Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada,
1st Edition
MULTIPLE CHOICE
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy
and
for her labour. What does the RM’s 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 weeks, for women who are low risk. Births may occur in hospital or at home. RMs are
regulated health professions who have a 4-year university degree.
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 and WHO Code Outcome Indicators for Hospitals and Community Health Services,
which sets the international standards for the WHO/UNICEF global 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 childbirth. It is so dangerous. I am 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
DOWNLOAD THE Test Bank for Leifer's Introduction to Maternity and
Pediatric Nursing in Canada 1st Edition Leifer
mynursytest.store
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 provide?
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:
Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada,
1st Edition
MULTIPLE CHOICE
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy
and
for her labour. What does the RM’s 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 weeks, for women who are low risk. Births may occur in hospital or at home. RMs are
regulated health professions who have a 4-year university degree.
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 and WHO Code Outcome Indicators for Hospitals and Community Health Services,
which sets the international standards for the WHO/UNICEF global 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 childbirth. It is so dangerous. I am 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
DOWNLOAD THE Test Bank for Leifer's Introduction to Maternity and
Pediatric Nursing in Canada 1st Edition Leifer
mynursytest.store
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 provide?
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:
