Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is reviewing how care has changed during the 21st
century. Which development best reflects a contemporary approach to
maternity nursing?
A. Increasing emphasis on standardized care routines for all families
B. Greater use of individualized, evidence-informed, family-centered
care
C. Greater reliance on physician-directed care for routine nursing
decisions
D. Reduced involvement of parents in decisions about newborn care
Correct Answer: B. Greater use of individualized, evidence-informed,
family-centered care
Rationale:
Contemporary maternity nursing emphasizes individualized care that
incorporates current evidence, patient preferences, family participation,
and clinical judgment. Nurses increasingly collaborate with patients and
interprofessional teams rather than relying solely on standardized or
provider-directed routines.
Why the Other Options Are Incorrect:
A. Standardization can support safety, but maternity care must also be
adapted to individual maternal, newborn, and family needs.
C. Modern nursing practice emphasizes professional nursing judgment,
collaboration, and evidence-based decision-making within scope of
practice.
,D. Family participation is increasingly recognized as an important
component of patient-centered maternity and newborn care.
Question 2
Question:
A nurse caring for a laboring patient explains why current maternity
care increasingly includes shared decision-making. Which response best
reflects this approach?
A. “The health care team makes the decisions because it has more
medical knowledge.”
B. “You can participate in decisions after the provider has selected the
treatment.”
C. “Your preferences and values are considered along with the clinical
evidence and available options.”
D. “Shared decision-making is mainly used when there is no established
treatment.”
Correct Answer: C. “Your preferences and values are considered along
with the clinical evidence and available options.”
Rationale:
Shared decision-making combines clinical evidence with the patient’s
values, preferences, circumstances, and informed choices. This
approach supports autonomy and individualized maternity care.
Why the Other Options Are Incorrect:
A. Health professionals provide expertise, but patients remain active
participants in decisions affecting their care.
B. Shared decision-making is not limited to participation after a
, treatment has already been selected.
D. Shared decision-making is useful whenever reasonable options exist,
not only when no established treatment is available.
Question 3
Question:
Which nursing action best demonstrates the use of technology to
improve maternity care while maintaining patient-centered practice?
A. Using electronic documentation primarily to reduce face-to-face
interaction
B. Reviewing electronic health information to identify risk factors and
coordinate timely care
C. Replacing maternal assessment with electronic monitoring whenever
possible
D. Allowing technology-generated recommendations to replace nursing
judgment
Correct Answer: B. Reviewing electronic health information to identify
risk factors and coordinate timely care
Rationale:
Health information technology can improve communication, continuity,
documentation, risk recognition, and coordination of care. Technology
should support—not replace—clinical assessment and professional
nursing judgment.
Why the Other Options Are Incorrect:
A. Technology should enhance communication and care rather than
unnecessarily reducing therapeutic interaction.
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is reviewing how care has changed during the 21st
century. Which development best reflects a contemporary approach to
maternity nursing?
A. Increasing emphasis on standardized care routines for all families
B. Greater use of individualized, evidence-informed, family-centered
care
C. Greater reliance on physician-directed care for routine nursing
decisions
D. Reduced involvement of parents in decisions about newborn care
Correct Answer: B. Greater use of individualized, evidence-informed,
family-centered care
Rationale:
Contemporary maternity nursing emphasizes individualized care that
incorporates current evidence, patient preferences, family participation,
and clinical judgment. Nurses increasingly collaborate with patients and
interprofessional teams rather than relying solely on standardized or
provider-directed routines.
Why the Other Options Are Incorrect:
A. Standardization can support safety, but maternity care must also be
adapted to individual maternal, newborn, and family needs.
C. Modern nursing practice emphasizes professional nursing judgment,
collaboration, and evidence-based decision-making within scope of
practice.
,D. Family participation is increasingly recognized as an important
component of patient-centered maternity and newborn care.
Question 2
Question:
A nurse caring for a laboring patient explains why current maternity
care increasingly includes shared decision-making. Which response best
reflects this approach?
A. “The health care team makes the decisions because it has more
medical knowledge.”
B. “You can participate in decisions after the provider has selected the
treatment.”
C. “Your preferences and values are considered along with the clinical
evidence and available options.”
D. “Shared decision-making is mainly used when there is no established
treatment.”
Correct Answer: C. “Your preferences and values are considered along
with the clinical evidence and available options.”
Rationale:
Shared decision-making combines clinical evidence with the patient’s
values, preferences, circumstances, and informed choices. This
approach supports autonomy and individualized maternity care.
Why the Other Options Are Incorrect:
A. Health professionals provide expertise, but patients remain active
participants in decisions affecting their care.
B. Shared decision-making is not limited to participation after a
, treatment has already been selected.
D. Shared decision-making is useful whenever reasonable options exist,
not only when no established treatment is available.
Question 3
Question:
Which nursing action best demonstrates the use of technology to
improve maternity care while maintaining patient-centered practice?
A. Using electronic documentation primarily to reduce face-to-face
interaction
B. Reviewing electronic health information to identify risk factors and
coordinate timely care
C. Replacing maternal assessment with electronic monitoring whenever
possible
D. Allowing technology-generated recommendations to replace nursing
judgment
Correct Answer: B. Reviewing electronic health information to identify
risk factors and coordinate timely care
Rationale:
Health information technology can improve communication, continuity,
documentation, risk recognition, and coordination of care. Technology
should support—not replace—clinical assessment and professional
nursing judgment.
Why the Other Options Are Incorrect:
A. Technology should enhance communication and care rather than
unnecessarily reducing therapeutic interaction.
