CANADAh1ST
EDITIONhBYhLEIFER
Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
h h h h h h h h h
Keenan-
Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing inCanada, 1st E
h h h h h h h h h h h
dition
MULTIPLEhCHOICE
1. Ahpatienthchooseshtohhavehahregisteredhmidwifeh(RM)hprovidehcarehduringhherhpregnancyhandhforhh
erhlabour.hWhathdoeshthehRM’shscopehofhpracticehinclude?ha.hIndependenthcomprehensivehpractice
b. Prenatalhcarehonly
c. Attendancehathonlyhlow-riskhbirths
d. Onlyhpresenthforhhomehbirths
ANS:hA
ThehRMhprovideshcomprehensivehindependenthprenatal,hlabour,handhpostpartumhcarehforhupht
oh6hweeks,hforhwomenhwhoharehlowhrisk.hBirthshmayhoccurhinhhospitalhorhathhome.hRMsharehre
gulatedhhealthhprofessionshwhohhavehah4-yearhuniversityhdegree.
DIF:hhhCognitivehLevel:hComprehension REF:h7
OBJ:h3hTOP:hCollaborativehCare
KEY:hNursinghProcesshStep:hN/A
2. WhichhorganizationhishresponsiblehforhthehBabyhFriendlyhInitiativeh(BFI)hinhCanada?
a. WorldhHealthhOrganizationh(WHO)
b. BreastfeedinghCommitteehforhCanadah(BCC)
c. UNICEF
d. PublichHealthhAgencyhofhCanadah(PHAC) MNURSINGTB.hCO
ANS:hB
ThehBCChishresponsiblehforhBFIhdesignationhinhCanada.hThehBCChhashdevelopedhthehBFIh10hS
tepshandhWHOhCodehOutcomehIndicatorshforhHospitalshandhCommunityhHealthhServices,hwh
ichhsetshthehinternationalhstandardshforhthehWHO/UNICEFhglobalhcriteriahwithinhthehCanadia
nhcontext.
DIF:hhhCognitivehLevel:hKnowledgeh REF:h7
OBJ:h3h|h9hTOP:hThehPast
KEY:hNursinghProcesshStep:hN/A
3. AhpregnanthwomanhwhohhashrecentlyhimmigratedhCanadahcommentshtohahnurse,h“Ihamhafraidhofhc
hildbirth.hIthishsohdangerous.hIhamhafraidhIhwillhdie.”hWhathishthehbesthnursinghresponsehreflectingh
culturalhsafety?
a. “MaternalhmortalityhinhCanadahishextremelyhlow.”
b. “Anesthesiahishavailablehtohrelievehpainhduringhlabourhandhchildbirth.”hc
.h “Tellhmehwhyhyouharehafraidhofhchildbirth.”
d.h “Yourhconditionhwillhbehmonitoredhduringhlabourhandhbirth.”
NURSINGTB.COM
,TESThBANKhFORh LEIFER'ShINTRODUCTIONh TOhMATERNITYhANDh PEDIATRIChNURSINGhIN
CANADAh1ST
EDITIONhBYhLEIFER
ANS:hC
Askinghthehpatienthabouthherhconcernshhelpshpromotehunderstandinghandhindividualizeshp
atienthcare.
DIF:hhhCognitivehLevel:hApplicationh REF:h11 OBJ:h7
TOP:hCulturallyhSafehCare KEY:hNursinghProcesshStep:hImplementation
4. Anhurbanhareahhashbeenhreportedhtohhavehahhighhperinatalhmortalityhrate.hWhathinformationhdoesht
hishprovide?
a. Maternalhandhinfanthdeathshperh100,000hlivehbirthshperh year
b. Deathshofhfetuseshweighinghmorehthanh500hghperh10,000hbirthshperh year
c. Deathshofhinfantshuphtoh1hyearhofhagehperh1000hlivehbirthshperhyearhd
.h Fetalhandhneonatalhdeathshperh1000hlivehbirthshperhyear
ANS:hD
Thehperinatalhmortalityhratehincludeshfetalhandhneonatalhdeathshperh1000hlivehbirthshperh year.
DIF:hhhCognitivehLevel:hComprehension REF:h8
OBJ:h10hTOP:hStatistics
KEY:hNursinghProcesshStep:hAssessment
5. Whathishthehfocushofhcurrenthperinatalhcare?
a. Hospitalhbirthshforhthehmajorityhofhwomen
b. Thehtraditionalhfamilyhunit
c. Carehinhahlabourhroomhandhthenhahbirthinghroomhd.
h Ahhigh-qualityhfamilyhexperiencehforheachhpatient
ANS:hD
Currenthmaternityhpracticehfocuseshonhahhigh-qualityhfamilyhexperiencehforhallhfamilies.
DIF:hhhCognitivehLevel:hComprehension REF:h7h|h8
OBJ:h2h|h8hTOP:hPerinatalhCare
KEY:hNursinghProcesshStep:hN/A
MNURSINGTB.CO
6. Whichhorganizationhoffershcertificationhforhnurseshinhspecialtyhareas?
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS:hA
ThehCanadianhNurseshAssociationhoffershcertificationhexamshforhregisteredhnurseshinhspeci
altyhareashincludinghperinatal,hcommunity,hneonatal,handhpediatrichintensivehcare.hCAPW
HN,hCANN,handhCAPNharehspecialtyhorganizationshforhnursinghgroupshinhCanada.
DIF:hhhCognitivehLevel:hKnowledgeh REF:h10
OBJ:h2h|h3h
TOP:hNursinghCertificationh KEY:hNursinghProcesshStep:hN/A
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,TESThBANKhFORh LEIFER'ShINTRODUCTIONh TOhMATERNITYhANDh PEDIATRIChNURSINGhIN
CANADAh1ST
EDITIONhBYhLEIFER
7. Whichhofhthehfollowinghrequireshself-
reflectionhandhdiscoveryhinhorderhtohprovidehcarehthathishculturallyhappropriate?ha.hCulturalhsafe
ty
b.h Culturalhawarenesshc.
h Culturalhhumility
d.h Culturalhcompetence
ANS:hC
Culturalhhumilityhishthehprecursorhtohprovidinghculturallyhappropriatehcare.hIthishahprocesshofhs
elf-
reflectionhandhdiscoveryhtohunderstandhone’shownhassumptions,hbiases,handhvalueshandhhowho
ne’shbackgroundhandhsocialhenvironmenthhavehshapedhone’shexperience
DIF:hhhCognitivehLevel:hKnowledgeh REF:h4 OBJ:h1h|h7
TOP:hCulturalhHumility KEY:hNursinghProcesshStep:hEvaluation
8. Inh2015,hthehWHOhdevelopedhthehSustainablehDevelopmenthGoalsh(SDGs).hWhathissueshdohthehn
ewhSDG’shincludehthaththehMillenniumhDevelopmenthGoalsh(MDGs)hdidhnothinclude?ha.
Climatehchangehandhenvironmentalhprotection
b. CombatinghHIVhandhmalaria
c. Eradicatinghpovertyhandhhunger
d. Achievinghuniversalhprimaryheducation
ANS:hA
ClimatehchangehandhenvironmentalhprotectionharehnewhgoalshofhthehSDGs.hAllhotherhoptionsha
rehparthofhthehMDGs
DIF:hhhCognitivehLevel:hKnowledgeh REF:h13 OBJ:h16
TOP:hSustainablehDevelopmenthGoals KEY:hNursinghProcesshStep:hN/A
9. Whathguidelineshdefinehmultidisciplinaryhpatienthcarehinhtermshofhexpectedhoutcomehandht
imeframehfromhdifferenthareashofhcarehprovision?ha.hClinicalhpathways
b. Nursinghoutcomehcriteria
c. Standardshofhcare
d. Nursinghcarehplan MNURSINGTB.CO
ANS:hA
Clinicalhpathways,halsohknownhashcriticalhpathwayshorhcarehmaps,harehcollaborativehguidelin
eshthathdefinehpatienthcarehacrosshdisciplines.hExpectedhprogresshwithinhahspecifiedhtimelinehi
shidentified.
DIF:hhhCognitivehLevel:hKnowledgeh REF:h12 OBJ:h13
TOP:hHealthhCarehDeliveryhSystems KEY:hNursinghProcesshStep:hN/A
10. Ahnursinghstudenthhashreviewedhahhospitalizedhpediatrichpatienthchart,hinterviewedhherhmother,ha
ndhcollectedhadmissionhdata.hWhathishthehnexthstephthehstudenthwillhtakehtohdevelophahnursinghca
rehplanhforhthishchild?
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, TESThBANKhFORh LEIFER'ShINTRODUCTIONh TOhMATERNITYhANDh PEDIATRIChNURSINGhIN
CANADAh1ST
EDITIONhBYhLEIFER
a. Identifyhmeasurablehoutcomeshwithhahtimeline.
b. Choosehspecifichnursinghinterventionshforhthehchild.h
c.h Determinehappropriatehnursinghdiagnoses.
d.h Statehnursinghactionshrelatedhtohthehchild’shmedicalhdiagnosis.
ANS:hC
Thehnursehuseshassessmenthdatahtohdevelophappropriatehnursinghdiagnoses.hOutcomeshandhi
nterventionsharehthenhdevelopedhtohaddresshthehrelevanthnursinghdiagnoses.
DIF:hhhCognitivehLevel:hApplicationh REF:h11
OBJ:h10h
TOP:hNursinghProcess
KEY:hNursinghProcesshStep:hNursinghDiagnosis
11. Ahnursinghstudenthonhahmaternal–
newbornhrotationhquestionshthehfloorhnursehabouththehdefinitionhofhthehpracticalhnursehscopehofhpra
ctice.hWhathresourcehcanhthehnursehsuggesthtohthehstudent?
a.hCanadianhNurseshAssociationhb.
hhProvincialhregulatoryhboard
c. Federalhgovernment
d. CanadianhAssociationhofhPerinatalh&hWomen’shHealthhNursing
ANS:hB
Thehscopehofhpracticehofhthehpracticalhnursehishdeterminedhbyhthehprovincialhboardhofhnursing.
DIF:hhhCognitivehLevel:hComprehension REF:h3 OBJ:h2
TOP:hStandardshofhPracticeh KEY:hNursinghProcesshStep:hImplementation
12. Whichhsocialhdeterminanthofhhealthh(SDOH)hishspecificallyhrelatedhtohIndigenoushpeople’shh
ealth?
a. Colonization
b. Education
c. Socialhsupporthnetworks
d. Employmenthandhworkinghconditions
ANS:hA
AllhofhthehSDOHharehimportanthbuththehimpacthofhcolonizationhishrelatedhspecificallyhtohI
ndigenoushpeople’shhealth.
h MNURSINGTB.CO
DIF:hhhCognitivehLevel:hKnowledgeh REF:h3 OBJ:h6
TOP:hSocialhDeterminantshofhHealth KEY:hNursinghProcesshStep:hN/A
13. Howhdoeshthehclinicalhpathwayhorhcriticalhpathwayhimprovehqualityhofhcare?
a. Listshdiagnosis-specifichimplementations
b. Outlineshexpectedhprogresshwithhstatedhtimelines
c. Prioritizesheffectivehnursinghdiagnoses
d. Describeshcommonhcomplications
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