ANS: C
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
ANS: 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 labour room and then a birthing room
d. A high-quality family experience for each patient
ANS: 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
NURSINGTB.COM
6. Which organization offers c ertification for nurses in specialty areas?
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: 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
ANS: C
