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Test Banks For Leifer's Introduction to Maternity & Pediatric Nursing in Canada 1st Edition by Gloria Leifer; Lisa KeenanLindsay, 9781771722049, Chapter 1-33 Complete Guide
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Leifer's Introduction to Maternity & Pediatric Nursing in Canada 1st Edition . Overview of Perinatal and Pediatric Nursing in Canada 2. The Nurse’s Role in Women’s Health Care 3. Fetal Development 4. Prenatal Care and Adaptations to Pregnancy 5. Nursing Care of Women With Complications During P...

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  • August 25, 2024
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  • leifers introduction to maternity pediatric nu
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Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
k k k k k k k k k



Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing k k k k k k k


inCanada, 1st Edition
k k k k




MULTIPLE CHOICE k




1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and
k k k k k k k k k k k k k k


forher labour. What does the RM‘s scope of practice include? a. Independent comprehensive
k k k k k k k k k k k k k k


practice
k


b. Prenatal care only k k


c. Attendance at only low-risk births k k k k


d. Only present for home births k k k k




ANS: A k


The RM provides comprehensive independent prenatal, labour, and postpartum care for
k k k k k k k k k k


upto 6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs
k k k k k k k k k k k k k k k k k k k


areregulated health professions who have a 4-year university degree.
k k k k k k k k k k




DIF: Cognitive Level: Comprehension
kk k REF: 7 OBJ: 3 k k k k


TOP: Collaborative Care
k k KEY: Nursing Process Step: N/A k k k k k




2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
k k k k k k k k k k k


a. World Health Organization (WHO) k k k


b. Breastfeeding Committee for Canada (BCC) k k k k


c. UNICEF
d. Public Health Agency of Canada (PHAC) k k k k k




ANS: B k


The BCC is responsible for BFI designation in Canada. The BCC has developed the BFI
k k k k k k k k k k k k k k


10Steps and WHO Code Outcome Indicators for Hospitals and Community Health
k k k k k k k k k k k k


Services, which sets the international standards for the WHO/UNICEF global criteria
k k k k k k k k k k k


within the Canadian context.
k k k k




DIF: Cognitive Level: Knowledge REF: 7
kk k OBJ: 3 | k k k k k k


9TOP: The Past
k k KEY: Nursing Process Step: N/A
k k k k k k




3. A pregnant woman who has recently immigrated Canada comments to a nurse, ―I am afraid
k k k k k k k k k k k k k k


ofchildbirth. It is so dangerous. I am afraid I will die.‖ What is the best nursing response
k k k k k k k k k k k k k k k k k k


reflecting cultural safety?
k k k


a. ―Maternal mortality in Canada is extremely low.‖ k k k k k k


b. ―Anesthesia is available to relieve pain during labour and k k k k k k k k


childbirth.‖c. ―Tell me why you are afraid of childbirth.‖
k k k k k k k k k k


d. ―Your condition will be monitored during labour and birth.‖
k k k k k k k k k

,CANADA 1ST k


EDITION BY LEIFER k k


ANS: C k


Asking the patient about her concerns helps promote understanding and
k k k k k k k k k


individualizespatient care.
k k k




DIF: Cognitive Level: Application REF: 11
kk k OBJ: 7 k k k k k


TOP: Culturally Safe Care KEY: Nursing Process Step: Implementation
k k k k k k k




4. An urban area has been reported to have a high perinatal mortality rate. What information
k k k k k k k k k k k k k k


doesthis provide?
k k k


a. Maternal and infant deaths per 100,000 live births per year k k k k k k k k k


b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
k k k k k k k k k k k k


c. Deaths of infants up to 1 year of age per 1000 live births per
k k k k k k k k k k k k k


yeard. Fetal and neonatal deaths per 1000 live births per year
k k k k k k k k k k k k




ANS: D k


The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
k k k k k k k k k k k k k k




DIF: Cognitive Level: Comprehension
kk k REF: 8 OBJ: k k k


10TOP: Statistics KEY: Nursing Process Step: Assessment
k k k k k k k




5. What is the focus of current perinatal care?
k k k k k k k


a. Hospital births for the majority of women k k k k k k


b. The traditional family unit k k k


c. Care in a labour room and then a birthing room k k k k k k k k k


d. A high-quality family experience for each
k k k k k k k


patient
k




ANS: D k


Current maternity practice focuses on a high-quality family experience for all families.
k k k k k k k k k k k




DIF: Cognitive Level: Comprehension
kk k REF: 7 | 8 OBJ: 2 | k k k k k k k


8TOP: Perinatal Care
k k KEY: Nursing Process Step: N/A
k k k k k k




MNURSINGTB.CO
6. Which organization offers certification for nurses in specialty areas?
k k k k k k k k


a. CNA
b. CAPWHN
c. CANN
d. CAPN


ANS: A k


The Canadian Nurses Association offers certification exams for registered nurses in
k k k k k k k k k k


specialty areas including perinatal, community, neonatal, and pediatric intensive care.
k k k k k k k k k k


CAPWHN, CANN, and CAPN are specialty organizations for nursing groups in
k k k k k k k k k k k


Canada.
k




DIF: Cognitive Level: Knowledge REF: 10
kk k OBJ: 2 | 3 k k k k k k k


TOP: Nursing Certification KEY: Nursing Process Step:
k k k k k k k


N/A
k

,CANADA 1ST k


EDITION BY LEIFER k k




7. Which of the following requires self-reflection and discovery in order to provide care that
k k k k k k k k k k k k k


isculturally appropriate? a. Cultural safety
k k k k k k


b. Cultural k


awarenessc. Cultural
k k k


humility k


d. Cultural competence
k k




ANS: C k


Cultural humility is the precursor to providing culturally appropriate care. It is a process
k k k k k k k k k k k k k


of self-reflection and discovery to understand one‘s own assumptions, biases, and values
k k k k k k k k k k k k


andhow one‘s background and social environment have shaped one‘s experience
k k k k k k k k k k k




DIF: Cognitive Level: Knowledge REF: 4
kk k OBJ: 1 | 7 k k k k k k k


TOP: Cultural Humility k KEY: Nursing Process Step: Evaluation k k k k k




8. In 2015, the WHO developed the Sustainable Development Goals (SDGs). What issues do
k k k k k k k k k k k k


kthenew SDG‘s include that the Millennium Development Goals (MDGs) did not include? a.
k k k k k k k k k k k k k


Climate change and environmental protection
k k k k


b. Combating HIV and malaria k k k


c. Eradicating poverty and hunger k k k


d. Achieving universal primary education k k k




ANS: A k


Climate change and environmental protection are new goals of the SDGs. All other
k k k k k k k k k k k k


optionsare part of the MDGs
k k k k k k




DIF: Cognitive Level: Knowledge REF: 13
kk k OBJ: 16 k k k k k


TOP: Sustainable Development Goals
k KEY: Nursing Process Step: N/A k k k k k k




9. What guidelines define multidisciplinary patient care in terms of expected outcome
k k k k k k k k k k


andtimeframe from different areas of care provision? a. Clinical pathways
k k k k k k k k k k k


b. Nursing outcome criteria k k


c. Standards of care k k


d. Nursing care plan k k




ANS: A k


Clinical pathways, also known as critical pathways or care maps, are collaborative
k k k k k k k k k k k


guidelines that define patient care across disciplines. Expected progress within a
k k k k k k k k k k k


specifiedtimeline is identified.
k k k k




DIF: Cognitive Level: Knowledge REF: 12
kk k OBJ: 13 k k k k k


TOP: Health Care Delivery Systems
k KEY: Nursing Process Step: N/A
k k k k k k k




10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her
k k k k k k k k k k k


mother,and collected admission data. What is the next step the student will take to develop a
k k k k k k k k k k k k k k k k k


nursing care plan for this child?
k k k k k k

, CANADA 1ST k


EDITION BY LEIFER k k


a. Identify measurable outcomes with a timeline. k k k k k


b. Choose specific nursing interventions for the k k k k k


child.c. Determine appropriate nursing diagnoses.
k k k k k k


d. State nursing actions related to the child‘s medical diagnosis.
k k k k k k k k k




ANS: C k


The nurse uses assessment data to develop appropriate nursing diagnoses. Outcomes
k k k k k k k k k k


andinterventions are then developed to address the relevant nursing diagnoses.
k k k k k k k k k k k




DIF: Cognitive Level: Application REF: 11
kk k k k k k OBJ:
10TOP: Nursing Process
k k k k


KEY: Nursing Process Step: Nursing Diagnosis
k k k k k




11. A nursing student on a maternal–newborn rotation questions the floor nurse about the
k k k k k k k k k k k k


definitionof the practical nurse scope of practice. What resource can the nurse suggest to the
k k k k k k k k k k k k k k k k


student?
k


a. Canadian Nurses
k k


Associationb. Provincial
k k kk


regulatory board
k k


c. Federal government k


d. Canadian Association of Perinatal & Women‘s Health Nursing k k k k k k k




ANS: B k


The scope of practice of the practical nurse is determined by the provincial board of nursing.
k k k k k k k k k k k k k k k




DIF: Cognitive Level: Comprehension
kk k REF: 3 OBJ: 2 k k k k


TOP: Standards of Practice KEY: Nursing Process Step: Implementation
k k k k k k k k




12. Which social determinant of health (SDOH) is specifically related to Indigenous
k k k k k k k k k k


people‘shealth?
k k


a. Colonization
b. Education
c. Social support networks k k


d. Employment and working conditions k k k




ANS: A k


All of the SDOH are important but the impact of colonization is related specifically
k k k k k k k k k k k k k


toIndigenous people‘s health.
k k k k




k MNURSINGTB.CO
DIF: Cognitive Level: Knowledge REF: 3
kk k OBJ: 6 k k k k k


TOP: Social Determinants of Health
k KEY: Nursing Process Step: N/A k k k k k k k




13. How does the clinical pathway or critical pathway improve quality of care?
k k k k k k k k k k k


a. Lists diagnosis-specific implementations k k


b. Outlines expected progress with stated timelines k k k k k


c. Prioritizes effective nursing diagnoses k k k


d. Describes common complications k k

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