TESTgBANKgFORgLEIFER'SgINTRODUCTIONgTOgMATERNITYgANDgPEDIATRICgNURSINGgINgCAN
ADAg1ST
EDITIONgBYgLEIFER
Chapterg01:gOverviewgofgPerinatalgandgPediatricgNursinggingCanada
Keenan-
Lindsay:gLeifer’sgIntroductiongtogMaternitygandgPediatricgNursinggingCanada,g1st
gEdition
MULTIPLEgCHOICE
1. Agpatientgchoosesgtoghavegagregisteredgmidwifeg(RM)gprovidegcaregduringghergpregnancygandgf
orgherglabour.gWhatgdoesgthegRM’sgscopegofgpracticeginclude?ga.gIndependentgcomprehensiveg
practice
b. Prenatalgcaregonly
c. Attendancegatgonlyglow-riskgbirths
d. Onlygpresentgforghomegbirths
ANS:gA
ThegRMgprovidesgcomprehensivegindependentgprenatal,glabour,gandgpostpartumgcaregforgu
pgtog6gweeks,gforgwomengwhogareglowgrisk.gBirthsgmaygoccurginghospitalgorgatghome.gRMs
garegregulatedghealthgprofessionsgwhoghavegag4-yearguniversitygdegree.
DIF:g CognitivegLevel:gComprehension REF:g7
OBJ:g3gTOP:gCollaborativegCare
KEY:gNursinggProcessgStep:gN/A
2. WhichgorganizationgisgresponsiblegforgthegBabygFriendlygInitiativeg(BFI)gingCanada?
a. WorldgHealthgOrganizationg(WHO)
b. BreastfeedinggCommitteegforgCanadag(BCC)
c. UNICEF
d. PublicgHealthgAgencygofgCanadag(PHAC) MNURSINGTB.gCO
ANS:gB
ThegBCCgisgresponsiblegforgBFIgdesignationgingCanada.gThegBCCghasgdevelopedgthegBFIg10
gStepsgandgWHOgCodegOutcomegIndicatorsgforgHospitalsgandgCommunitygHealthgServices,g
whichgsetsgtheginternationalgstandardsgforgthegWHO/UNICEFgglobalgcriteriagwithingthegCan
adiangcontext.
DIF:g CognitivegLevel:gKnowledgeg REF:g7
OBJ:g3g|g9gTOP:gThegPast
KEY:gNursinggProcessgStep:gN/A
3. AgpregnantgwomangwhoghasgrecentlygimmigratedgCanadagcommentsgtogagnurse,g“Igamgafraidg
ofgchildbirth.gItgisgsogdangerous.gIgamgafraidgIgwillgdie.”gWhatgisgthegbestgnursinggresponsegre
flectinggculturalgsafety?
a. “MaternalgmortalitygingCanadagisgextremelyglow.”
b. “Anesthesiagisgavailablegtogrelievegpaingduringglabourgandgchildbirth.”
c. “Tellgmegwhygyougaregafraidgofgchildbirth.”
d. “Yourgconditiongwillgbegmonitoredgduringglabourgandgbirth.”
NURSINGTB.COM
,TESTgBANKgFORgLEIFER'SgINTRODUCTIONgTOgMATERNITYgANDgPEDIATRICgNURSINGgINgCAN
ADAg1ST
EDITIONgBYgLEIFER
ANS:gC
Askinggthegpatientgaboutghergconcernsghelpsgpromotegunderstandinggandgindividualizesgpati
entgcare.
DIF:g g CognitivegLevel:gApplicationgREF:g11 OBJ:g7
TOP:gCulturallygSafegCare KEY:gNursinggProcessgStep:gImplementation
4. Angurbangareaghasgbeengreportedgtoghavegaghighgperinatalgmortalitygrate.gWhatginformationgdo
esgthisgprovide?
a. Maternalgandginfantgdeathsgperg100,000glivegbirthsgpergyear
b. Deathsgofgfetusesgweighinggmoregthang500gggperg10,000gbirthsgpergyear
c. Deathsgofginfantsgupgtog1gyeargofgagegperg1000glivegbirthsgpergyear
d. Fetalgandgneonatalgdeathsgperg1000glivegbirthsgpergyear
ANS:gD
Thegperinatalgmortalitygrategincludesgfetalgandgneonatalgdeathsgperg1000glivegbirthsgpergyear.
DIF:g CognitivegLevel:gComprehension REF:g8
OBJ:g10gTOP:gStatistics
KEY:gNursinggProcessgStep:gAssessment
5. Whatgisgthegfocusgofgcurrentgperinatalgcare?
a. Hospitalgbirthsgforgthegmajoritygofgwomen
b. Thegtraditionalgfamilygunit
c. Caregingaglabourgroomgandgthengagbirthinggroom
d. Aghigh-qualitygfamilygexperiencegforgeachgpatient
ANS:gD
Currentgmaternitygpracticegfocusesgongaghigh-qualitygfamilygexperiencegforgallgfamilies.
DIF:g CognitivegLevel:gComprehension REF:g7g|g8
OBJ:g2g|g8gTOP:gPerinatalgCare
KEY:gNursinggProcessgStep:gN/A
MNURSINGTB.CO
6. Whichgorganizationgoffersgcertificationgforgnursesgingspecialtygareas?
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS:gA
ThegCanadiangNursesgAssociationgoffersgcertificationgexamsgforgregisteredgnursesgingspecia
ltygareasgincludinggperinatal,gcommunity,gneonatal,gandgpediatricgintensivegcare.gCAPWH
N,gCANN,gandgCAPNgaregspecialtygorganizationsgforgnursingggroupsgingCanada.
DIF:g CognitivegLevel:gKnowledgeg REF:g10
OBJ:g2g|g3
TOP:gNursinggCertificationg KEY:gNursinggProcessgStep:gN/
g
A
NURSINGTB.COM
,TESTgBANKgFORgLEIFER'SgINTRODUCTIONgTOgMATERNITYgANDgPEDIATRICgNURSINGgINgCAN
ADAg1ST
EDITIONgBYgLEIFER
7. Whichgofgthegfollowinggrequiresgself-
reflectiongandgdiscoverygingordergtogprovidegcaregthatgisgculturallygappropriate?ga.gCulturalg
safety
b. Culturalgawareness
c. Culturalghumility
d. Culturalgcompetence
ANS:gC
Culturalghumilitygisgthegprecursorgtogprovidinggculturallygappropriategcare.gItgisgagprocessg
ofgself-
reflectiongandgdiscoverygtogunderstandgone’sgowngassumptions,gbiases,gandgvaluesgandgho
wgone’sgbackgroundgandgsocialgenvironmentghavegshapedgone’sgexperience
DIF:g g CognitivegLevel:gKnowledgeg REF:g4 OBJ:g1g|g7
TOP:gCulturalgHumility KEY:gNursinggProcessgStep:gEvaluation
8. Ing2015,gthegWHOgdevelopedgthegSustainablegDevelopmentgGoalsg(SDGs).gWhatgissuesgdogth
egnewgSDG’sgincludegthatgthegMillenniumgDevelopmentgGoalsg(MDGs)gdidgnotginclude?ga.
Climategchangegandgenvironmentalgprotection
b. CombatinggHIVgandgmalaria
c. Eradicatinggpovertygandghunger
d. Achievingguniversalgprimarygeducation
ANS:gA
ClimategchangegandgenvironmentalgprotectiongaregnewggoalsgofgthegSDGs.gAllgothergoptionsg
aregpartgofgthegMDGs
DIF:g g CognitivegLevel:gKnowledgeg REF:g13 OBJ:g16
TOP:gSustainablegDevelopmentgGoals KEY:gNursinggProcessgStep:gN/A
9. Whatgguidelinesgdefinegmultidisciplinarygpatientgcaregingtermsgofgexpectedgoutcomegan
dgtimeframegfromgdifferentgareasgofgcaregprovision?ga.gClinicalgpathways
b. Nursinggoutcomegcriteria
c. Standardsgofgcare
d. Nursinggcaregplan MNURSINGTB.CO
ANS:gA
Clinicalgpathways,galsogknowngasgcriticalgpathwaysgorgcaregmaps,garegcollaborativegguideli
nesgthatgdefinegpatientgcaregacrossgdisciplines.gExpectedgprogressgwithingagspecifiedgtimelin
egisgidentified.
DIF:g g CognitivegLevel:gKnowledgeg REF:g12 OBJ:g13
TOP:gHealthgCaregDeliverygSystems KEY:gNursinggProcessgStep:gN/A
10. Agnursinggstudentghasgreviewedgaghospitalizedgpediatricgpatientgchart,ginterviewedghergmothe
r,gandgcollectedgadmissiongdata.gWhatgisgthegnextgstepgthegstudentgwillgtakegtogdevelopgagnurs
inggcaregplangforgthisgchild?
NURSINGTB.COM
, TESTgBANKgFORgLEIFER'SgINTRODUCTIONgTOgMATERNITYgANDgPEDIATRICgNURSINGgINgCAN
ADAg1ST
EDITIONgBYgLEIFER
a. Identifygmeasurablegoutcomesgwithgagtimeline.
b. Choosegspecificgnursingginterventionsgforgthegchild.
c. Determinegappropriategnursinggdiagnoses.
d. Stategnursinggactionsgrelatedgtogthegchild’sgmedicalgdiagnosis.
ANS:gC
Thegnursegusesgassessmentgdatagtogdevelopgappropriategnursinggdiagnoses.gOutcomesgandgint
erventionsgaregthengdevelopedgtogaddressgthegrelevantgnursinggdiagnoses.
DIF:g CognitivegLevel:gApplicationgREF:g11
OBJ:g10
TOP:gNursinggProcess
g
KEY:gNursinggProcessgStep:gNursinggDiagnosis
11. Agnursinggstudentgongagmaternal–
newborngrotationgquestionsgthegfloorgnursegaboutgthegdefinitiongofgthegpracticalgnursegscopegofg
practice.gWhatgresourcegcangthegnursegsuggestgtogthegstudent?
a. CanadiangNursesgAssociation
b. Provincialgregulatorygboard
c. Federalggovernment
d. CanadiangAssociationgofgPerinatalg&gWomen’sgHealthgNursing
ANS:gB
Thegscopegofgpracticegofgthegpracticalgnursegisgdeterminedgbygthegprovincialgboardgofgnursin
g.
DIF:g g CognitivegLevel:gComprehension REF:g3 OBJ:g2
TOP:gStandardsgofgPracticeg g KEY:gNursinggProcessgStep:gImplementation
12. Whichgsocialgdeterminantgofghealthg(SDOH)gisgspecificallygrelatedgtogIndigenousgpeople’
sghealth?
a. Colonization
b. Education
c. Socialgsupportgnetworks
d. Employmentgandgworkinggconditions
ANS:gA
AllgofgthegSDOHgaregimportantgbutgthegimpactgofgcolonizationgisgrelatedgspecificallygtogIndi
genousgpeople’sghealth.
MNURSINGTB.CO
DIF:g g CognitivegLevel:gKnowledgeg REF:g3 OBJ:g6
TOP:gSocialgDeterminantsgofgHealth KEY:gNursinggProcessgStep:gN/A
13. Howgdoesgthegclinicalgpathwaygorgcriticalgpathwaygimprovegqualitygofgcare?
a. Listsgdiagnosis-specificgimplementations
b. Outlinesgexpectedgprogressgwithgstatedgtimelines
c. Prioritizesgeffectivegnursinggdiagnoses
d. Describesgcommongcomplications
NURSINGTB.COM
ADAg1ST
EDITIONgBYgLEIFER
Chapterg01:gOverviewgofgPerinatalgandgPediatricgNursinggingCanada
Keenan-
Lindsay:gLeifer’sgIntroductiongtogMaternitygandgPediatricgNursinggingCanada,g1st
gEdition
MULTIPLEgCHOICE
1. Agpatientgchoosesgtoghavegagregisteredgmidwifeg(RM)gprovidegcaregduringghergpregnancygandgf
orgherglabour.gWhatgdoesgthegRM’sgscopegofgpracticeginclude?ga.gIndependentgcomprehensiveg
practice
b. Prenatalgcaregonly
c. Attendancegatgonlyglow-riskgbirths
d. Onlygpresentgforghomegbirths
ANS:gA
ThegRMgprovidesgcomprehensivegindependentgprenatal,glabour,gandgpostpartumgcaregforgu
pgtog6gweeks,gforgwomengwhogareglowgrisk.gBirthsgmaygoccurginghospitalgorgatghome.gRMs
garegregulatedghealthgprofessionsgwhoghavegag4-yearguniversitygdegree.
DIF:g CognitivegLevel:gComprehension REF:g7
OBJ:g3gTOP:gCollaborativegCare
KEY:gNursinggProcessgStep:gN/A
2. WhichgorganizationgisgresponsiblegforgthegBabygFriendlygInitiativeg(BFI)gingCanada?
a. WorldgHealthgOrganizationg(WHO)
b. BreastfeedinggCommitteegforgCanadag(BCC)
c. UNICEF
d. PublicgHealthgAgencygofgCanadag(PHAC) MNURSINGTB.gCO
ANS:gB
ThegBCCgisgresponsiblegforgBFIgdesignationgingCanada.gThegBCCghasgdevelopedgthegBFIg10
gStepsgandgWHOgCodegOutcomegIndicatorsgforgHospitalsgandgCommunitygHealthgServices,g
whichgsetsgtheginternationalgstandardsgforgthegWHO/UNICEFgglobalgcriteriagwithingthegCan
adiangcontext.
DIF:g CognitivegLevel:gKnowledgeg REF:g7
OBJ:g3g|g9gTOP:gThegPast
KEY:gNursinggProcessgStep:gN/A
3. AgpregnantgwomangwhoghasgrecentlygimmigratedgCanadagcommentsgtogagnurse,g“Igamgafraidg
ofgchildbirth.gItgisgsogdangerous.gIgamgafraidgIgwillgdie.”gWhatgisgthegbestgnursinggresponsegre
flectinggculturalgsafety?
a. “MaternalgmortalitygingCanadagisgextremelyglow.”
b. “Anesthesiagisgavailablegtogrelievegpaingduringglabourgandgchildbirth.”
c. “Tellgmegwhygyougaregafraidgofgchildbirth.”
d. “Yourgconditiongwillgbegmonitoredgduringglabourgandgbirth.”
NURSINGTB.COM
,TESTgBANKgFORgLEIFER'SgINTRODUCTIONgTOgMATERNITYgANDgPEDIATRICgNURSINGgINgCAN
ADAg1ST
EDITIONgBYgLEIFER
ANS:gC
Askinggthegpatientgaboutghergconcernsghelpsgpromotegunderstandinggandgindividualizesgpati
entgcare.
DIF:g g CognitivegLevel:gApplicationgREF:g11 OBJ:g7
TOP:gCulturallygSafegCare KEY:gNursinggProcessgStep:gImplementation
4. Angurbangareaghasgbeengreportedgtoghavegaghighgperinatalgmortalitygrate.gWhatginformationgdo
esgthisgprovide?
a. Maternalgandginfantgdeathsgperg100,000glivegbirthsgpergyear
b. Deathsgofgfetusesgweighinggmoregthang500gggperg10,000gbirthsgpergyear
c. Deathsgofginfantsgupgtog1gyeargofgagegperg1000glivegbirthsgpergyear
d. Fetalgandgneonatalgdeathsgperg1000glivegbirthsgpergyear
ANS:gD
Thegperinatalgmortalitygrategincludesgfetalgandgneonatalgdeathsgperg1000glivegbirthsgpergyear.
DIF:g CognitivegLevel:gComprehension REF:g8
OBJ:g10gTOP:gStatistics
KEY:gNursinggProcessgStep:gAssessment
5. Whatgisgthegfocusgofgcurrentgperinatalgcare?
a. Hospitalgbirthsgforgthegmajoritygofgwomen
b. Thegtraditionalgfamilygunit
c. Caregingaglabourgroomgandgthengagbirthinggroom
d. Aghigh-qualitygfamilygexperiencegforgeachgpatient
ANS:gD
Currentgmaternitygpracticegfocusesgongaghigh-qualitygfamilygexperiencegforgallgfamilies.
DIF:g CognitivegLevel:gComprehension REF:g7g|g8
OBJ:g2g|g8gTOP:gPerinatalgCare
KEY:gNursinggProcessgStep:gN/A
MNURSINGTB.CO
6. Whichgorganizationgoffersgcertificationgforgnursesgingspecialtygareas?
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS:gA
ThegCanadiangNursesgAssociationgoffersgcertificationgexamsgforgregisteredgnursesgingspecia
ltygareasgincludinggperinatal,gcommunity,gneonatal,gandgpediatricgintensivegcare.gCAPWH
N,gCANN,gandgCAPNgaregspecialtygorganizationsgforgnursingggroupsgingCanada.
DIF:g CognitivegLevel:gKnowledgeg REF:g10
OBJ:g2g|g3
TOP:gNursinggCertificationg KEY:gNursinggProcessgStep:gN/
g
A
NURSINGTB.COM
,TESTgBANKgFORgLEIFER'SgINTRODUCTIONgTOgMATERNITYgANDgPEDIATRICgNURSINGgINgCAN
ADAg1ST
EDITIONgBYgLEIFER
7. Whichgofgthegfollowinggrequiresgself-
reflectiongandgdiscoverygingordergtogprovidegcaregthatgisgculturallygappropriate?ga.gCulturalg
safety
b. Culturalgawareness
c. Culturalghumility
d. Culturalgcompetence
ANS:gC
Culturalghumilitygisgthegprecursorgtogprovidinggculturallygappropriategcare.gItgisgagprocessg
ofgself-
reflectiongandgdiscoverygtogunderstandgone’sgowngassumptions,gbiases,gandgvaluesgandgho
wgone’sgbackgroundgandgsocialgenvironmentghavegshapedgone’sgexperience
DIF:g g CognitivegLevel:gKnowledgeg REF:g4 OBJ:g1g|g7
TOP:gCulturalgHumility KEY:gNursinggProcessgStep:gEvaluation
8. Ing2015,gthegWHOgdevelopedgthegSustainablegDevelopmentgGoalsg(SDGs).gWhatgissuesgdogth
egnewgSDG’sgincludegthatgthegMillenniumgDevelopmentgGoalsg(MDGs)gdidgnotginclude?ga.
Climategchangegandgenvironmentalgprotection
b. CombatinggHIVgandgmalaria
c. Eradicatinggpovertygandghunger
d. Achievingguniversalgprimarygeducation
ANS:gA
ClimategchangegandgenvironmentalgprotectiongaregnewggoalsgofgthegSDGs.gAllgothergoptionsg
aregpartgofgthegMDGs
DIF:g g CognitivegLevel:gKnowledgeg REF:g13 OBJ:g16
TOP:gSustainablegDevelopmentgGoals KEY:gNursinggProcessgStep:gN/A
9. Whatgguidelinesgdefinegmultidisciplinarygpatientgcaregingtermsgofgexpectedgoutcomegan
dgtimeframegfromgdifferentgareasgofgcaregprovision?ga.gClinicalgpathways
b. Nursinggoutcomegcriteria
c. Standardsgofgcare
d. Nursinggcaregplan MNURSINGTB.CO
ANS:gA
Clinicalgpathways,galsogknowngasgcriticalgpathwaysgorgcaregmaps,garegcollaborativegguideli
nesgthatgdefinegpatientgcaregacrossgdisciplines.gExpectedgprogressgwithingagspecifiedgtimelin
egisgidentified.
DIF:g g CognitivegLevel:gKnowledgeg REF:g12 OBJ:g13
TOP:gHealthgCaregDeliverygSystems KEY:gNursinggProcessgStep:gN/A
10. Agnursinggstudentghasgreviewedgaghospitalizedgpediatricgpatientgchart,ginterviewedghergmothe
r,gandgcollectedgadmissiongdata.gWhatgisgthegnextgstepgthegstudentgwillgtakegtogdevelopgagnurs
inggcaregplangforgthisgchild?
NURSINGTB.COM
, TESTgBANKgFORgLEIFER'SgINTRODUCTIONgTOgMATERNITYgANDgPEDIATRICgNURSINGgINgCAN
ADAg1ST
EDITIONgBYgLEIFER
a. Identifygmeasurablegoutcomesgwithgagtimeline.
b. Choosegspecificgnursingginterventionsgforgthegchild.
c. Determinegappropriategnursinggdiagnoses.
d. Stategnursinggactionsgrelatedgtogthegchild’sgmedicalgdiagnosis.
ANS:gC
Thegnursegusesgassessmentgdatagtogdevelopgappropriategnursinggdiagnoses.gOutcomesgandgint
erventionsgaregthengdevelopedgtogaddressgthegrelevantgnursinggdiagnoses.
DIF:g CognitivegLevel:gApplicationgREF:g11
OBJ:g10
TOP:gNursinggProcess
g
KEY:gNursinggProcessgStep:gNursinggDiagnosis
11. Agnursinggstudentgongagmaternal–
newborngrotationgquestionsgthegfloorgnursegaboutgthegdefinitiongofgthegpracticalgnursegscopegofg
practice.gWhatgresourcegcangthegnursegsuggestgtogthegstudent?
a. CanadiangNursesgAssociation
b. Provincialgregulatorygboard
c. Federalggovernment
d. CanadiangAssociationgofgPerinatalg&gWomen’sgHealthgNursing
ANS:gB
Thegscopegofgpracticegofgthegpracticalgnursegisgdeterminedgbygthegprovincialgboardgofgnursin
g.
DIF:g g CognitivegLevel:gComprehension REF:g3 OBJ:g2
TOP:gStandardsgofgPracticeg g KEY:gNursinggProcessgStep:gImplementation
12. Whichgsocialgdeterminantgofghealthg(SDOH)gisgspecificallygrelatedgtogIndigenousgpeople’
sghealth?
a. Colonization
b. Education
c. Socialgsupportgnetworks
d. Employmentgandgworkinggconditions
ANS:gA
AllgofgthegSDOHgaregimportantgbutgthegimpactgofgcolonizationgisgrelatedgspecificallygtogIndi
genousgpeople’sghealth.
MNURSINGTB.CO
DIF:g g CognitivegLevel:gKnowledgeg REF:g3 OBJ:g6
TOP:gSocialgDeterminantsgofgHealth KEY:gNursinggProcessgStep:gN/A
13. Howgdoesgthegclinicalgpathwaygorgcriticalgpathwaygimprovegqualitygofgcare?
a. Listsgdiagnosis-specificgimplementations
b. Outlinesgexpectedgprogressgwithgstatedgtimelines
c. Prioritizesgeffectivegnursinggdiagnoses
d. Describesgcommongcomplications
NURSINGTB.COM
