Test Bank For: Leifer's Introduction to Maternity & Pediatric Nursing in Canada, 1st Edition, Lisa Keenan-Lindsay, Gloria Leifer (All Chapters 1-33,)

,
,Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
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Keenan-
Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edi
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tion


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1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy an
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d for her labour. What does the RM‘s scope of practice include?
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a. Independent comprehensive practice @r @r



b. Prenatal care only @r @r



c. Attendance at only low-risk births @r @r @r @r



d. Only present for home births @r @r @r @r




ANS: A @ r



The RM provides comprehensive independent prenatal, labour, and postpartum care for u
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p to 6 weeks, for women who are low risk. Births may occur in hospital or at home. RM
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s are regulated health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension @r @r REF: 7 OBJ:
3 TOP:
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KEY: Nursing Process Step: N/A @r @r @r @r




2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
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a. World Health Organization (WHO) @r @r @r



b. Breastfeeding Committee for Canada (BCC) @r @r @r @r



c. UNICEF
d. Public Health Agency of N
CUanRaS
daI(N
PGHT
ABC.
) COM @r @r @r @
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ANS: B @ r



The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 1
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0 Steps and WHO Code Outcome Indicators for Hospitals and Community Health Servic
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es, which sets the international standards for the WHO/UNICEF global criteria within the
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Canadian context.
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DIF: Cognitive Level: Knowledge @r @r REF: 7 OBJ:
3 | 9 TOP:
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KEY: Nursing Process Step: N/A @r @r @r @r




3. A pregnant woman who has recently immigrated Canada comments to a nurse, ―I am afrai
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d of childbirth. It is so dangerous. I am afraid I will die.‖ What is the best nursing respo
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nse reflecting cultural safety?
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a. ―Maternal mortality in Canada is extremely low.‖ @r @r @r @r @r @r



b. ―Anesthesia is available to relieve pain during labour and childbirth.‖ @r @r @r @r @r @r @r @r @r



c. ―Tell me why you are afraid of childbirth.‖
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d. ―Your condition will be monitored during labour and birth.‖
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ANS: C @ r



Asking the patient about her concerns helps promote understanding and individualizes pati
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ent care. @r




DIF: Cognitive Level: Application @r @r REF: 11 OBJ: 7

, TOP: Culturally Safe Care @r @r KEY: Nursing Process Step: Implementation
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4. An urban area has been reported to have a high perinatal mortality rate. What informatio
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n does this provide?
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a. Maternal and infant deaths per 100,000 live births per year
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b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
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c. Deaths of infants up to 1 year of age per 1000 live births per year
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d. Fetal and neonatal deaths per 1000 live births per year
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ANS: D @ r



The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF: 8 @r @r OBJ:
10 TOP: @rStatistics
KEY: Nursing Process Step: Assessment
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5. What is the focus of current perinatal care?
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a. Hospital births for the majority of women @r @r @r @r @r @r



b. The traditional family unit @r @r @r



c. Care in a labour room and then a birthing room
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d. A high-quality family experience for each patient
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ANS: D @ r



Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension REF: 7 | 8 @r @r @r @r OBJ:
2 | 8 TOP:
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KEY: Nursing Process Step: N/A
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NURSINGTB.COM r
@

6. Which organization offers certification for nurses i specialty areas?
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a. CNA n
b. CAPWHN
c. CANN
d. CAPN
ANS: A @ r



The Canadian Nurses Association offers certification exams for registered nurses in speci
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alty areas including perinatal, community, neonatal, and pediatric intensive care. CAPWH
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N, CANN, and CAPN are specialty organizations for nursing groups in Canada.
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DIF: Cognitive Level: Knowledge @r @r REF: 10 OBJ:
2 | 3 TOP:
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KEY: Nursing Process Step: N/A
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7. Which of the following requires self-
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reflection and discovery in order to provide care that is culturally appropriate?
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a. Cultural safety @r



b. Cultural awareness @r



c. Cultural humility @r



d. Cultural competence @r




ANS: C
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