7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit is reviewing changes
in maternity nursing practice with a newly hired nurse. Which
statement best reflects a major characteristic of 21st-century maternity
nursing?
A. Care is primarily focused on treating complications after they occur.
B. Care emphasizes evidence-informed practice, prevention, and active
participation by families.
C. Care decisions are based primarily on traditional routines established
by the unit.
D. Care is focused mainly on the physical needs of the mother during
hospitalization.
Correct Answer: B. Care emphasizes evidence-informed practice,
prevention, and active participation by families.
Rationale:
Contemporary maternity nursing extends beyond treatment of
complications and emphasizes prevention, health promotion, evidence-
informed practice, patient participation, and family-centered care. This
approach recognizes the mother and infant within the broader family
and healthcare environment.
Why the Other Options Are Incorrect:
A. Contemporary practice places substantial emphasis on prevention
and early recognition rather than waiting for complications to develop.
B. Correct. Evidence-informed, preventive, collaborative, and family-
centered care are central features of modern maternity nursing.
C. Current practice requires nurses to integrate evidence and clinical
,judgment rather than rely solely on longstanding routines.
D. Modern maternity care addresses maternal, newborn, family,
psychosocial, and preventive needs rather than physical needs alone.
Question 2
Question:
A maternity nurse is explaining recent advances in maternal and infant
care to a group of nursing students. Which development most strongly
represents the goal of these advances?
A. Increasing the amount of routine hospitalization for healthy mothers
B. Reducing the involvement of families in clinical decisions
C. Improving outcomes through earlier assessment, prevention, and
coordinated care
D. Replacing nursing assessment with standardized electronic protocols
Correct Answer: C. Improving outcomes through earlier assessment,
prevention, and coordinated care
Rationale:
Advances in maternity care are intended to improve maternal and
infant outcomes through better assessment, prevention, early
recognition of problems, technology-supported care, and coordinated
services. Nursing judgment remains essential even when standardized
systems are available.
Why the Other Options Are Incorrect:
A. Advances in maternity care do not inherently require hospitalization
of healthy mothers.
B. Contemporary care generally supports meaningful family
, participation rather than reducing it.
C. Correct. Improved prevention, early recognition, and coordinated
care represent important goals of advances in maternal–infant
healthcare.
D. Technology supports nursing practice but does not replace
professional assessment and clinical judgment.
Question 3
Question:
A nurse notices that mothers from some communities have poorer
maternal and infant outcomes than mothers from other communities.
Which nursing action best addresses the broader issue of health
disparities?
A. Provide the same teaching materials to every patient regardless of
need.
B. Focus only on the patient's medical diagnosis.
C. Assess barriers to care and individualize support and education.
D. Encourage patients to independently locate available community
resources.
Correct Answer: C. Assess barriers to care and individualize support
and education.
Rationale:
Reducing health disparities requires nurses to recognize factors that
affect access to healthcare and health outcomes and to adapt care
accordingly. Assessment of barriers and individualized support can
improve access, understanding, continuity, and engagement with care.