7th Edition
• Author(s)Shannon Perry
,PART 1: MATERNITY NURSING
UNIT 1: Introduction to Maternity Nursing
Question 1
Question:
A maternity nurse is caring for a pregnant patient whose cultural
background differs from the nurse’s own. Which nursing action best
reflects a 21st-century approach to maternity care?
A. Encourage the patient to follow the unit’s usual routines to promote
consistency.
B. Ask the patient which cultural practices and preferences are
important to incorporate into the plan of care.
C. Explain that hospital safety policies take priority over all cultural
preferences.
D. Ask a family member to make decisions about care based on the
family’s traditions.
Correct Answer: B. Ask the patient which cultural practices and
preferences are important to incorporate into the plan of care.
Rationale:
Contemporary maternity nursing emphasizes individualized, culturally
responsive, patient-centered care. Asking the patient about meaningful
beliefs and preferences promotes shared decision-making while
allowing the nurse to identify practices that can be safely incorporated
into care.
Why the Other Options Are Incorrect:
A. Standard routines may be useful for organization but should not
replace individualized care.
,C. Safety is essential, but the nurse should first determine whether
cultural preferences can be accommodated safely rather than
dismissing them.
D. Family involvement may be valuable, but the patient should remain
central to decisions about her own care.
Question 2
Question:
A nurse is reviewing current maternity-care practices with a student
nurse. Which development best represents an important advance in the
care of mothers and infants?
A. Greater reliance on standardized care regardless of individual needs
B. Increased use of family participation and evidence-informed care
C. Reduced emphasis on patient education because technology
provides more information
D. Limiting parents’ involvement during hospitalization to reduce
interruptions
Correct Answer: B. Increased use of family participation and evidence-
informed care
Rationale:
Modern maternity care increasingly emphasizes evidence-informed
practice, informed decision-making, family participation, and
individualized care. These approaches can improve safety, satisfaction,
communication, and continuity across the childbirth experience.
Why the Other Options Are Incorrect:
A. Current practice recognizes that maternal and infant needs vary and
, should not be addressed solely through rigid routines.
C. Patient education remains an essential nursing responsibility despite
advances in technology.
D. Family participation is often an important component of supportive,
family-centered maternity care.
Question 3
Question:
A community health nurse is planning a program to reduce disparities in
maternal and infant outcomes. Which strategy should the nurse
prioritize?
A. Provide identical resources to every community regardless of need.
B. Focus services primarily on patients who already attend prenatal
appointments regularly.
C. Identify barriers to care and connect underserved families with
appropriate resources.
D. Concentrate resources on treatment after complications occur.
Correct Answer: C. Identify barriers to care and connect underserved
families with appropriate resources.
Rationale:
Reducing health disparities requires identifying barriers such as limited
access, transportation challenges, financial constraints, communication
difficulties, and other social factors that may affect care. Connecting
families with appropriate services supports earlier access to preventive
and maternity care.