Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity setting is developing a
plan of care for a pregnant client. Which approach best reflects 21st-
century maternity nursing practice?
A. Center care primarily on routine procedures and standardized
schedules
B. Individualize care while incorporating evidence, patient preferences,
and family needs
C. Limit family participation to situations in which the client cannot
make decisions independently
D. Emphasize treatment of complications rather than preventive and
health-promoting care
Correct Answer: B. Individualize care while incorporating evidence,
patient preferences, and family needs
Rationale:
Contemporary maternity nursing emphasizes individualized, evidence-
informed, patient-centered care. The nurse considers the client's
preferences, values, health status, cultural context, and family needs
while promoting safety and positive maternal-infant outcomes.
Why the Other Options Are Incorrect:
A. Standardized procedures can support safety, but they should not
replace individualized assessment and care planning.
C. Family participation should be based on the client's preferences and
circumstances rather than being routinely restricted.
,D. Modern maternity care includes prevention, health promotion,
education, and early identification of complications in addition to
treatment.
Question 2
Question:
Which development has most directly contributed to improved
outcomes for mothers and infants?
A. Greater reliance on interventions without individualized assessment
B. Expansion of evidence-informed prenatal, intrapartum, postpartum,
and newborn care
C. Reduction in prenatal health education
D. Increased separation of mothers from their newborns after birth
Correct Answer: B. Expansion of evidence-informed prenatal,
intrapartum, postpartum, and newborn care
Rationale:
Advances in maternity nursing have improved outcomes through better
assessment, screening, monitoring, education, timely intervention, and
evidence-informed management across the continuum of maternal and
newborn care.
Why the Other Options Are Incorrect:
A. Interventions should be based on clinical indications and
individualized assessment rather than used indiscriminately.
C. Prenatal education supports health promotion and helps clients
recognize risks and seek appropriate care.
D. Contemporary practice generally supports appropriate early
, maternal-newborn interaction and family-centered care when clinically
safe.
Question 3
Question:
A nurse is teaching a group of student nurses about health disparities in
maternity care. Which statement best demonstrates an understanding
of the issue?
A. Health disparities occur primarily because clients do not follow
medical recommendations.
B. Health disparities can be influenced by social, economic, geographic,
and healthcare-access factors.
C. Health disparities can be eliminated by providing identical care to
every client.
D. Health disparities are mainly caused by biological differences among
populations.
Correct Answer: B. Health disparities can be influenced by social,
economic, geographic, and healthcare-access factors.
Rationale:
Maternal and infant outcomes are influenced by multiple interacting
factors, including access to care, socioeconomic conditions,
environmental circumstances, health literacy, transportation, and other
social determinants of health. Recognizing these factors helps nurses
identify barriers and advocate for equitable care.
Why the Other Options Are Incorrect:
A. Individual behavior is only one possible factor and does not
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity setting is developing a
plan of care for a pregnant client. Which approach best reflects 21st-
century maternity nursing practice?
A. Center care primarily on routine procedures and standardized
schedules
B. Individualize care while incorporating evidence, patient preferences,
and family needs
C. Limit family participation to situations in which the client cannot
make decisions independently
D. Emphasize treatment of complications rather than preventive and
health-promoting care
Correct Answer: B. Individualize care while incorporating evidence,
patient preferences, and family needs
Rationale:
Contemporary maternity nursing emphasizes individualized, evidence-
informed, patient-centered care. The nurse considers the client's
preferences, values, health status, cultural context, and family needs
while promoting safety and positive maternal-infant outcomes.
Why the Other Options Are Incorrect:
A. Standardized procedures can support safety, but they should not
replace individualized assessment and care planning.
C. Family participation should be based on the client's preferences and
circumstances rather than being routinely restricted.
,D. Modern maternity care includes prevention, health promotion,
education, and early identification of complications in addition to
treatment.
Question 2
Question:
Which development has most directly contributed to improved
outcomes for mothers and infants?
A. Greater reliance on interventions without individualized assessment
B. Expansion of evidence-informed prenatal, intrapartum, postpartum,
and newborn care
C. Reduction in prenatal health education
D. Increased separation of mothers from their newborns after birth
Correct Answer: B. Expansion of evidence-informed prenatal,
intrapartum, postpartum, and newborn care
Rationale:
Advances in maternity nursing have improved outcomes through better
assessment, screening, monitoring, education, timely intervention, and
evidence-informed management across the continuum of maternal and
newborn care.
Why the Other Options Are Incorrect:
A. Interventions should be based on clinical indications and
individualized assessment rather than used indiscriminately.
C. Prenatal education supports health promotion and helps clients
recognize risks and seek appropriate care.
D. Contemporary practice generally supports appropriate early
, maternal-newborn interaction and family-centered care when clinically
safe.
Question 3
Question:
A nurse is teaching a group of student nurses about health disparities in
maternity care. Which statement best demonstrates an understanding
of the issue?
A. Health disparities occur primarily because clients do not follow
medical recommendations.
B. Health disparities can be influenced by social, economic, geographic,
and healthcare-access factors.
C. Health disparities can be eliminated by providing identical care to
every client.
D. Health disparities are mainly caused by biological differences among
populations.
Correct Answer: B. Health disparities can be influenced by social,
economic, geographic, and healthcare-access factors.
Rationale:
Maternal and infant outcomes are influenced by multiple interacting
factors, including access to care, socioeconomic conditions,
environmental circumstances, health literacy, transportation, and other
social determinants of health. Recognizing these factors helps nurses
identify barriers and advocate for equitable care.
Why the Other Options Are Incorrect:
A. Individual behavior is only one possible factor and does not
