Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edit
MULTIPLE CHOICE
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and for her l
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 week
risk. Births may occur in hospital or at home. RMs are regulated health professions who have a 4-yea
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 Canada (PHAC)
ANS: B
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10 Steps an
Indicators for Hospitals and Community Health Services, which sets the international standards for th
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 childb
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 p
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
, 6. Which organization offers certification 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 in
community, neonatal, and pediatric intensive care. CAPWHN, CANN, and CAPN are specialty orga
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 culturall
a. Cultural safety
b. Cultural awareness
c. Cultural humility
d. Cultural competence
ANS: C
Cultural humility is the precursor to providing culturally appropriate care. It is a process of self-reflec
understand one’s own assumptions, biases, and values and how one’s background and social environ
experience
DIF: Cognitive Level: Knowledge REF: 4 OBJ: 1 | 7
TOP: Cultural Humility KEY: Nursing Process Step: Evaluation
8. In 2015, the WHO developed the Sustainable Development Goals (SDGs). What issues do the new S
Millennium Development Goals (MDGs) did not include?
a. Climate change and environmental protection
b. Combating HIV and malaria
c. Eradicating poverty and hunger
d. Achieving universal primary education
ANS: A
Climate change and environmental protection are new goals of the SDGs. All other options are part o
DIF: Cognitive Level: Knowledge REF: 13 OBJ: 16
TOP: Sustainable Development Goals KEY: Nursing Process Step: N/A
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe fr
provision?
a. Clinical pathways
b. Nursing outcome criteria
c. Standards of care
d. Nursing care plan
ANS: A
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that de
disciplines. Expected progress within a specified timeline is identified.
DIF: Cognitive Level: Knowledge REF: 12 OBJ: 13
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and co
is the next step the student will take to develop a nursing care plan for this child?
a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edit
MULTIPLE CHOICE
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and for her l
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 week
risk. Births may occur in hospital or at home. RMs are regulated health professions who have a 4-yea
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 Canada (PHAC)
ANS: B
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10 Steps an
Indicators for Hospitals and Community Health Services, which sets the international standards for th
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 childb
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 p
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
, 6. Which organization offers certification 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 in
community, neonatal, and pediatric intensive care. CAPWHN, CANN, and CAPN are specialty orga
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 culturall
a. Cultural safety
b. Cultural awareness
c. Cultural humility
d. Cultural competence
ANS: C
Cultural humility is the precursor to providing culturally appropriate care. It is a process of self-reflec
understand one’s own assumptions, biases, and values and how one’s background and social environ
experience
DIF: Cognitive Level: Knowledge REF: 4 OBJ: 1 | 7
TOP: Cultural Humility KEY: Nursing Process Step: Evaluation
8. In 2015, the WHO developed the Sustainable Development Goals (SDGs). What issues do the new S
Millennium Development Goals (MDGs) did not include?
a. Climate change and environmental protection
b. Combating HIV and malaria
c. Eradicating poverty and hunger
d. Achieving universal primary education
ANS: A
Climate change and environmental protection are new goals of the SDGs. All other options are part o
DIF: Cognitive Level: Knowledge REF: 13 OBJ: 16
TOP: Sustainable Development Goals KEY: Nursing Process Step: N/A
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe fr
provision?
a. Clinical pathways
b. Nursing outcome criteria
c. Standards of care
d. Nursing care plan
ANS: A
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that de
disciplines. Expected progress within a specified timeline is identified.
DIF: Cognitive Level: Knowledge REF: 12 OBJ: 13
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and co
is the next step the student will take to develop a nursing care plan for this child?
a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
