MATERNAL CHILD NURSING CARE
7TH EDITION
AUTHOR(S)SHANNON PERRY
TEST BANK
1. Advances in the care of mothers and infants
Reference: 21st-Century Maternity Nursing — Advances in the
Care of Mothers and Infants
Clinical Stem:
A postpartum client asks why she is being encouraged to
initiate skin-to-skin contact within the first hour after birth. The
newborn is stable, pink, and breathing spontaneously. The
nurse explains that this practice supports physiologic
adaptation after birth. Which response by the nurse is best?
Options:
A. “It helps the newborn maintain body temperature and
,supports breastfeeding initiation.”
B. “It reduces the risk of congenital anomalies in the newborn.”
C. “It prevents the need for any newborn laboratory
screening.”
D. “It eliminates the need for maternal postpartum
assessment.”
Correct Answer: A
Rationale:
A is correct. Early skin-to-skin contact promotes
thermoregulation, bonding, and breastfeeding success, all of
which are key advances in maternity care. It supports both
maternal and newborn adaptation during the immediate
postpartum period.
B is incorrect. Skin-to-skin contact does not prevent
congenital anomalies.
C is incorrect. Newborn screening remains necessary even
when skin-to-skin care is used.
D is incorrect. Maternal assessment remains essential after
birth.
Teaching Point:
Skin-to-skin promotes thermoregulation, bonding, and early
breastfeeding.
,Citation:
Perry, S. (2023). Maternal Child Nursing Care (7th ed.). 21st-
century maternity nursing.
2. Reducing health disparities
Reference: 21st-Century Maternity Nursing — Efforts to Reduce
Health Disparities
Clinical Stem:
A pregnant client reports she missed two prenatal visits
because she cannot afford transportation and has trouble
taking time off work. The nurse wants to address a major
barrier affecting prenatal care access. What is the nurse’s best
action?
Options:
A. Encourage the client to schedule appointments only when
symptoms develop.
B. Refer the client to community resources that help with
transportation and prenatal support.
C. Tell the client that missing visits is not harmful if she feels
well.
D. Document the concern but wait until the next provider visit
to address it.
Correct Answer: B
, Rationale:
B is correct. Reducing disparities requires identifying
barriers and connecting clients to resources that improve
access to care. This promotes continuity of prenatal care and
supports better maternal-newborn outcomes.
A is incorrect. Prenatal care should be preventive, not
symptom-based only.
C is incorrect. Missed prenatal care can increase risk even
when the client feels well.
D is incorrect. The nurse should address barriers promptly,
not delay action.
Teaching Point:
Access barriers should be addressed early with community
resource referral.
Citation:
Perry, S. (2023). Maternal Child Nursing Care (7th ed.). 21st-
century maternity nursing.
3. Cultural humility in maternity care
Reference: 21st-Century Maternity Nursing — Efforts to Reduce
Health Disparities
Clinical Stem:
A laboring client declines eye contact and answers questions
7TH EDITION
AUTHOR(S)SHANNON PERRY
TEST BANK
1. Advances in the care of mothers and infants
Reference: 21st-Century Maternity Nursing — Advances in the
Care of Mothers and Infants
Clinical Stem:
A postpartum client asks why she is being encouraged to
initiate skin-to-skin contact within the first hour after birth. The
newborn is stable, pink, and breathing spontaneously. The
nurse explains that this practice supports physiologic
adaptation after birth. Which response by the nurse is best?
Options:
A. “It helps the newborn maintain body temperature and
,supports breastfeeding initiation.”
B. “It reduces the risk of congenital anomalies in the newborn.”
C. “It prevents the need for any newborn laboratory
screening.”
D. “It eliminates the need for maternal postpartum
assessment.”
Correct Answer: A
Rationale:
A is correct. Early skin-to-skin contact promotes
thermoregulation, bonding, and breastfeeding success, all of
which are key advances in maternity care. It supports both
maternal and newborn adaptation during the immediate
postpartum period.
B is incorrect. Skin-to-skin contact does not prevent
congenital anomalies.
C is incorrect. Newborn screening remains necessary even
when skin-to-skin care is used.
D is incorrect. Maternal assessment remains essential after
birth.
Teaching Point:
Skin-to-skin promotes thermoregulation, bonding, and early
breastfeeding.
,Citation:
Perry, S. (2023). Maternal Child Nursing Care (7th ed.). 21st-
century maternity nursing.
2. Reducing health disparities
Reference: 21st-Century Maternity Nursing — Efforts to Reduce
Health Disparities
Clinical Stem:
A pregnant client reports she missed two prenatal visits
because she cannot afford transportation and has trouble
taking time off work. The nurse wants to address a major
barrier affecting prenatal care access. What is the nurse’s best
action?
Options:
A. Encourage the client to schedule appointments only when
symptoms develop.
B. Refer the client to community resources that help with
transportation and prenatal support.
C. Tell the client that missing visits is not harmful if she feels
well.
D. Document the concern but wait until the next provider visit
to address it.
Correct Answer: B
, Rationale:
B is correct. Reducing disparities requires identifying
barriers and connecting clients to resources that improve
access to care. This promotes continuity of prenatal care and
supports better maternal-newborn outcomes.
A is incorrect. Prenatal care should be preventive, not
symptom-based only.
C is incorrect. Missed prenatal care can increase risk even
when the client feels well.
D is incorrect. The nurse should address barriers promptly,
not delay action.
Teaching Point:
Access barriers should be addressed early with community
resource referral.
Citation:
Perry, S. (2023). Maternal Child Nursing Care (7th ed.). 21st-
century maternity nursing.
3. Cultural humility in maternity care
Reference: 21st-Century Maternity Nursing — Efforts to Reduce
Health Disparities
Clinical Stem:
A laboring client declines eye contact and answers questions
