Healthcare Cultural Safety Quiz

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Questions and Answers

What is the primary focus of cultural safety in healthcare relationships?

Ensuring all patients receive identical treatment

Highlighting power imbalances in health care relationships (correct)

Encouraging diverse representation among healthcare providers

Promoting equal access to healthcare services for all

Which approach is specifically associated with increasing awareness of personal and systemic biases?

Cultural Awareness

Cultural Safety

Cultural Humility (correct)

Cultural Competence

When utilizing inclusive language in healthcare, which phrasing is considered the most inclusive?

Pregnant women

Pregnant people (correct)

Expectant mothers

New parents

In the context of language and respect, what should healthcare providers prioritize when addressing clients?

Using their preferred pronouns and terms (B) Signup and view all the answers

What is a key characteristic of the HBHC program mentioned?

It is free and voluntary without the need for an OHIP card (C) Signup and view all the answers

What percentage of maternal deaths occurs in low and lower middle-income countries?

94% (B) Signup and view all the answers

What is the leading cause of death among children under 5 years of age?

Preterm birth complications (C) Signup and view all the answers

How many women die from preventable causes related to pregnancy and childbirth each day?

810 (C) Signup and view all the answers

What is the infant mortality rate in Canada per 1,000 live births?

4.7 (B) Signup and view all the answers

Young adolescents face a higher risk of complications from pregnancy. What is the age range defined as young adolescents?

10-14 years (A) Signup and view all the answers

How many newborn deaths occur globally each day?

6,700 (B) Signup and view all the answers

What percentage of infant deaths in Canada occur within the first week of life?

85.2% (A) Signup and view all the answers

What is the primary focus of intersectionality?

To explore how different systems of discrimination interact with each other. (C) Signup and view all the answers

Which of the following systems is NOT mentioned as part of intersectionality?

Ableism (C) Signup and view all the answers

How do systems of discrimination operate according to the concept of intersectionality?

They advantage some while disadvantaging others. (D) Signup and view all the answers

At which levels does intersectionality analyze the effects of discrimination?

Individual and social-structural levels. (C) Signup and view all the answers

Why might intersectionality be important in understanding discrimination?

It shows that discrimination cannot be understood without considering overlapping identities. (B) Signup and view all the answers

Which of the following best describes the approach of intersectionality?

It integrates various forms of discrimination to provide a holistic view. (C) Signup and view all the answers

What is implied about forms of discrimination in the context of intersectionality?

Forms of discrimination can amplify each other's effects. (D) Signup and view all the answers

What does the term 'social-structural level' refer to in intersectionality?

It encompasses societal norms, policies, and institutions. (B) Signup and view all the answers

Which of the following statements is NOT accurate regarding intersectionality?

It simplifies the discussion by focusing on one aspect of identity at a time. (D) Signup and view all the answers

What is the primary reason for performing female genital mutilation (FGM)?

It is a cultural tradition. (D) Signup and view all the answers

During the initial prenatal visit, what should a healthcare provider assess for regarding FGM?

Extent of cutting if present. (D) Signup and view all the answers

Which practice is essential for providing culturally safe care to clients with FGM history?

Listening to and using the terms the client prefers. (D) Signup and view all the answers

What impact might pregnancy and parenthood have on wider society?

Strengthening community ties. (D) Signup and view all the answers

What should a healthcare provider ensure when documenting a client with a history of FGM?

Ensure privacy and confidentiality. (C) Signup and view all the answers

How should a healthcare provider respond to a client who has just confirmed their pregnancy?

Tell me how you are feeling about this news. (B) Signup and view all the answers

What common societal assumption is often made about pregnancy and parenthood?

All pregnancies are planned. (A) Signup and view all the answers

Which aspect is NOT essential when providing care related to FGM?

Offering stigmatizing remarks to educate. (C) Signup and view all the answers

What is a key factor influencing personal beliefs about pregnancy?

Personal experiences and upbringing. (A) Signup and view all the answers

Which of the following is a crucial consideration when discussing FGM with affected individuals?

Providing information throughout pregnancy. (D) Signup and view all the answers

What physiological implications can stress-induced hormones lead to over time?

Increased waist-to-hip ratio and higher HbA1c levels (C) Signup and view all the answers

What is described as 'obstetric racism'?

Forms of violence and abuse against Black women by medical personnel (B) Signup and view all the answers

Which populations are identified to have unique forms of discrimination during pregnancy?

Racialized 2SLGBTQ people (C) Signup and view all the answers

What are potential impacts of masculinizing and feminizing hormone therapy on individuals at childbearing age?

Long-term infertility and temporary fertility changes (A) Signup and view all the answers

What aspects of care should healthcare providers discuss prior to initiating hormone therapy with patients?

Birth control and fertility preservation options (C) Signup and view all the answers

What chronic health issues can result from prolonged exposure to stress hormones?

Higher cholesterol and blood pressure levels (D) Signup and view all the answers

What should society understand about the reproductive interests of 2SLGBTQ individuals?

They deserve equal respect and care regarding reproductive issues (D) Signup and view all the answers

What is a consequence of greater physiological wear and tear on the body from stress?

Faster biological aging (C) Signup and view all the answers

How can stress affect birth outcomes such as low birth weight?

It can contribute to low birth weight and small for gestational age infants. (B) Signup and view all the answers

Why is it important for healthcare providers to understand intersectionality in health care?

It allows for better personalized and respectful healthcare practices. (A) Signup and view all the answers

Study Notes

PPN 301 - Class 1: Promoting the Health of Childbearing Individuals and Populations

Course is titled PPN 301
Class 1 focuses on promoting the health of childbearing individuals and populations
The course agenda includes: review of course syllabus, overview of global trends in maternal, infant, and child health, maternal, infant, child health promotion, a theoretical perspective on Maternal and Child Nursing Practice, Principles of Family-Centred Maternity and Newborn Care, Trauma and Violence informed care, and Cultural safety and cultural humility.

Global Trends in Maternal, Infant, and Child Health

Maternal: Every day, approximately 810 women die from preventable causes related to pregnancy and childbirth. 94% of maternal deaths occur in low- and lower-middle-income countries. Young adolescents (ages 10-14) face a higher risk of complications and death from pregnancy than other women.
Infant: Globally, 2.4 million children died in the first month of life. Approximately 6700 newborn deaths occur every day, accounting for 47% of all child deaths under 5 years old. An estimated 15 million babies are born preterm (before 37 completed weeks of gestation).

Maternal and Infant Mortality in Canada

31 maternal deaths per 100,000 live births
1,750 infants or 4.7 infant deaths per 1,000 live births
85.2% of infant deaths occur within the first week of life, most within 24 hours.
Infant mortality rates are twice as high for Indigenous groups compared to non-Indigenous populations.
Risk of preterm birth is 8.9% higher in Indigenous populations compared to White populations (McKinnon, 2016).
Black women/African Americans are 3-4 times more likely to die from pregnancy and childbirth-related complications.

Inequalities in Infant Mortality in Canada

Infant mortality rates are significantly higher in lower socioeconomic groups and regions with higher proportions of Indigenous peoples.
Factors like low maternal education, inadequate housing, food insecurity, and lack of access to healthcare are strongly associated with higher infant mortality rates.

Maternal and Infant Health Inequities

Health inequities are differences in health status and distribution of health resources between population groups resulting from social conditions impacting birth, growth, living, work and aging.
Social justice policies can reduce health inequities.

UN Sustainable Development Goal 3: Good Health and Well-being

Target 3.1: Reduce maternal mortality
Target 3.2: End preventable deaths under 5 years of age
Target 3.7: Universal access to sexual and reproductive care, family planning, and education

Reproductive Rights and Justice

Reproductive rights embody the basic rights of all individuals to decide freely and responsibly on the number, spacing, and timing of their children, and to have access to information and means to do so, reaching the highest standard of reproductive health, free from discrimination and coercion.
Reproductive justice encompasses the physical, mental, spiritual, political, economic, and social well-being of women and girls.

Understands the socio-political and historical roots of inequalities, and examines power relationships and structures in society that produce inequalities.
Applies critical perspectives to understand health inequalities at the micro, meso, and macro levels.

Critical Race Theory

Rooted in the acknowledgement that race is a social construct and racism is a central societal feature embedded in institutions.
Challenges the biological construct of race in health disparity analyses.
Analyzes historical and sociopolitical structures, contributing to differential health outcomes between different racial groups.

Engages with the problem to bring about transformation
Works with individuals, families, and multi-sector collaborations to influence policy and address determinants of health.
Explicit commitment to social justice.

Cultural Safety & Cultural Humility

Cultural safety highlights power imbalances in healthcare relationships.
Cultural humility is a process of self-reflection to increase awareness of one's personal and systemic biases.

How can I Speak Up Against Racism?

Set limits in conversations, acting respectfully.
Practice, prepare, and express concerns clearly and respectfully to disrupt harmful conversations and behaviors.
Apologize if you make mistakes or perpetrate injustice, and engage in continued learning to eradicate biases.
Uncover and learn from mistakes to deepen your understanding of racism.
Persuade others to engage in anti-racism, spreading awareness and encouragement.

Inclusive Language

Consider the impact of using inclusive language during pregnancy.
Use inclusive terms such as pregnant people instead of pregnant women, parent instead of mother or father.
Respect clients' preferences for pronouns and body terminology.

Healthy Babies Healthy Children (HBHC) Program

Is a public health program that supports individuals and families in having healthy pregnancies, developing positive relationships with babies and children.
Promotes child growth and development.
Provides access to community resources, including health and social services.

Perinatal and Pediatric Nursing

Perinatal nurses work collaboratively with childbearing individuals and families during pregnancy and postpartum.
Pediatric nurses care for children from birth to age 18 years.

Perinatal Healthcare Providers

Includes nurses, midwives, obstetricians, and doulas.

Key Nursing Practice & Reproductive Health Considerations

Role of the MCN (Midwifery Care Nurse) in reproductive and pregnancy health care.
Factors nurses should consider in providing reproductive and pregnancy care.
Ethical issues that may arise in providing reproductive and pregnancy care.

CASN Entry-to-Practice Competencies

Core competencies related to childbearing family nursing care for baccalaureate nursing students in Canada.
Knowledge, skills, and attitudes needed for all new nurses.
National consensus-based guidelines for entry-level registered nurses caring for childbearing families.

Perinatal Nursing Standards and CNA Speciality Certification

Organizations offering perinatal nursing certification in Canada.

Trauma and Violence Informed Care

Policies and practices that recognize the connections between violence, trauma and negative health outcomes and behaviour.
Aims to minimize harmful potential, enhance safety, resilience and control for victims.
Increases attention to impacts of violence on people's lives and well-being.

Four Principles for Implementing TVIC Approaches

Understanding trauma and violence, and their impact on lives and behaviour.
Acknowledging, listening to, believing and validating survivors' experiences.
Recognizing and considering survivors' strengths.
Expressing concern respectfully and with care.

Avoiding Assumptions

Important to establish a trusting nurse-client relationship by respectfully and carefully listening to clients to understand their individual circumstances and needs.

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Description

Test your knowledge on critical aspects of cultural safety in healthcare relationships. This quiz covers inclusive language, the HBHC program, maternal and infant mortality rates, and the challenges young adolescents face. Enhance your understanding of these vital topics in healthcare.