Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is planning care for a pregnant patient who has
limited access to transportation, inconsistent employment, and
difficulty obtaining prenatal appointments. Which nursing action best
reflects a 21st-century approach to maternity care?
A. Encourage the patient to schedule appointments during standard
clinic hours
B. Identify barriers to care and connect the patient with available
community resources
C. Explain that maintaining regular appointments is primarily the
patient's responsibility
D. Recommend that the patient seek care only when symptoms develop
Correct Answer: B. Identify barriers to care and connect the patient
with available community resources
Rationale:
Contemporary maternity nursing emphasizes reducing barriers to care
and addressing social factors that influence maternal and infant
outcomes. The nurse should assess factors such as transportation,
employment, financial limitations, housing, health literacy, and access
to services and then facilitate appropriate resources and referrals.
Why the Other Options Are Incorrect:
A. Standard clinic hours may not accommodate patients with
transportation or employment barriers and do not address the
underlying access problem.
C. This approach overlooks the healthcare system's responsibility to
promote equitable access and provide appropriate support.
,D. Delaying prenatal care until symptoms occur can allow preventable
maternal or fetal complications to go undetected.
Question 2
Question:
A nurse is caring for patients in a maternity unit that recently adopted
electronic health records with integrated clinical decision-support tools.
Which action by the nurse demonstrates appropriate use of this
technology?
A. Accepting every computer-generated recommendation without
clinical evaluation
B. Using electronic information to support, rather than replace, nursing
judgment
C. Avoiding direct communication with patients because documentation
is automated
D. Allowing technology to determine which patients require emotional
support
Correct Answer: B. Using electronic information to support, rather
than replace, nursing judgment
Rationale:
Technology can improve access to information, communication,
documentation, safety, and clinical decision-making. However, nurses
remain responsible for interpreting information in the context of the
patient's condition, preferences, and clinical needs. Technology should
enhance—not replace—professional judgment.
, Why the Other Options Are Incorrect:
A. Electronic recommendations may not account for all patient-specific
factors and must be clinically evaluated.
C. Automation does not eliminate the nurse's responsibility for
communication, assessment, and therapeutic relationships.
D. Emotional needs require individualized nursing assessment and
cannot be determined solely by technology.
Question 3
Question:
Which nursing intervention best supports efforts to reduce maternal
and infant health disparities?
A. Providing identical education to every family regardless of
circumstances
B. Focusing primarily on patients who already have regular healthcare
access
C. Tailoring care to the patient's needs while addressing barriers to
essential services
D. Referring patients with social challenges to community agencies
without further nursing involvement
Correct Answer: C. Tailoring care to the patient's needs while
addressing barriers to essential services
Rationale:
Reducing disparities requires individualized, equitable care that
recognizes differences in resources, access, social circumstances,
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is planning care for a pregnant patient who has
limited access to transportation, inconsistent employment, and
difficulty obtaining prenatal appointments. Which nursing action best
reflects a 21st-century approach to maternity care?
A. Encourage the patient to schedule appointments during standard
clinic hours
B. Identify barriers to care and connect the patient with available
community resources
C. Explain that maintaining regular appointments is primarily the
patient's responsibility
D. Recommend that the patient seek care only when symptoms develop
Correct Answer: B. Identify barriers to care and connect the patient
with available community resources
Rationale:
Contemporary maternity nursing emphasizes reducing barriers to care
and addressing social factors that influence maternal and infant
outcomes. The nurse should assess factors such as transportation,
employment, financial limitations, housing, health literacy, and access
to services and then facilitate appropriate resources and referrals.
Why the Other Options Are Incorrect:
A. Standard clinic hours may not accommodate patients with
transportation or employment barriers and do not address the
underlying access problem.
C. This approach overlooks the healthcare system's responsibility to
promote equitable access and provide appropriate support.
,D. Delaying prenatal care until symptoms occur can allow preventable
maternal or fetal complications to go undetected.
Question 2
Question:
A nurse is caring for patients in a maternity unit that recently adopted
electronic health records with integrated clinical decision-support tools.
Which action by the nurse demonstrates appropriate use of this
technology?
A. Accepting every computer-generated recommendation without
clinical evaluation
B. Using electronic information to support, rather than replace, nursing
judgment
C. Avoiding direct communication with patients because documentation
is automated
D. Allowing technology to determine which patients require emotional
support
Correct Answer: B. Using electronic information to support, rather
than replace, nursing judgment
Rationale:
Technology can improve access to information, communication,
documentation, safety, and clinical decision-making. However, nurses
remain responsible for interpreting information in the context of the
patient's condition, preferences, and clinical needs. Technology should
enhance—not replace—professional judgment.
, Why the Other Options Are Incorrect:
A. Electronic recommendations may not account for all patient-specific
factors and must be clinically evaluated.
C. Automation does not eliminate the nurse's responsibility for
communication, assessment, and therapeutic relationships.
D. Emotional needs require individualized nursing assessment and
cannot be determined solely by technology.
Question 3
Question:
Which nursing intervention best supports efforts to reduce maternal
and infant health disparities?
A. Providing identical education to every family regardless of
circumstances
B. Focusing primarily on patients who already have regular healthcare
access
C. Tailoring care to the patient's needs while addressing barriers to
essential services
D. Referring patients with social challenges to community agencies
without further nursing involvement
Correct Answer: C. Tailoring care to the patient's needs while
addressing barriers to essential services
Rationale:
Reducing disparities requires individualized, equitable care that
recognizes differences in resources, access, social circumstances,
