7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity setting is reviewing
changes in maternity care over the past several decades. Which
development best reflects a major advance in the care of mothers and
infants?
A. Greater emphasis on separating newborns from parents after birth
B. Increased use of evidence-informed, family-centered maternity care
C. Routine restriction of parental participation in newborn care
D. Increased reliance on standardized care without individual
assessment
Correct Answer: B. Increased use of evidence-informed, family-
centered maternity care
Rationale:
Contemporary maternity nursing emphasizes evidence-informed
practice and family-centered care, with parents actively participating in
decisions and care whenever appropriate. Modern maternity services
increasingly recognize the importance of individualized care, maternal-
infant bonding, patient education, and collaborative decision-making.
Why the Other Options Are Incorrect:
A. Separation of mothers and newborns is not the overall direction of
contemporary maternity care; bonding and parental involvement are
emphasized when clinically appropriate.
C. Contemporary practice encourages parental participation rather than
routinely restricting it.
,D. Current maternity nursing requires individualized assessment rather
than applying standardized interventions without considering patient-
specific needs.
Question 2
Question:
A maternity nurse is discussing the goals of 21st-century maternity
nursing with a group of newly hired nurses. Which statement best
reflects this approach?
A. “The nurse primarily follows provider-directed treatment plans.”
B. “Maternity care focuses mainly on managing complications after they
occur.”
C. “The nurse combines safety, prevention, education, and
individualized care.”
D. “The most important nursing responsibility is completing routine
procedures efficiently.”
Correct Answer: C. “The nurse combines safety, prevention, education,
and individualized care.”
Rationale:
Modern maternity nursing extends beyond treatment of complications.
Nurses promote health, prevent complications, educate patients and
families, support informed decisions, and individualize care while
maintaining maternal and infant safety.
Why the Other Options Are Incorrect:
A. Nurses collaborate with providers but have independent nursing
responsibilities related to assessment, education, advocacy, and care
, coordination.
B. Contemporary maternity care emphasizes prevention and early
recognition, not simply treatment after complications develop.
D. Efficiency is important, but it does not replace individualized
assessment, education, and patient-centered care.
Question 3
Question:
A pregnant patient tells the nurse, “I want to understand why certain
choices are being recommended for my pregnancy.” Which nursing
response is most appropriate?
A. “Your health care provider has already made the decisions for your
care.”
B. “You should follow the recommended plan without questioning it.”
C. “Let’s discuss the available information so you can participate in
decisions about your care.”
D. “Most pregnant patients choose the same approach, so that is
probably best for you.”
Correct Answer: C. “Let’s discuss the available information so you can
participate in decisions about your care.”
Rationale:
Contemporary maternity nursing supports shared decision-making,
health literacy, and patient participation. Nurses help patients
understand relevant information and communicate their preferences
while collaborating with the health care team.