Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is reviewing changes in contemporary maternal–child
healthcare with a group of nursing students. Which development best
reflects a major shift in 21st-century maternity nursing?
A. Increasing reliance on routine interventions for all pregnant patients
B. Greater emphasis on individualized, evidence-informed, family-
centered care
C. Limiting family participation during maternity care
D. Focusing primarily on the physiologic aspects of childbirth
Correct Answer: B. Greater emphasis on individualized, evidence-
informed, family-centered care
Rationale:
Contemporary maternity nursing emphasizes care that is individualized
to the patient's clinical needs, preferences, values, and family
circumstances. Evidence-informed practice and family participation
support safer, more respectful, and more patient-centered maternal
and infant care.
Why the Other Options Are Incorrect:
A. Routine interventions for every patient do not reflect individualized
maternity care and may expose patients to unnecessary interventions.
C. Family participation is an important component of family-centered
maternity care when appropriate and desired by the patient.
D. Although physiologic care remains essential, contemporary maternity
,nursing also addresses psychosocial, cultural, educational, and family
needs.
Question 2
Question:
A hospital is updating its maternity services to incorporate advances in
maternal–infant care. Which nursing practice best demonstrates the
appropriate use of healthcare advances?
A. Applying the newest intervention to every patient regardless of
clinical need
B. Combining current evidence with clinical assessment and patient
preferences
C. Replacing nursing assessment with technology whenever possible
D. Selecting interventions based primarily on institutional convenience
Correct Answer: B. Combining current evidence with clinical
assessment and patient preferences
Rationale:
Advances in maternity care should be integrated with sound nursing
assessment, current evidence, and the patient's individual
circumstances and preferences. Technology and new interventions
should support clinical judgment rather than replace it.
Why the Other Options Are Incorrect:
A. New technology or interventions should not be applied
indiscriminately; appropriateness depends on the patient's needs and
evidence.
C. Technology can enhance assessment but cannot replace professional
, nursing judgment.
D. Institutional convenience should not supersede patient safety,
evidence, or individualized care.
Question 3
Question:
A pregnant patient says, "I am worried that I will not understand the
information the healthcare team gives me." Which nursing action best
supports equitable maternity care?
A. Providing the patient with written information and ending the
discussion
B. Asking the patient to bring a family member to interpret all
healthcare information
C. Assessing the patient's preferred communication method and using
understandable teaching strategies
D. Giving the patient the same education materials provided to every
other patient
Correct Answer: C. Assessing the patient's preferred communication
method and using understandable teaching strategies
Rationale:
Reducing disparities requires attention to communication barriers and
health literacy. Nurses should adapt teaching to the patient's
communication needs and confirm understanding rather than assuming
that identical materials produce equitable outcomes.
Why the Other Options Are Incorrect:
A. Written information alone may not address communication or
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is reviewing changes in contemporary maternal–child
healthcare with a group of nursing students. Which development best
reflects a major shift in 21st-century maternity nursing?
A. Increasing reliance on routine interventions for all pregnant patients
B. Greater emphasis on individualized, evidence-informed, family-
centered care
C. Limiting family participation during maternity care
D. Focusing primarily on the physiologic aspects of childbirth
Correct Answer: B. Greater emphasis on individualized, evidence-
informed, family-centered care
Rationale:
Contemporary maternity nursing emphasizes care that is individualized
to the patient's clinical needs, preferences, values, and family
circumstances. Evidence-informed practice and family participation
support safer, more respectful, and more patient-centered maternal
and infant care.
Why the Other Options Are Incorrect:
A. Routine interventions for every patient do not reflect individualized
maternity care and may expose patients to unnecessary interventions.
C. Family participation is an important component of family-centered
maternity care when appropriate and desired by the patient.
D. Although physiologic care remains essential, contemporary maternity
,nursing also addresses psychosocial, cultural, educational, and family
needs.
Question 2
Question:
A hospital is updating its maternity services to incorporate advances in
maternal–infant care. Which nursing practice best demonstrates the
appropriate use of healthcare advances?
A. Applying the newest intervention to every patient regardless of
clinical need
B. Combining current evidence with clinical assessment and patient
preferences
C. Replacing nursing assessment with technology whenever possible
D. Selecting interventions based primarily on institutional convenience
Correct Answer: B. Combining current evidence with clinical
assessment and patient preferences
Rationale:
Advances in maternity care should be integrated with sound nursing
assessment, current evidence, and the patient's individual
circumstances and preferences. Technology and new interventions
should support clinical judgment rather than replace it.
Why the Other Options Are Incorrect:
A. New technology or interventions should not be applied
indiscriminately; appropriateness depends on the patient's needs and
evidence.
C. Technology can enhance assessment but cannot replace professional
, nursing judgment.
D. Institutional convenience should not supersede patient safety,
evidence, or individualized care.
Question 3
Question:
A pregnant patient says, "I am worried that I will not understand the
information the healthcare team gives me." Which nursing action best
supports equitable maternity care?
A. Providing the patient with written information and ending the
discussion
B. Asking the patient to bring a family member to interpret all
healthcare information
C. Assessing the patient's preferred communication method and using
understandable teaching strategies
D. Giving the patient the same education materials provided to every
other patient
Correct Answer: C. Assessing the patient's preferred communication
method and using understandable teaching strategies
Rationale:
Reducing disparities requires attention to communication barriers and
health literacy. Nurses should adapt teaching to the patient's
communication needs and confirm understanding rather than assuming
that identical materials produce equitable outcomes.
Why the Other Options Are Incorrect:
A. Written information alone may not address communication or
