Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit is reviewing changes
in maternity care over the past several decades. Which development
best reflects a current trend in maternity nursing?
A. Increasing separation of newborns from parents after birth
B. Greater emphasis on family participation in care decisions
C. Routine use of invasive procedures for uncomplicated births
D. Limiting maternal education to the immediate postpartum period
Correct Answer: B. Greater emphasis on family participation in care
decisions
Rationale:
Contemporary maternity nursing emphasizes family-centered care,
shared decision-making, patient education, and active participation of
parents in care. This approach recognizes the mother and infant as part
of a family system and supports informed choices and better continuity
of care.
Why the Other Options Are Incorrect:
A. Contemporary care generally promotes parent-infant contact and
bonding when clinically appropriate rather than unnecessary
separation.
C. Modern maternity practice emphasizes evidence-informed care and
avoids unnecessary interventions when pregnancy and birth are
progressing normally.
D. Education should occur throughout pregnancy, childbirth,
postpartum recovery, and transition home rather than being restricted
to one period.
,Question 2
Question:
A pregnant patient says, “I want to understand my choices before
deciding whether to accept a recommended intervention.” Which
nursing response best reflects contemporary maternity nursing?
A. “The provider has recommended it, so it is probably the safest
choice.”
B. “You should follow the recommendation because pregnancy can
change quickly.”
C. “Let’s review the available information so you can participate in the
decision.”
D. “You can decide after the intervention is scheduled.”
Correct Answer: C. “Let’s review the available information so you can
participate in the decision.”
Rationale:
Current maternity nursing supports informed decision-making and
patient autonomy. The nurse should facilitate understanding, clarify
information, encourage questions, and support the patient's
participation in decisions.
Why the Other Options Are Incorrect:
A. The nurse should not substitute provider preference for informed
patient choice.
B. Urgency should not be assumed solely because the patient is
pregnant; accurate information should guide decision-making.
, D. Waiting until after scheduling may prevent the patient from making a
meaningful informed decision.
Question 3
Question:
Which nursing action most directly supports efforts to reduce health
disparities in maternity care?
A. Providing identical education to every patient
B. Asking patients to adapt to the healthcare system without assistance
C. Identifying barriers that may interfere with access to prenatal care
D. Prioritizing patients who have previously used the healthcare system
Correct Answer: C. Identifying barriers that may interfere with access to
prenatal care
Rationale:
Reducing health disparities requires identifying and addressing barriers
such as transportation, financial limitations, language differences,
limited health literacy, and difficulty accessing services. Nurses can help
connect patients with resources and improve equitable access to care.
Why the Other Options Are Incorrect:
A. Equal treatment does not necessarily produce equitable outcomes
because patients may have different needs and barriers.
B. Nurses should help patients navigate barriers rather than place the
entire responsibility on them.
D. Prior healthcare use should not determine who receives appropriate
maternity services.
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit is reviewing changes
in maternity care over the past several decades. Which development
best reflects a current trend in maternity nursing?
A. Increasing separation of newborns from parents after birth
B. Greater emphasis on family participation in care decisions
C. Routine use of invasive procedures for uncomplicated births
D. Limiting maternal education to the immediate postpartum period
Correct Answer: B. Greater emphasis on family participation in care
decisions
Rationale:
Contemporary maternity nursing emphasizes family-centered care,
shared decision-making, patient education, and active participation of
parents in care. This approach recognizes the mother and infant as part
of a family system and supports informed choices and better continuity
of care.
Why the Other Options Are Incorrect:
A. Contemporary care generally promotes parent-infant contact and
bonding when clinically appropriate rather than unnecessary
separation.
C. Modern maternity practice emphasizes evidence-informed care and
avoids unnecessary interventions when pregnancy and birth are
progressing normally.
D. Education should occur throughout pregnancy, childbirth,
postpartum recovery, and transition home rather than being restricted
to one period.
,Question 2
Question:
A pregnant patient says, “I want to understand my choices before
deciding whether to accept a recommended intervention.” Which
nursing response best reflects contemporary maternity nursing?
A. “The provider has recommended it, so it is probably the safest
choice.”
B. “You should follow the recommendation because pregnancy can
change quickly.”
C. “Let’s review the available information so you can participate in the
decision.”
D. “You can decide after the intervention is scheduled.”
Correct Answer: C. “Let’s review the available information so you can
participate in the decision.”
Rationale:
Current maternity nursing supports informed decision-making and
patient autonomy. The nurse should facilitate understanding, clarify
information, encourage questions, and support the patient's
participation in decisions.
Why the Other Options Are Incorrect:
A. The nurse should not substitute provider preference for informed
patient choice.
B. Urgency should not be assumed solely because the patient is
pregnant; accurate information should guide decision-making.
, D. Waiting until after scheduling may prevent the patient from making a
meaningful informed decision.
Question 3
Question:
Which nursing action most directly supports efforts to reduce health
disparities in maternity care?
A. Providing identical education to every patient
B. Asking patients to adapt to the healthcare system without assistance
C. Identifying barriers that may interfere with access to prenatal care
D. Prioritizing patients who have previously used the healthcare system
Correct Answer: C. Identifying barriers that may interfere with access to
prenatal care
Rationale:
Reducing health disparities requires identifying and addressing barriers
such as transportation, financial limitations, language differences,
limited health literacy, and difficulty accessing services. Nurses can help
connect patients with resources and improve equitable access to care.
Why the Other Options Are Incorrect:
A. Equal treatment does not necessarily produce equitable outcomes
because patients may have different needs and barriers.
B. Nurses should help patients navigate barriers rather than place the
entire responsibility on them.
D. Prior healthcare use should not determine who receives appropriate
maternity services.
