7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a maternity unit is reviewing changes in
contemporary maternity nursing practice. Which nursing action best
reflects a 21st-century approach to maternity care?
A. Encouraging the health care provider to make most decisions for the
patient
B. Including the patient and family in decisions about care whenever
appropriate
C. Using the same plan of care for all pregnant patients
D. Focusing primarily on treatment after complications develop
Correct Answer: B. Including the patient and family in decisions about
care whenever appropriate
Rationale:
Contemporary maternity nursing emphasizes patient-centered, family-
centered care and shared decision-making. Nurses support patients by
providing understandable information, respecting preferences, and
involving families appropriately while maintaining patient autonomy
and safety.
Why the Other Options Are Incorrect:
A. This minimizes patient autonomy and does not reflect shared
decision-making.
C. Individualized care is necessary because patients have different
needs, risks, preferences, and circumstances.
D. Modern maternity care emphasizes prevention, health promotion,
,early recognition, and management of complications rather than
waiting for problems to occur.
Question 2
Question:
A pregnant patient asks the nurse why maternity care has increasingly
emphasized prevention and early identification of complications. Which
response is most appropriate?
A. “Prevention reduces the need for patients to participate in their own
care.”
B. “Early identification allows health problems to be recognized and
addressed before they become more serious.”
C. “Most pregnancy complications can be completely prevented with
routine prenatal visits.”
D. “Preventive care is mainly intended to reduce health care costs.”
Correct Answer: B. Early identification allows health problems to be
recognized and addressed before they become more serious.
Rationale:
A major emphasis of contemporary maternity nursing is prevention,
screening, early recognition of risk, and timely intervention. These
approaches can improve outcomes for mothers and infants by
identifying concerns before deterioration occurs.
Why the Other Options Are Incorrect:
A. Prevention requires active participation and education rather than
reducing patient involvement.
C. Prenatal care cannot eliminate all pregnancy complications, although
, it can support early recognition and management.
D. Cost considerations may be relevant, but improving maternal and
infant health outcomes is the primary concern.
Question 3
Question:
A nurse is caring for patients from several cultural and socioeconomic
backgrounds. Which action best supports efforts to reduce health
disparities?
A. Providing identical education materials to every patient
B. Adjusting care to address barriers that may interfere with access and
understanding
C. Referring patients with limited resources to discharge planning only
D. Avoiding discussion of social circumstances during health
assessments
Correct Answer: B. Adjusting care to address barriers that may
interfere with access and understanding
Rationale:
Reducing health disparities requires nurses to recognize factors that can
influence access to care, understanding of health information, and
health outcomes. Individualized education, appropriate resources,
communication support, and attention to social barriers promote more
equitable care.
Why the Other Options Are Incorrect:
A. Identical materials may not meet differences in language, literacy,
culture, or learning needs.