Test Bank For Leifer's Introduction to Maternity & Pediatric Nursing in... file:///C:/Users/HP/Downloads/Test%20Bank%20For%20Leifer's%20
Test Bank
For: Leifer's Introduction to Maternity & Pediatric Nursing
in Canada, 1st Edition, Lisa Keenan-Lindsay, Gloria Leifer
(All Chapters 1-33,)
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Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing inCanada,
1st Edition
MULTIPLE CHOICE
1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and
forher 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
upto 6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs
areregulated 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
ofchildbirth. 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.”
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ANS: C
Asking the patient about her concerns helps promote understanding and
individualizespatient care.
DIF: Cognitive Level: Application REF: 11 OBJ: 7
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
doesthis 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
yeard. 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: Cognitive Level: Comprehension REF: 8 OBJ: 10
TOP: Statistics KEY: Nursing Process Step: Assessment
5. What is the focus of current perinatal care?
a. Hospital births for the majority of women
b. The traditional family unit
c. Care in a labour room and then a birthing room
d. A high-quality family experience for each patient
ANS: D
Current maternity practice focuses on a high-quality family experience for all families.
DIF: Cognitive Level: Comprehension REF: 7 | 8 OBJ: 2 | 8
TOP: Perinatal Care KEY: Nursing Process Step: N/A
6. Which organization offers certification for nurses in specialty areas?
a. CNA
b. CAPWHN
c. CANN
d. CAPN
ANS: A
The Canadian Nurses Association offers certification exams for registered nurses in
specialty areas including perinatal, community, neonatal, and pediatric intensive care.
CAPWHN, CANN, and CAPN are specialty organizations for nursing groups in Canada.
DIF: Cognitive Level: Knowledge REF: 10 OBJ: 2 | 3
TOP: Nursing Certification KEY: Nursing Process Step: N/A
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7. Which of the following requires self-reflection and discovery in order to provide care that
isculturally appropriate? a. Cultural safety
b. Cultural awareness
c. Cultural humility
d. Cultural competence
ANS: C
Cultural humility is the precursor to providing culturally appropriate care. It is a process
ofself-reflection and discovery to understand one’s own assumptions, biases, and values
andhow one’s background and social environment have shaped one’s experience
DIF: Cognitive Level: Knowledge REF: 4 OBJ: 1 | 7
TOP: Cultural Humility KEY: Nursing Process Step: Evaluation
8. In 2015, the WHO developed the Sustainable Development Goals (SDGs). What issues do the
new SDG’s include that the Millennium Development Goals (MDGs) did not include? a.
Climate change and environmental protection
b. Combating HIV and malaria
c. Eradicating poverty and hunger
d. Achieving universal primary education
ANS: A
Climate change and environmental protection are new goals of the SDGs. All other
optionsare part of the MDGs
DIF: Cognitive Level: Knowledge REF: 13 OBJ: 16
TOP: Sustainable Development Goals KEY: Nursing Process Step: N/A
9. What guidelines define multidisciplinary patient care in terms of expected outcome
andtimeframe from different areas of care provision? a. Clinical pathways
b. Nursing outcome criteria
c. Standards of care
d. Nursing care plan
ANS: A
Clinical pathways, also known as critical pathways or care maps, are collaborative
guidelines that define patient care across disciplines. Expected progress within a
specifiedtimeline is identified.
DIF: Cognitive Level: Knowledge REF: 12 OBJ: 13
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her
mother,and collected admission data. What is the next step the student will take to develop
a nursing care plan for this child?
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