7th Edition
• Author(s)Shannon Perry
• ISBN: 9780323776714
TEST BANK
,Question 1: Multiple Choice
A labor and delivery nurse is discussing improvements in
maternal-newborn care over the last several decades. Which
development has contributed most directly to improved
neonatal survival rates?
A. Earlier hospital discharge after birth
B. Increased use of electronic health records
C. Advances in neonatal intensive care technology
D. Increased availability of prenatal classes
Correct Answer
C. Advances in neonatal intensive care technology
Rationale
Neonatal intensive care units (NICUs), advanced respiratory
support, surfactant therapy, and specialized neonatal
monitoring have significantly improved survival among preterm
and critically ill newborns.
Incorrect Options
• A: Early discharge does not directly improve survival.
• B: Electronic records improve communication but are not
the primary factor.
• D: Prenatal education improves outcomes but has less
impact on neonatal survival than NICU advances.
,Nursing Process: Evaluation
Clinical Judgment: Analyze Cues
Difficulty: Moderate
Bloom's Level: Apply
Question 2: Multiple Choice
A nurse is participating in a quality-improvement initiative
aimed at reducing maternal mortality. Which intervention is
most consistent with evidence-based maternity care?
A. Limiting prenatal visits for low-risk clients
B. Standardized screening for pregnancy complications
C. Eliminating telehealth services
D. Restricting patient participation in care planning
Correct Answer
B. Standardized screening for pregnancy complications
Rationale
Standardized assessment protocols help identify conditions
such as preeclampsia, gestational diabetes, and hemorrhage
risk early, reducing maternal morbidity and mortality.
Incorrect Options
• A: Reduced visits may delay identification of
complications.
• C: Telehealth can improve access.
, • D: Patient-centered care encourages participation.
Nursing Process: Assessment
Clinical Judgment: Recognize Cues
Difficulty: Moderate
Bloom's Level: Apply
Question 3: SATA
The nurse recognizes which factors contribute to maternal
health disparities? Select all that apply.
A. Limited access to prenatal care
B. Socioeconomic barriers
C. Cultural and language barriers
D. Consistent health insurance coverage for all populations
E. Geographic isolation
Correct Answers
A, B, C, E
Rationale
Health disparities are associated with unequal access to care,
poverty, language differences, and rural isolation.
Incorrect Option
• D: Universal access would reduce rather than contribute to
disparities.