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 during the 21st century. Which nursing practice best
reflects the current emphasis on maternity care?
A. Providing standardized care without considering individual
preferences
B. Encouraging shared decision-making between the patient and
healthcare team
C. Limiting family participation to reduce interruptions during care
D. Focusing primarily on the physiologic aspects of pregnancy and birth
Correct Answer: B. Encouraging shared decision-making between the
patient and healthcare team
Rationale:
Contemporary maternity nursing emphasizes patient-centered,
evidence-informed care in which pregnant patients and families
participate in decisions affecting their health. Shared decision-making
respects patient preferences, values, informed choice, and autonomy
while incorporating professional clinical judgment.
Why the Other Options Are Incorrect:
A. Standardized approaches may be useful for safety, but they should
not replace individualized care based on patient needs and preferences.
C. Family involvement can support communication, education, and
coping when consistent with the patient's wishes and safety.
D. Modern maternity nursing addresses physiologic needs while also
,considering psychosocial, cultural, developmental, and family-related
factors.
Question 2
Question:
A maternity nurse is caring for a patient who has limited access to
prenatal care because of transportation difficulties. Which nursing
intervention most directly addresses a potential health disparity?
A. Advising the patient to arrange transportation independently
B. Documenting the missed appointments in the medical record
C. Connecting the patient with available transportation and community
resources
D. Scheduling only appointments that occur during standard clinic hours
Correct Answer: C. Connecting the patient with available
transportation and community resources
Rationale:
Health disparities can result from barriers such as transportation,
finances, geographic access, and other social determinants of health.
Identifying barriers and connecting patients with appropriate resources
can improve access to preventive and prenatal services.
Why the Other Options Are Incorrect:
A. Telling the patient to solve the problem independently does not
address the identified barrier.
B. Accurate documentation is important but does not by itself reduce
the disparity.
, D. Restricting appointments to standard hours may further limit access
for patients with transportation or work-related barriers.
Question 3
Question:
Which statement by a nursing student best demonstrates an
understanding of advances in the care of mothers and infants?
A. “Technologic advances eliminate the need for nursing assessment.”
B. “Advances in care have increased opportunities for earlier
recognition of maternal and newborn complications.”
C. “Current maternity care focuses exclusively on reducing cesarean
birth rates.”
D. “Technologic advances make patient education less important.”
Correct Answer: B. “Advances in care have increased opportunities for
earlier recognition of maternal and newborn complications.”
Rationale:
Advances in diagnostic techniques, monitoring, treatment, and
newborn care can improve recognition and management of
complications. Nurses remain essential because technology
supplements rather than replaces clinical assessment, interpretation,
education, and judgment.
Why the Other Options Are Incorrect:
A. Technology does not replace comprehensive nursing assessment or
clinical judgment.
C. Contemporary maternity care involves many goals, including safety,
quality, patient preferences, prevention, and healthy outcomes.
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit is reviewing changes
in maternity care during the 21st century. Which nursing practice best
reflects the current emphasis on maternity care?
A. Providing standardized care without considering individual
preferences
B. Encouraging shared decision-making between the patient and
healthcare team
C. Limiting family participation to reduce interruptions during care
D. Focusing primarily on the physiologic aspects of pregnancy and birth
Correct Answer: B. Encouraging shared decision-making between the
patient and healthcare team
Rationale:
Contemporary maternity nursing emphasizes patient-centered,
evidence-informed care in which pregnant patients and families
participate in decisions affecting their health. Shared decision-making
respects patient preferences, values, informed choice, and autonomy
while incorporating professional clinical judgment.
Why the Other Options Are Incorrect:
A. Standardized approaches may be useful for safety, but they should
not replace individualized care based on patient needs and preferences.
C. Family involvement can support communication, education, and
coping when consistent with the patient's wishes and safety.
D. Modern maternity nursing addresses physiologic needs while also
,considering psychosocial, cultural, developmental, and family-related
factors.
Question 2
Question:
A maternity nurse is caring for a patient who has limited access to
prenatal care because of transportation difficulties. Which nursing
intervention most directly addresses a potential health disparity?
A. Advising the patient to arrange transportation independently
B. Documenting the missed appointments in the medical record
C. Connecting the patient with available transportation and community
resources
D. Scheduling only appointments that occur during standard clinic hours
Correct Answer: C. Connecting the patient with available
transportation and community resources
Rationale:
Health disparities can result from barriers such as transportation,
finances, geographic access, and other social determinants of health.
Identifying barriers and connecting patients with appropriate resources
can improve access to preventive and prenatal services.
Why the Other Options Are Incorrect:
A. Telling the patient to solve the problem independently does not
address the identified barrier.
B. Accurate documentation is important but does not by itself reduce
the disparity.
, D. Restricting appointments to standard hours may further limit access
for patients with transportation or work-related barriers.
Question 3
Question:
Which statement by a nursing student best demonstrates an
understanding of advances in the care of mothers and infants?
A. “Technologic advances eliminate the need for nursing assessment.”
B. “Advances in care have increased opportunities for earlier
recognition of maternal and newborn complications.”
C. “Current maternity care focuses exclusively on reducing cesarean
birth rates.”
D. “Technologic advances make patient education less important.”
Correct Answer: B. “Advances in care have increased opportunities for
earlier recognition of maternal and newborn complications.”
Rationale:
Advances in diagnostic techniques, monitoring, treatment, and
newborn care can improve recognition and management of
complications. Nurses remain essential because technology
supplements rather than replaces clinical assessment, interpretation,
education, and judgment.
Why the Other Options Are Incorrect:
A. Technology does not replace comprehensive nursing assessment or
clinical judgment.
C. Contemporary maternity care involves many goals, including safety,
quality, patient preferences, prevention, and healthy outcomes.
