q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
CANADA 1ST
q3 q3
EDITION BY LEIFER q3 q3
Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
q3 q3 q3 q3 q3 q3 q3 q3 q3
NURSINGTB.COM
,TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
CANADA 1ST
q3 q3
EDITION BY LEIFER q3 q3
Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in q3 q3 q3 q3 q3 q3 q3 q3
Canada, 1st Edition
q3 q3 q3
MULTIPLE CHOICE q3
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and for
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
her labour. What does the RM’s scope of practice include? a. Independent comprehensive
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
practice
q3
b. Prenatal care only q3 q3
c. Attendance at only low-risk births q3 q3 q3 q3
d. Only present for home births q3 q3 q3 q3
ANS: A q3
The RM provides comprehensive independent prenatal, labour, and postpartum care for up
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
to 6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs are
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
regulated health professions who have a 4-year university degree.
q3 q3 q3 q3 q3 q3 q3 q3 q3
DIF: Cognitive Level: Comprehension REF: 7
q 3 OBJ: 3 q3 q3 q3 q3
TOP: Collaborative Care
q3 KEY: Nursing Process Step: N/A
q3 q3 q3 q3 q3 q3
2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
a. World Health Organization (WHO) q3 q3 q3
b. Breastfeeding Committee for Canada (BCC) q3 q3 q3 q3
c. UNICEF
d. Public Health Agency of Canada (PHAC) MNURSINGTB.CO
q3 q3 q3 q3 q3 3
q
ANS: B q3
The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI 10
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
Steps and WHO Code Outcome Indicators for Hospitals and Community Health Services,
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
which sets the international standards for the WHO/UNICEF global criteria within the
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
Canadian context.
q3 q3
DIF: Cognitive Level: Knowledge REF: 7
q 3OBJ: 3 | 9 q3 q3 q 3 q3 q3 q3 q3
TOP: The Past
q3 KEY: Nursing Process Step: N/A
q3 q3 q3 q3 q3 q3
3. A pregnant woman who has recently immigrated Canada comments to a nurse, “I am afraid of
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
reflecting cultural safety?
q3 q3 q3
a. “Maternal mortality in Canada is extremely low.” q3 q3 q3 q3 q3 q3
b. “Anesthesia is available to relieve pain during labour and childbirth.” q3 q3 q3 q3 q3 q3 q3 q3 q3
c. “Tell me why you are afraid of childbirth.” q3 q3 q3 q3 q3 q3 q3
d. “Your condition will be monitored during labour and birth.” q3 q3 q3 q3 q3 q3 q3 q3
NURSINGTB.COM
,TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
CANADA 1ST
q3 q3
EDITION BY LEIFER q3 q3
ANS: C q3
Asking the patient about her concerns helps promote understanding and individualizes patient
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
care.
q3
DIF: Cognitive Level: Application REF: 11
q 3 q 3 OBJ: 7 q3 q3 q3 q3 q3
TOP: Culturally Safe Care KEY: Nursing Process Step: Implementation
q3 q3 q3 q3 q3 q3 q3
4. An urban area has been reported to have a high perinatal mortality rate. What information does
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
this provide?
q3 q3
a. Maternal and infant deaths per 100,000 live births per year q3 q3 q3 q3 q3 q3 q3 q3 q3
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
c. Deaths of infants up to 1 year of age per 1000 live births per year q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
d. Fetal and neonatal deaths per 1000 live births per year q3 q3 q3 q3 q3 q3 q3 q3 q3
ANS: D q3
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
DIF: Cognitive Level: Comprehension REF: 8
q 3 OBJ: 10 q3 q3 q3 q3
TOP: Statistics
q3 KEY: Nursing Process Step: Assessment
q3 q3 q3 q3 q3
5. What is the focus of current perinatal care?
q3 q3 q3 q3 q3 q3 q3
a. Hospital births for the majority of women q3 q3 q3 q3 q3 q3
b. The traditional family unit q3 q3 q3
c. Care in a labour room and then a birthing room q3 q3 q3 q3 q3 q3 q3 q3 q3
d. A high-quality family experience for each patient
q3 q3 q3 q3 q3 q3
ANS: D q3
Current maternity practice focuses on a high-quality family experience for all families.
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
DIF: Cognitive Level: Comprehension REF: 7 | 8
q 3 OBJ: 2 | 8 q3 q3 q3 q3 q3 q3 q3 q3
TOP: Perinatal Care
q3 KEY: Nursing Process Step: N/A
q3 q3 q3 q3 q3 q3
MNURSINGTB.CO
6. Which organization offers certification for nurses in specialty areas?
q3 q3 q3 q3 q3 q3 q3 q3
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A q3
The Canadian Nurses Association offers certification exams for registered nurses in
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
specialty areas including perinatal, community, neonatal, and pediatric intensive care.
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
CAPWHN, CANN, and CAPN are specialty organizations for nursing groups in Canada.
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
DIF: Cognitive Level: Knowledge REF: 10
q 3 OBJ: 2 | 3 q3 q3 q 3 q3 q3 q3 q3
TOP: Nursing Certification KEY: Nursing Process Step:
q3 q3 q3 q 3 q3 q3 q3
N/A
q3
NURSINGTB.COM
, TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
CANADA 1ST
q3 q3
EDITION BY LEIFER q3 q3
7. Which of the following requires self-reflection and discovery in order to provide care that is
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
culturally appropriate? a. Cultural safety
q3 q3 q3 q3 q3
b. Cultural awareness q3
c. Cultural humility q3
d. Cultural competence q3
ANS: C q3
Cultural humility is the precursor to providing culturally appropriate care. It is a process of
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
self-reflection and discovery to understand one’s own assumptions, biases, and values and
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
how one’s background and social environment have shaped one’s experience
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
DIF: Cognitive Level: Knowledge REF: 4
q 3 OBJ: 1 | 7
q 3 q3 q3 q 3 q3 q3 q3 q3
TOP: Cultural Humility KEY: Nursing Process Step: Evaluation
q3 q3 q3 q3 q3 q3
8. In 2015, the WHO developed the Sustainable Development Goals (SDGs). What issues do the
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
new SDG’s include that the Millennium Development Goals (MDGs) did not include? a.
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
Climate change and environmental protection
q3 q3 q3 q3
b. Combating HIV and malaria q3 q3 q3
c. Eradicating poverty and hunger q3 q3 q3
d. Achieving universal primary education q3 q3 q3
ANS: A q3
Climate change and environmental protection are new goals of the SDGs. All other options are
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
part of the MDGs
q3 q3 q3 q3
DIF: Cognitive Level: Knowledge REF: 13
q 3 OBJ: 16
q 3 q3 q3 q 3 q3 q3
TOP: Sustainable Development Goals
q3 KEY: Nursing Process Step: N/A q3 q3 q3 q3 q3 q3
9. What guidelines define multidisciplinary patient care in terms of expected outcome and
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
timeframe from different areas of care provision? a. Clinical pathways
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
b. Nursing outcome criteria q3 q3
c. Standards of care q3 q3
d. Nursing care plan MNURSINGTB.CO q3 q3
ANS: A q3
Clinical pathways, also known as critical pathways or care maps, are collaborative
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
guidelines that define patient care across disciplines. Expected progress within a specified
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
timeline is identified.
q3 q3 q3
DIF: Cognitive Level: Knowledge REF: 12
q 3 OBJ: 13
q 3 q3 q3 q 3 q3 q3
TOP: Health Care Delivery Systemsq3 KEY: Nursing Process Step: N/A q3 q3 q3 q3 q3 q3 q3
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother,
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
and collected admission data. What is the next step the student will take to develop a nursing
q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3 q3
care plan for this child?
q3 q3 q3 q3 q3
NURSINGTB.COM