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

Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
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Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing k k k k k k k


inCanada, 1st Edition
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MULTIPLE CHOICE k




1. A patient chooses to have a registered midwife (RM) provide care during her pregnancy and
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forher labour. What does the RM‘s scope of practice include? a. Independent comprehensive
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practice
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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
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upto 6 weeks, for women who are low risk. Births may occur in hospital or at home. RMs
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areregulated health professions who have a 4-year university degree.
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DIF: Cognitive Level: Comprehension
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TOP: Collaborative Care
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2. Which organization is responsible for the Baby Friendly Initiative (BFI) in Canada?
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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
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10Steps and WHO Code Outcome Indicators for Hospitals and Community Health
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Services, which sets the international standards for the WHO/UNICEF global criteria
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within the Canadian context.
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DIF: Cognitive Level: Knowledge REF: 7
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9TOP: The Past
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3. A pregnant woman who has recently immigrated Canada comments to a nurse, ―I am afraid
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ofchildbirth. It is so dangerous. I am afraid I will die.‖ What is the best nursing response
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reflecting cultural safety?
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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.‖
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d. ―Your condition will be monitored during labour and birth.‖
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,CANADA 1ST k


EDITION BY LEIFER k k


ANS: C k


Asking the patient about her concerns helps promote understanding and
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individualizespatient care.
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DIF: Cognitive Level: Application REF: 11
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TOP: Culturally Safe Care KEY: Nursing Process Step: Implementation
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4. An urban area has been reported to have a high perinatal mortality rate. What information
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doesthis provide?
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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
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c. Deaths of infants up to 1 year of age per 1000 live births per
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yeard. Fetal and neonatal deaths per 1000 live births per year
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ANS: D k


The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension
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10TOP: Statistics 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 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
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patient
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ANS: D k


Current maternity practice focuses on a high-quality family experience for all families.
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DIF: Cognitive Level: Comprehension
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8TOP: Perinatal Care
k k KEY: Nursing Process Step: N/A
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MNURSINGTB.CO
6. Which organization offers certification for nurses in specialty areas?
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a. CNA
b. CAPWHN
c. CANN
d. CAPN


ANS: A k


The Canadian Nurses Association offers certification exams for registered nurses in
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specialty areas including perinatal, community, neonatal, and pediatric intensive care.
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CAPWHN, CANN, and CAPN are specialty organizations for nursing groups in
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Canada.
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DIF: Cognitive Level: Knowledge REF: 10
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TOP: Nursing Certification KEY: Nursing Process Step:
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N/A
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,CANADA 1ST k


EDITION BY LEIFER k k




7. Which of the following requires self-reflection and discovery in order to provide care that
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isculturally appropriate? a. Cultural safety
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b. Cultural k


awarenessc. Cultural
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humility k


d. Cultural competence
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ANS: C k


Cultural humility is the precursor to providing culturally appropriate care. It is a process
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of self-reflection and discovery to understand one‘s own assumptions, biases, and values
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andhow one‘s background and social environment have shaped one‘s experience
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DIF: Cognitive Level: Knowledge REF: 4
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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
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kthenew SDG‘s include that the Millennium Development Goals (MDGs) did not include? a.
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Climate change and environmental protection
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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
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optionsare part of the MDGs
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DIF: Cognitive Level: Knowledge REF: 13
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TOP: Sustainable Development Goals
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9. What guidelines define multidisciplinary patient care in terms of expected outcome
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andtimeframe from different areas of care provision? a. Clinical pathways
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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
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guidelines that define patient care across disciplines. Expected progress within a
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specifiedtimeline is identified.
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DIF: Cognitive Level: Knowledge REF: 12
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TOP: Health Care Delivery Systems
k KEY: Nursing Process Step: N/A
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10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her
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mother,and collected admission data. What is the next step the student will take to develop a
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nursing care plan for this child?
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, 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.
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d. State nursing actions related to the child‘s medical diagnosis.
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ANS: C k


The nurse uses assessment data to develop appropriate nursing diagnoses. Outcomes
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andinterventions are then developed to address the relevant nursing diagnoses.
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DIF: Cognitive Level: Application REF: 11
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10TOP: Nursing Process
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KEY: Nursing Process Step: Nursing Diagnosis
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11. A nursing student on a maternal–newborn rotation questions the floor nurse about the
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definitionof the practical nurse scope of practice. What resource can the nurse suggest to the
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student?
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a. Canadian Nurses
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Associationb. Provincial
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regulatory board
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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.
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DIF: Cognitive Level: Comprehension
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TOP: Standards of Practice KEY: Nursing Process Step: Implementation
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12. Which social determinant of health (SDOH) is specifically related to Indigenous
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people‘shealth?
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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
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toIndigenous people‘s health.
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k MNURSINGTB.CO
DIF: Cognitive Level: Knowledge REF: 3
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TOP: Social Determinants of Health
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13. How does the clinical pathway or critical pathway improve quality of care?
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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