Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is caring for a patient whose pregnancy and birth
involve multiple members of the healthcare team, including an obstetric
provider, midwife, lactation consultant, and social worker. Which
nursing action best reflects a 21st-century approach to maternity care?
A. Coordinate care while encouraging the patient to participate in
decisions about treatment
B. Defer most decisions to the provider to prevent conflicting
information
C. Limit family involvement so that professional recommendations
remain consistent
D. Focus primarily on the physical needs of the patient during
hospitalization
Correct Answer: A. Coordinate care while encouraging the patient to
participate in decisions about treatment
Rationale:
Contemporary maternity nursing emphasizes collaborative, patient-
centered, evidence-informed care. The nurse helps coordinate
interdisciplinary services while supporting the patient as an active
participant in decisions affecting her health and that of her infant.
Why the Other Options Are Incorrect:
A. Correct because collaboration and shared decision-making are
central to contemporary maternity nursing practice.
B. This limits the nurse's role in advocacy, coordination, education, and
,communication.
C. Family participation can be valuable when desired by the patient and
appropriate to the situation.
D. Modern maternity care addresses physical, psychological, social,
cultural, and family needs rather than physical needs alone.
Question 2
Question:
A nurse notices that a pregnant patient has difficulty understanding
written prenatal instructions and appears uncomfortable asking
questions. Which action is most appropriate?
A. Ask the patient to sign the teaching form after reviewing it
B. Provide additional written materials using more technical language
C. Use plain language and ask the patient to explain the instructions in
her own words
D. Ask a family member to review all instructions with the patient
Correct Answer: C. Use plain language and ask the patient to explain
the instructions in her own words
Rationale:
Using plain language and teach-back helps the nurse determine
whether the patient actually understands essential health information.
This approach supports health literacy and reduces barriers to safe
maternity care.
Why the Other Options Are Incorrect:
A. Signing a form does not demonstrate understanding.
B. More technical language may further increase the communication
, barrier.
C. Correct because plain language and teach-back are effective
strategies for confirming comprehension.
D. Family support may be useful, but the nurse should first
communicate directly with the patient and assess her understanding.
Question 3
Question:
Which development has contributed most directly to improving the
ability of maternity nurses to identify changes in maternal and fetal
status during labor?
A. Increased reliance on routine bed rest
B. Advances in fetal and maternal monitoring technology
C. Reduced use of interdisciplinary collaboration
D. Greater separation of maternity and neonatal services
Correct Answer: B. Advances in fetal and maternal monitoring
technology
Rationale:
Advances in monitoring technology have increased the ability of
clinicians to obtain and interpret information about maternal and fetal
status. Nurses must understand both the capabilities and limitations of
technology while continuing to perform comprehensive clinical
assessment.
Why the Other Options Are Incorrect:
A. Routine bed rest is not an advance that improves assessment of
maternal or fetal condition.
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is caring for a patient whose pregnancy and birth
involve multiple members of the healthcare team, including an obstetric
provider, midwife, lactation consultant, and social worker. Which
nursing action best reflects a 21st-century approach to maternity care?
A. Coordinate care while encouraging the patient to participate in
decisions about treatment
B. Defer most decisions to the provider to prevent conflicting
information
C. Limit family involvement so that professional recommendations
remain consistent
D. Focus primarily on the physical needs of the patient during
hospitalization
Correct Answer: A. Coordinate care while encouraging the patient to
participate in decisions about treatment
Rationale:
Contemporary maternity nursing emphasizes collaborative, patient-
centered, evidence-informed care. The nurse helps coordinate
interdisciplinary services while supporting the patient as an active
participant in decisions affecting her health and that of her infant.
Why the Other Options Are Incorrect:
A. Correct because collaboration and shared decision-making are
central to contemporary maternity nursing practice.
B. This limits the nurse's role in advocacy, coordination, education, and
,communication.
C. Family participation can be valuable when desired by the patient and
appropriate to the situation.
D. Modern maternity care addresses physical, psychological, social,
cultural, and family needs rather than physical needs alone.
Question 2
Question:
A nurse notices that a pregnant patient has difficulty understanding
written prenatal instructions and appears uncomfortable asking
questions. Which action is most appropriate?
A. Ask the patient to sign the teaching form after reviewing it
B. Provide additional written materials using more technical language
C. Use plain language and ask the patient to explain the instructions in
her own words
D. Ask a family member to review all instructions with the patient
Correct Answer: C. Use plain language and ask the patient to explain
the instructions in her own words
Rationale:
Using plain language and teach-back helps the nurse determine
whether the patient actually understands essential health information.
This approach supports health literacy and reduces barriers to safe
maternity care.
Why the Other Options Are Incorrect:
A. Signing a form does not demonstrate understanding.
B. More technical language may further increase the communication
, barrier.
C. Correct because plain language and teach-back are effective
strategies for confirming comprehension.
D. Family support may be useful, but the nurse should first
communicate directly with the patient and assess her understanding.
Question 3
Question:
Which development has contributed most directly to improving the
ability of maternity nurses to identify changes in maternal and fetal
status during labor?
A. Increased reliance on routine bed rest
B. Advances in fetal and maternal monitoring technology
C. Reduced use of interdisciplinary collaboration
D. Greater separation of maternity and neonatal services
Correct Answer: B. Advances in fetal and maternal monitoring
technology
Rationale:
Advances in monitoring technology have increased the ability of
clinicians to obtain and interpret information about maternal and fetal
status. Nurses must understand both the capabilities and limitations of
technology while continuing to perform comprehensive clinical
assessment.
Why the Other Options Are Incorrect:
A. Routine bed rest is not an advance that improves assessment of
maternal or fetal condition.
