7th Edition
• Author(s)Shannon Perry
,Question 1
A nurse working in a contemporary maternity setting is developing a
plan of care for a pregnant client. Which action best reflects a 21st-
century maternity nursing approach?
A. Making most decisions for the client to ensure efficient care
B. Using evidence-based information while incorporating the client's
preferences
C. Following traditional maternity routines without modification
D. Limiting family involvement to reduce interruptions
Correct Answer: B
Rationale: Contemporary maternity nursing emphasizes evidence-
based care, shared decision-making, respect for individual preferences,
and partnership with the client.
Incorrect options:
A: Modern maternity care supports client participation rather than
nurse-directed decisions.
C: Practices should be evaluated using current evidence rather than
maintained solely because they are traditional.
D: Family involvement should be individualized according to the client's
preferences and clinical circumstances.
Question 2
A nurse is discussing recent advances in maternal–infant care with a
group of nursing students. Which development most directly
contributes to earlier recognition of maternal or fetal complications?
,A. Increased reliance on handwritten documentation
B. Expanded use of maternal and fetal assessment technologies
C. Reduced frequency of prenatal assessments
D. Greater emphasis on routine care for all clients
Correct Answer: B
Rationale: Advances in assessment and monitoring technologies can
improve recognition of changes in maternal or fetal status and support
timely intervention.
Incorrect options:
A: Handwritten documentation does not itself improve early
recognition of complications.
C: Reducing assessments could delay recognition of problems.
D: Individualized assessment is more appropriate than assuming all
clients have the same risks.
Question 3
A maternity nurse is caring for clients from several cultural
backgrounds. Which nursing action is most appropriate when providing
culturally responsive care?
A. Applying the same teaching plan to every client
B. Asking the client about practices and preferences that may influence
care
C. Avoiding discussion of cultural beliefs to prevent discomfort
D. Assuming family members can interpret health information
accurately
, Correct Answer: B
Rationale: Culturally responsive nursing begins with respectful
assessment of the client's beliefs, practices, communication needs, and
preferences rather than making assumptions.
Incorrect options:
A: A standardized approach may fail to address individual needs.
C: Cultural beliefs can be clinically relevant and should be explored
respectfully.
D: Qualified interpretation may be needed when language barriers
exist; family members should not automatically be relied upon.
Question 4
A nurse is planning a community program intended to reduce
disparities in maternal health outcomes. Which intervention is most
likely to address an important contributor to disparities?
A. Providing identical services regardless of community needs
B. Improving access to prenatal care for underserved populations
C. Restricting education to clients who already attend prenatal visits
D. Increasing hospital-based services without addressing barriers to
access
Correct Answer: B
Rationale: Improving access to timely prenatal care can help address
differences in health outcomes associated with barriers to healthcare
access.