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Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada,
1s Edition
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MULTIPLE CHOICE
1. A patien chooses to have a registered midwife (RM) provide care during her pregnancy and for
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her labour. What does the RM’s scope of practice include?
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a. Independent comprehensive practice J J
b. Prenatal care only J J
c. Attendance at only low-risk births J J J J
d. Only present for home births J J J J
ANS: A J
The RM provides comprehensive independent prenatal, labour, and postpartum care for up to
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6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs are
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regulated health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension J J REF: 7 OBJ: 3 J
TOP: Collaborative Care J KEY: Nursing Process Step: N/A J J J J
2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
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a. World Health Organization (WHO) J J J
b. Breastfeeding Committee for Canada (BCC) J J J J
c. UNICEF
d. Public Health Agency ofNCUanRaS
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HTABC.
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ANS: B J
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10
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Steps and WHO Code Outcome Indicators for Hospitals and Community Health Services,
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which sets the international standards for the WHO/UNICEF global criteria within the
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Canadian context. J
DIF: Cognitive Level: Knowledge REF: 7 J J OBJ: 3 |9 J J J
TOP: The Past KEY: Nursing Process Step: N/A J J J J J
3. A pregnant woman who has recently immigrated Canada comments to a nurse, “I am afraid of
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childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response
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reflecting cultural safety? J J
a. “Maternal mortality in Canada is extremely low.” J J J J J J
b. “Anesthesia is available to relieve pain during labour and childbirth.” J J J J J J J J J
c. “Tell me why you are afraid of childbirth.”
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d. “Your condition will be monitored during labour and birth.”
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ANS: C J
Asking the patient about her concerns helps promote understanding and individualizes patient
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care.
DIF: Cognitive Level: Application J J REF: 11 OBJ: 7
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TOP: Culturally Safe Care J J 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 J J J J J J J J J
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 J
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension J J REF: 8 OBJ:
10 TOP: Statistics J KEY: Nursing Process Step: J J J J
Assessment
5. What is the focus of current perinatal care?
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a. Hospital births for the majority of women J J J J J J
b. The traditional family unit J J J
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 J
Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension J J REF: 7 | 8 OBJ: 2 |8 J J J J J
TOP: Perinatal Care J KEY: Nursing Process Step: N/A J J J J
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6. Whicheorrtgifaincaiztiaotinonfoor fnfuersecs in J J specialty areas? J
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A J
The Canadian Nurses Association offers certification exams for registered nurses in specialty
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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 J J REF: 10 OBJ: 2 |3 J J J
TOP: Nursing Certification J KEY: Nursing Process Step: N/A J J J J
7. Which of the following requires self-reflection and discovery in order to provide care that is
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culturally appropriate? J
a. Cultural safety J
b. Cultural awareness J
c. Cultural humility J
d. Culturalcompetence J J
ANS: C J
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Cultural humility is the precursor to providing culturally appropriate care. It is a process of
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self-reflection and discovery to understand one’s own assumptions, biases, and values and
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how one’s background and social environment have shaped one’s experience
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DIF: Cognitive Level: Knowledge J J REF: 4 OBJ: 1 | 7 J J J J
TOP: Cultural Humility J KEY: Nursing Process Step: Evaluation
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8. In 2015, the WHO developed the Sustainable Development Goals (SDGs). What issues do the
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new SDG’s include that the Millennium Development Goals (MDGs) did not include?
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a. Climate change and environmental protection J J J J
b. Combating HIV and malaria J J J
c. Eradicating poverty and hunger J J J
d. Achieving universal primary education J J J
ANS: A J
Climate change and environmental protection are new goals of the SDGs. All other options are
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part of the MDGs
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DIF: Cognitive Level: Knowledge J J REF: 13 OBJ: 16 J
TOP: Sustainable Development Goals J J KEY: Nursing Process Step: N/A J J J J
9. What guidelines define multidisciplinary patient care in terms of expected outcome and
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timeframe from different areas of care provision? J J J J J J
a. Clinical pathways J
b. Nursing outcome criteria J J
c. Standards of care J J
d. Nursing care plan NURSINGTB.COM J J
ANS: A J
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines
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that define patient care across disciplines. Expected progress within a specified timeline is
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identified.
DIF: Cognitive Level: Knowledge J J REF: 12 OBJ: 13 J
TOP: Health Care Delivery Systems J J J KEY: Nursing Process Step: N/A J J J J
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother,
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and collected admission data. What is the next step the student will take to develop a nursing
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care plan for this child?
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a. Identify measurable outcomes with a timeline. J J J J J
b. Choose specific nursing interventions for the child. J J J J J J
c. Determine appropriate nursing diagnoses. J J J
d. State nursing actions related to the child’s medical diagnosis.
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ANS: C J
The nurse uses assessment data to develop appropriate nursing diagnoses. Outcomes and
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interventions are then developed to address the relevant nursing diagnoses.
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DIF: Cognitive Level: Application J J REF: 11 OBJ:
10 TOP: J Nursing Process J
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KEY: Nursing Process Step: Nursing Diagnosis
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11. A nursing student on a maternal–newborn rotation questions the floor nurse about the
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definition of the practical nurse scope of practice. What resource can the nurse suggest to the
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student?
a. Canadian Nurses Association J J
b. Provincial regulatory board J J
c. Federal government J
d. Canadian Association of Perinatal & Women’s Health Nursing J J J J J J J
ANS: B J
The scope of practice of the practical nurse is determined by the provincial board of nursing.
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DIF: Cognitive Level: Comprehension J J REF: 3 OBJ: 2
TOP: Standards of Practice J J KEY: Nursing Process Step: Implementation
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12. Which social determinant of health (SDOH) is specifically related to Indigenous people’s
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health?
a. Colonization
b. Education
c. Social support networks J J
d. Employment and working conditions J J J
ANS: A J
All of the SDOH are important but the impact of colonization is related specifically to
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Indigenous people’s health. J J
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DIF: Cognitive Level: Knowledge J J REF: 3 OBJ: 6
TOP: Social Determinants of Health J J J KEY: Nursing Process Step: N/A
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13. How does the clinical pathway or critical pathway improve quality of care?
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a. Lists diagnosis-specific implementations
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b. Outlines expected progress with stated timelines J J J J J
c. Prioritizes effective nursing diagnoses J J J
d. Describes common complications J J
ANS: B J
Critical pathways outline expected progress with stated timelines. Any deviation from those
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timelines is called a variance. J J J J
DIF: Cognitive Level: Comprehension J J REF: 12 OBJ: 13
TOP: Critical Pathway J KEY: Nursing Process Step: Implementation
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14. How does electronic charting ensure comprehensive charting more effectively than
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handwritten charting? J
a. Provides a uniform style of chart J J J J J
b. Requires certain responses before allowing the user to progress
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c. All documentation is reflective of the nursing care plan
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d. Requires a daily audit by the charge nurse J J J J J J J J
ANS: B J
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