Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
A maternity nurse is discussing changes in 21st-century maternity care
with a group of nursing students. Which development best reflects the
current emphasis on maternity nursing?
A. Increasing reliance on standardized care for all pregnant patients
B. Greater emphasis on individualized, evidence-informed, family-
centered care
C. Limiting family participation to reduce interruptions during care
D. Focusing primarily on the physiologic needs of the pregnant patient
Correct Answer: B. Greater emphasis on individualized, evidence-
informed, family-centered care
Rationale:
Contemporary maternity nursing emphasizes individualized care that
integrates clinical evidence, patient preferences, family involvement,
safety, and the physical and psychosocial needs of the mother and
infant. Modern maternity nurses are expected to support shared
decision-making while maintaining evidence-informed practice.
Why the Other Options Are Incorrect:
A. Standardization can support safety, but treating all patients
identically does not address individual needs, preferences, risks, or
circumstances.
C. Family participation is often an important component of family-
centered maternity care when consistent with patient preference and
safety.
D. Maternity nursing addresses physiologic needs as well as
psychological, social, cultural, developmental, and family concerns.
,Question 2
A pregnant patient tells the nurse, “I want my partner involved in
discussions about my care, but I also want some decisions explained to
me privately.” Which nursing response best demonstrates
contemporary maternity practice?
A. “Your partner should remain present because family participation is
important.”
B. “I will provide the same information to both of you at all times.”
C. “We can include your partner according to your preferences and
provide private discussions when you request them.”
D. “Private discussions are generally unnecessary when a support
person is available.”
Correct Answer: C. “We can include your partner according to your
preferences and provide private discussions when you request them.”
Rationale:
Patient autonomy is central to contemporary maternity care. Family-
centered care should not replace the patient's right to control who
participates in care or when private communication is needed. The
nurse should support the patient's preferences while promoting
respectful family involvement.
Why the Other Options Are Incorrect:
A. Family participation should be based on the patient's preferences
rather than automatically required.
B. The patient may appropriately request private communication about
sensitive concerns, so identical communication arrangements are not
, always appropriate.
D. Private communication can be clinically important for assessment,
safety, autonomy, and disclosure of sensitive concerns.
Question 3
A nurse caring for a pregnant patient notices that the patient has
difficulty understanding written health information. Which nursing
action is most appropriate?
A. Provide the written materials and ask the patient to review them
independently.
B. Ask a family member to explain the information to the patient.
C. Use plain language, appropriate teaching methods, and teach-back to
assess understanding.
D. Document that the patient is noncompliant with health teaching.
Correct Answer: C. Use plain language, appropriate teaching methods,
and teach-back to assess understanding.
Rationale:
Contemporary maternity nursing recognizes health literacy as an
important factor in safe care. Nurses should communicate clearly, avoid
unnecessary jargon, use appropriate educational strategies, and verify
understanding through methods such as teach-back.
Why the Other Options Are Incorrect:
A. Simply giving written information does not establish that the patient
can understand or apply it.
B. Family members may support learning, but they should not
automatically substitute for direct patient education.
7th Edition
• Author(s)Shannon Perry
,Question 1
A maternity nurse is discussing changes in 21st-century maternity care
with a group of nursing students. Which development best reflects the
current emphasis on maternity nursing?
A. Increasing reliance on standardized care for all pregnant patients
B. Greater emphasis on individualized, evidence-informed, family-
centered care
C. Limiting family participation to reduce interruptions during care
D. Focusing primarily on the physiologic needs of the pregnant patient
Correct Answer: B. Greater emphasis on individualized, evidence-
informed, family-centered care
Rationale:
Contemporary maternity nursing emphasizes individualized care that
integrates clinical evidence, patient preferences, family involvement,
safety, and the physical and psychosocial needs of the mother and
infant. Modern maternity nurses are expected to support shared
decision-making while maintaining evidence-informed practice.
Why the Other Options Are Incorrect:
A. Standardization can support safety, but treating all patients
identically does not address individual needs, preferences, risks, or
circumstances.
C. Family participation is often an important component of family-
centered maternity care when consistent with patient preference and
safety.
D. Maternity nursing addresses physiologic needs as well as
psychological, social, cultural, developmental, and family concerns.
,Question 2
A pregnant patient tells the nurse, “I want my partner involved in
discussions about my care, but I also want some decisions explained to
me privately.” Which nursing response best demonstrates
contemporary maternity practice?
A. “Your partner should remain present because family participation is
important.”
B. “I will provide the same information to both of you at all times.”
C. “We can include your partner according to your preferences and
provide private discussions when you request them.”
D. “Private discussions are generally unnecessary when a support
person is available.”
Correct Answer: C. “We can include your partner according to your
preferences and provide private discussions when you request them.”
Rationale:
Patient autonomy is central to contemporary maternity care. Family-
centered care should not replace the patient's right to control who
participates in care or when private communication is needed. The
nurse should support the patient's preferences while promoting
respectful family involvement.
Why the Other Options Are Incorrect:
A. Family participation should be based on the patient's preferences
rather than automatically required.
B. The patient may appropriately request private communication about
sensitive concerns, so identical communication arrangements are not
, always appropriate.
D. Private communication can be clinically important for assessment,
safety, autonomy, and disclosure of sensitive concerns.
Question 3
A nurse caring for a pregnant patient notices that the patient has
difficulty understanding written health information. Which nursing
action is most appropriate?
A. Provide the written materials and ask the patient to review them
independently.
B. Ask a family member to explain the information to the patient.
C. Use plain language, appropriate teaching methods, and teach-back to
assess understanding.
D. Document that the patient is noncompliant with health teaching.
Correct Answer: C. Use plain language, appropriate teaching methods,
and teach-back to assess understanding.
Rationale:
Contemporary maternity nursing recognizes health literacy as an
important factor in safe care. Nurses should communicate clearly, avoid
unnecessary jargon, use appropriate educational strategies, and verify
understanding through methods such as teach-back.
Why the Other Options Are Incorrect:
A. Simply giving written information does not establish that the patient
can understand or apply it.
B. Family members may support learning, but they should not
automatically substitute for direct patient education.
