MATERNAL CHILD NURSING CARE
7TH EDITION
AUTHOR(S)SHANNON PERRY
TEST BANK
1. Evidence-Based Practice in Maternity Care
Reference: 21st-Century Maternity Nursing — Evidence-Based
Practice and Quality Improvement
Stem: A postpartum unit has a higher-than-expected rate of
readmissions for uncontrolled pain after cesarean birth. The
nurse manager asks the staff to identify the most appropriate
first step to improve care. Which action best reflects
contemporary maternity nursing practice?
Options:
A. Ask each nurse to use the pain teaching method she prefers
B. Review unit data and compare current practice with
,evidence-based guidelines
C. Wait until the annual evaluation to address the trend
D. Increase the frequency of routine vital signs on all
postpartum patients
Correct Answer: B
Rationales:
Correct Answer: Reviewing unit data and comparing practice
with evidence-based guidelines supports quality improvement
and reduces unwarranted variation in care. This reflects
modern maternity nursing, which uses outcomes to guide safer,
more effective practice.
A: Individual preference is not a reliable method for improving
system-wide outcomes. It may increase inconsistency rather
than reduce readmissions.
C: Delaying action allows the problem to continue and places
mothers at risk for poor recovery. Quality concerns require
timely response.
D: More vital signs do not directly address the reason for pain-
related readmission. The issue is education, pain control
planning, and evaluation of outcomes.
Teaching Point: Use data and evidence to improve maternal
outcomes.
Citation: Perry, S. (n.d.). Maternal Child Nursing Care (7th ed.).
21st-Century Maternity Nursing—Evidence-Based Practice.
,2. Health Disparities and Access to Care
Reference: 21st-Century Maternity Nursing — Reducing Health
Disparities
Stem: A pregnant patient has attended only one prenatal visit
because she lacks reliable transportation and cannot leave
work during clinic hours. She says, “I know I need care, but it is
hard to get here.” What is the nurse’s best action?
Options:
A. Document noncompliance and reinforce the importance of
prenatal visits
B. Assess barriers to care and connect the patient with
available community resources
C. Tell the patient to come to the emergency department if
symptoms become severe
D. Schedule all teaching for the next visit and avoid discussing
missed appointments
Correct Answer: B
Rationales:
Correct Answer: The nurse should identify barriers such as
transportation and work constraints and link the patient to
resources. Contemporary maternity nursing addresses social
determinants of health to improve access and outcomes.
, A: Labeling the patient as noncompliant does not solve the
access problem and can worsen stigma. The priority is problem-
solving, not blame.
C: Emergency care is not a substitute for prenatal care and
does not promote prevention. It delays management until
complications occur.
D: Avoiding the issue misses an opportunity to support ongoing
care. The nurse should address barriers now and plan care
accordingly.
Teaching Point: Identify barriers to care before judging
adherence.
Citation: Perry, S. (n.d.). Maternal Child Nursing Care (7th ed.).
21st-Century Maternity Nursing—Health Disparities.
3. Family-Centered Maternity Care
Reference: 21st-Century Maternity Nursing — Family-Centered
Care
Stem: A postpartum patient asks whether her partner and
grandmother may stay during newborn teaching because they
will help care for the infant at home. The patient is alert,
comfortable, and agrees with their involvement. What should
the nurse do?
7TH EDITION
AUTHOR(S)SHANNON PERRY
TEST BANK
1. Evidence-Based Practice in Maternity Care
Reference: 21st-Century Maternity Nursing — Evidence-Based
Practice and Quality Improvement
Stem: A postpartum unit has a higher-than-expected rate of
readmissions for uncontrolled pain after cesarean birth. The
nurse manager asks the staff to identify the most appropriate
first step to improve care. Which action best reflects
contemporary maternity nursing practice?
Options:
A. Ask each nurse to use the pain teaching method she prefers
B. Review unit data and compare current practice with
,evidence-based guidelines
C. Wait until the annual evaluation to address the trend
D. Increase the frequency of routine vital signs on all
postpartum patients
Correct Answer: B
Rationales:
Correct Answer: Reviewing unit data and comparing practice
with evidence-based guidelines supports quality improvement
and reduces unwarranted variation in care. This reflects
modern maternity nursing, which uses outcomes to guide safer,
more effective practice.
A: Individual preference is not a reliable method for improving
system-wide outcomes. It may increase inconsistency rather
than reduce readmissions.
C: Delaying action allows the problem to continue and places
mothers at risk for poor recovery. Quality concerns require
timely response.
D: More vital signs do not directly address the reason for pain-
related readmission. The issue is education, pain control
planning, and evaluation of outcomes.
Teaching Point: Use data and evidence to improve maternal
outcomes.
Citation: Perry, S. (n.d.). Maternal Child Nursing Care (7th ed.).
21st-Century Maternity Nursing—Evidence-Based Practice.
,2. Health Disparities and Access to Care
Reference: 21st-Century Maternity Nursing — Reducing Health
Disparities
Stem: A pregnant patient has attended only one prenatal visit
because she lacks reliable transportation and cannot leave
work during clinic hours. She says, “I know I need care, but it is
hard to get here.” What is the nurse’s best action?
Options:
A. Document noncompliance and reinforce the importance of
prenatal visits
B. Assess barriers to care and connect the patient with
available community resources
C. Tell the patient to come to the emergency department if
symptoms become severe
D. Schedule all teaching for the next visit and avoid discussing
missed appointments
Correct Answer: B
Rationales:
Correct Answer: The nurse should identify barriers such as
transportation and work constraints and link the patient to
resources. Contemporary maternity nursing addresses social
determinants of health to improve access and outcomes.
, A: Labeling the patient as noncompliant does not solve the
access problem and can worsen stigma. The priority is problem-
solving, not blame.
C: Emergency care is not a substitute for prenatal care and
does not promote prevention. It delays management until
complications occur.
D: Avoiding the issue misses an opportunity to support ongoing
care. The nurse should address barriers now and plan care
accordingly.
Teaching Point: Identify barriers to care before judging
adherence.
Citation: Perry, S. (n.d.). Maternal Child Nursing Care (7th ed.).
21st-Century Maternity Nursing—Health Disparities.
3. Family-Centered Maternity Care
Reference: 21st-Century Maternity Nursing — Family-Centered
Care
Stem: A postpartum patient asks whether her partner and
grandmother may stay during newborn teaching because they
will help care for the infant at home. The patient is alert,
comfortable, and agrees with their involvement. What should
the nurse do?
