LISA KEENAN-LINDSAY -LEIFER’S INTRODUCTION TO
MATERNITY AND PEDIATRIC NURSING IN CANADA, 1ST
EDITION BY GLORIA LEIFER
,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 client 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
CORRECT CHOICE:-> A
Feedback:-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 NCUanRaS
daI(NPG
HTAB
C.)
CORRECT CHOICE:-> B
Feedback:-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 caregiver, “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.”
CORRECT CHOICE:-> C
Feedback:-Asking the client about her concerns helps promote understanding and
individualizes client 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
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
CORRECT CHOICE:-> D
Feedback:-The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births
per year.
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 client
CORRECT CHOICE:-> D
Feedback:-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 c specialty areas?
a. CNA ertification for nurses in
b. CAPWHN
c. CANN
d. CAPN
CORRECT CHOICE:-> A
Feedback:-The Canadian Nurses Association offers certification exams for registered
caregivers in specialty areas including perinatal, community, neonatal, and pediatric
intensive care. CAPWHN, CANN, and CAPN are specialty organizations for nursing
groups in Canada.
7. Which of the following requires self-reflection and discovery in order to provide care that is
culturally appropriate?
a. Cultural safety
b. Cultural awareness
c. Cultural humility
d. Cultural competence
CORRECT CHOICE:-
>C
, Feedback:-Cultural humility is the precursor to providing culturally appropriate care. It is
a process of self-reflection and discovery to understand one’s own assumptions, biases,
and values and how 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
CORRECT CHOICE :-> A
Feedback:-Climate change and environmental protection are new goals of the SDGs. All
other options are 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 client care in terms of expected outcome and
timeframe from different areas of care provision?
a. Clinical pathways
b. Nursing outcome criteria
c. Standards of care
d. Nursing care plan
CORRECT
CHOICE:-> A
Feedback:-Clinical pathways, also known as critical pathways or care maps, are
collaborative guidelines that define client care across disciplines. Expected progress within
a specified timeline 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 client 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?
a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
c. Determine appropriate nursing diagnoses.
d. State nursing actions related to the child’s medical diagnosis.
CORRECT CHOICE:-> C
Feedback:-The caregiver uses assessment data to develop appropriate nursing diagnoses.
Outcomes and interventions are then developed to address the relevant nursing diagnoses.
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