CANADAn1ST
EDITIONnBYnLEIFER
Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
n n n n n n n n n
Keenan-
Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing inCanada, 1st E
n n n n n n n n n n n
dition
MULTIPLEnCHOICE
1. Anpatientnchoosesntonhavenanregisterednmidwifen(RM)nprovidencarenduringnhernpregnancynandnfornh
ernlabour.nWhatndoesnthenRM’snscopenofnpracticeninclude?na.nIndependentncomprehensivenpractice
b. Prenatalncarenonly
c. Attendancenatnonlynlow-risknbirths
d. Onlynpresentnfornhomenbirths
ANS:nA
ThenRMnprovidesncomprehensivenindependentnprenatal,nlabour,nandnpostpartumncarenfornupnt
on6nweeks,nfornwomennwhonarenlownrisk.nBirthsnmaynoccurninnhospitalnornatnhome.nRMsnarenre
gulatednhealthnprofessionsnwhonhavenan4-yearnuniversityndegree.
DIF:nnnCognitivenLevel:nComprehension REF:n7
OBJ:n3nTOP:nCollaborativenCare
KEY:nNursingnProcessnStep:nN/A
2. WhichnorganizationnisnresponsiblenfornthenBabynFriendlynInitiativen(BFI)ninnCanada?
a. WorldnHealthnOrganizationn(WHO)
b. BreastfeedingnCommitteenfornCanadan(BCC)
c. UNICEF
d. PublicnHealthnAgencynofnCanadan(PHAC) MNURSINGTB.nCO
ANS:nB
ThenBCCnisnresponsiblenfornBFIndesignationninnCanada.nThenBCCnhasndevelopednthenBFIn10nS
tepsnandnWHOnCodenOutcomenIndicatorsnfornHospitalsnandnCommunitynHealthnServices,nwh
ichnsetsntheninternationalnstandardsnfornthenWHO/UNICEFnglobalncriterianwithinnthenCanadia
nncontext.
DIF:nnnCognitivenLevel:nKnowledgen REF:n7
OBJ:n3n|n9nTOP:nThenPast
KEY:nNursingnProcessnStep:nN/A
3. AnpregnantnwomannwhonhasnrecentlynimmigratednCanadancommentsntonannurse,n“Inamnafraidnofnc
hildbirth.nItnisnsondangerous.nInamnafraidnInwillndie.”nWhatnisnthenbestnnursingnresponsenreflectingn
culturalnsafety?
a. “MaternalnmortalityninnCanadanisnextremelynlow.”
b. “Anesthesianisnavailablentonrelievenpainnduringnlabournandnchildbirth.”nc
.n “Tellnmenwhynyounarenafraidnofnchildbirth.”
d.n “Yournconditionnwillnbenmonitorednduringnlabournandnbirth.”
NURSINGTB.COM
,TESTnBANKnFORn LEIFER'SnINTRODUCTIONn TOnMATERNITYnANDn PEDIATRICnNURSINGnIN
CANADAn1ST
EDITIONnBYnLEIFER
ANS:nC
Askingnthenpatientnaboutnhernconcernsnhelpsnpromotenunderstandingnandnindividualizesnp
atientncare.
DIF:nnnCognitivenLevel:nApplicationn REF:n11 OBJ:n7
TOP:nCulturallynSafenCare KEY:nNursingnProcessnStep:nImplementation
4. Annurbannareanhasnbeennreportedntonhavenanhighnperinatalnmortalitynrate.nWhatninformationndoesnt
hisnprovide?
a. Maternalnandninfantndeathsnpern100,000nlivenbirthsnpern year
b. Deathsnofnfetusesnweighingnmorenthann500ngnpern10,000nbirthsnpern year
c. Deathsnofninfantsnupnton1nyearnofnagenpern1000nlivenbirthsnpernyearnd
.n Fetalnandnneonatalndeathsnpern1000nlivenbirthsnpernyear
ANS:nD
Thenperinatalnmortalitynratenincludesnfetalnandnneonatalndeathsnpern1000nlivenbirthsnpern year.
DIF:nnnCognitivenLevel:nComprehension REF:n8
OBJ:n10nTOP:nStatistics
KEY:nNursingnProcessnStep:nAssessment
5. Whatnisnthenfocusnofncurrentnperinatalncare?
a. Hospitalnbirthsnfornthenmajoritynofnwomen
b. Thentraditionalnfamilynunit
c. Careninnanlabournroomnandnthennanbirthingnroomnd.
n Anhigh-qualitynfamilynexperiencenforneachnpatient
ANS:nD
Currentnmaternitynpracticenfocusesnonnanhigh-qualitynfamilynexperiencenfornallnfamilies.
DIF:nnnCognitivenLevel:nComprehension REF:n7n|n8
OBJ:n2n|n8nTOP:nPerinatalnCare
KEY:nNursingnProcessnStep:nN/A
MNURSINGTB.CO
6. Whichnorganizationnoffersncertificationnfornnursesninnspecialtynareas?
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS:nA
ThenCanadiannNursesnAssociationnoffersncertificationnexamsnfornregisterednnursesninnspeci
altynareasnincludingnperinatal,ncommunity,nneonatal,nandnpediatricnintensivencare.nCAPW
HN,nCANN,nandnCAPNnarenspecialtynorganizationsnfornnursingngroupsninnCanada.
DIF:nnnCognitivenLevel:nKnowledgen REF:n10
OBJ:n2n|n3n
TOP:nNursingnCertificationn KEY:nNursingnProcessnStep:nN/A
NURSINGTB.COM
,TESTnBANKnFORn LEIFER'SnINTRODUCTIONn TOnMATERNITYnANDn PEDIATRICnNURSINGnIN
CANADAn1ST
EDITIONnBYnLEIFER
7. Whichnofnthenfollowingnrequiresnself-
reflectionnandndiscoveryninnorderntonprovidencarenthatnisnculturallynappropriate?na.nCulturalnsafe
ty
b.n Culturalnawarenessnc.
n Culturalnhumility
d.n Culturalncompetence
ANS:nC
Culturalnhumilitynisnthenprecursorntonprovidingnculturallynappropriatencare.nItnisnanprocessnofns
elf-
reflectionnandndiscoveryntonunderstandnone’snownnassumptions,nbiases,nandnvaluesnandnhowno
ne’snbackgroundnandnsocialnenvironmentnhavenshapednone’snexperience
DIF:nnnCognitivenLevel:nKnowledgen REF:n4 OBJ:n1n|n7
TOP:nCulturalnHumility KEY:nNursingnProcessnStep:nEvaluation
8. Inn2015,nthenWHOndevelopednthenSustainablenDevelopmentnGoalsn(SDGs).nWhatnissuesndonthenn
ewnSDG’snincludenthatnthenMillenniumnDevelopmentnGoalsn(MDGs)ndidnnotninclude?na.
Climatenchangenandnenvironmentalnprotection
b. CombatingnHIVnandnmalaria
c. Eradicatingnpovertynandnhunger
d. Achievingnuniversalnprimaryneducation
ANS:nA
ClimatenchangenandnenvironmentalnprotectionnarennewngoalsnofnthenSDGs.nAllnothernoptionsna
renpartnofnthenMDGs
DIF:nnnCognitivenLevel:nKnowledgen REF:n13 OBJ:n16
TOP:nSustainablenDevelopmentnGoals KEY:nNursingnProcessnStep:nN/A
9. Whatnguidelinesndefinenmultidisciplinarynpatientncareninntermsnofnexpectednoutcomenandnt
imeframenfromndifferentnareasnofncarenprovision?na.nClinicalnpathways
b. Nursingnoutcomencriteria
c. Standardsnofncare
d. Nursingncarenplan MNURSINGTB.CO
ANS:nA
Clinicalnpathways,nalsonknownnasncriticalnpathwaysnorncarenmaps,narencollaborativenguidelin
esnthatndefinenpatientncarenacrossndisciplines.nExpectednprogressnwithinnanspecifiedntimelineni
snidentified.
DIF:nnnCognitivenLevel:nKnowledgen REF:n12 OBJ:n13
TOP:nHealthnCarenDeliverynSystems KEY:nNursingnProcessnStep:nN/A
10. Annursingnstudentnhasnreviewednanhospitalizednpediatricnpatientnchart,ninterviewednhernmother,na
ndncollectednadmissionndata.nWhatnisnthennextnstepnthenstudentnwillntakentondevelopnannursingnca
renplannfornthisnchild?
NURSINGTB.COM
, TESTnBANKnFORn LEIFER'SnINTRODUCTIONn TOnMATERNITYnANDn PEDIATRICnNURSINGnIN
CANADAn1ST
EDITIONnBYnLEIFER
a. Identifynmeasurablenoutcomesnwithnantimeline.
b. Choosenspecificnnursingninterventionsnfornthenchild.n
c.n Determinenappropriatennursingndiagnoses.
d.n Statennursingnactionsnrelatedntonthenchild’snmedicalndiagnosis.
ANS:nC
Thennursenusesnassessmentndatantondevelopnappropriatennursingndiagnoses.nOutcomesnandni
nterventionsnarenthenndevelopedntonaddressnthenrelevantnnursingndiagnoses.
DIF:nnnCognitivenLevel:nApplicationn REF:n11
OBJ:n10n
TOP:nNursingnProcess
KEY:nNursingnProcessnStep:nNursingnDiagnosis
11. Annursingnstudentnonnanmaternal–
newbornnrotationnquestionsnthenfloornnursenaboutnthendefinitionnofnthenpracticalnnursenscopenofnpra
ctice.nWhatnresourcencannthennursensuggestntonthenstudent?
a.nCanadiannNursesnAssociationnb.
nnProvincialnregulatorynboard
c. Federalngovernment
d. CanadiannAssociationnofnPerinataln&nWomen’snHealthnNursing
ANS:nB
Thenscopenofnpracticenofnthenpracticalnnursenisndeterminednbynthenprovincialnboardnofnnursing.
DIF:nnnCognitivenLevel:nComprehension REF:n3 OBJ:n2
TOP:nStandardsnofnPracticen KEY:nNursingnProcessnStep:nImplementation
12. Whichnsocialndeterminantnofnhealthn(SDOH)nisnspecificallynrelatedntonIndigenousnpeople’snh
ealth?
a. Colonization
b. Education
c. Socialnsupportnnetworks
d. Employmentnandnworkingnconditions
ANS:nA
AllnofnthenSDOHnarenimportantnbutnthenimpactnofncolonizationnisnrelatednspecificallyntonI
ndigenousnpeople’snhealth.
n MNURSINGTB.CO
DIF:nnnCognitivenLevel:nKnowledgen REF:n3 OBJ:n6
TOP:nSocialnDeterminantsnofnHealth KEY:nNursingnProcessnStep:nN/A
13. Howndoesnthenclinicalnpathwaynorncriticalnpathwaynimprovenqualitynofncare?
a. Listsndiagnosis-specificnimplementations
b. Outlinesnexpectednprogressnwithnstatedntimelines
c. Prioritizesneffectivennursingndiagnoses
d. Describesncommonncomplications
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