Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
A nurse working in a contemporary maternity unit is planning care for a
pregnant client. Which nursing approach best reflects 21st-century
maternity nursing?
A. Standardizing care so that all clients receive identical interventions
B. Focusing primarily on the physiologic aspects of pregnancy
C. Combining evidence-informed care with individualized, family-
centered decision-making
D. Limiting the client's involvement in decisions to prevent anxiety
Correct Answer: C. Combining evidence-informed care with
individualized, family-centered decision-making
Rationale:
Contemporary maternity nursing emphasizes evidence-informed
practice while recognizing that each pregnancy, birth experience, and
family is unique. Nurses support informed decision-making, respect
client preferences, and provide individualized, family-centered care.
Why the Other Options Are Incorrect:
A. Identical care for every client does not account for individual health
needs, preferences, culture, or risk factors.
B. Physiologic care is important, but modern maternity nursing also
addresses psychosocial, cultural, educational, and family needs.
D. Clients should be actively involved in decisions about their care
whenever possible.
Question 2
,A maternity nurse is reviewing improvements in maternal-infant care
over recent decades. Which development has most directly supported
safer maternity care?
A. Greater reliance on routine interventions regardless of clinical
findings
B. Increased use of evidence-informed clinical practices
C. Reduced communication between healthcare disciplines
D. Limiting prenatal care to clients with identified complications
Correct Answer: B. Increased use of evidence-informed clinical
practices
Rationale:
Advances in maternity nursing include greater integration of research
evidence into clinical decision-making. Evidence-informed care helps
nurses select interventions that are supported by current knowledge
and appropriate to the client's circumstances.
Why the Other Options Are Incorrect:
A. Routine interventions without consideration of individual findings
may expose clients to unnecessary risks.
C. Interprofessional communication is increasingly important for safe
maternal-infant care.
D. Prenatal care is important for all pregnant clients, not only those
with identified complications.
Question 3
, A nurse is caring for a pregnant client who has limited financial
resources and difficulty accessing prenatal appointments. Which action
best addresses a contemporary maternity nursing priority?
A. Tell the client that missed appointments demonstrate poor health
responsibility
B. Focus only on the client's current physical assessment
C. Identify barriers to care and connect the client with appropriate
community resources
D. Recommend that the client postpone prenatal care until
transportation is available
Correct Answer: C. Identify barriers to care and connect the client with
appropriate community resources
Rationale:
Reducing health disparities requires nurses to recognize barriers such as
transportation, finances, communication difficulties, and limited access
to healthcare. Connecting clients with appropriate resources can
improve access and continuity of care.
Why the Other Options Are Incorrect:
A. This response is judgmental and does not address the underlying
barrier.
B. Physical assessment alone does not resolve social or structural
barriers affecting health.
D. Delaying prenatal care can increase the risk of missed opportunities
for prevention, screening, and early intervention.
Question 4
7th Edition
• Author(s)Shannon Perry
,Question 1
A nurse working in a contemporary maternity unit is planning care for a
pregnant client. Which nursing approach best reflects 21st-century
maternity nursing?
A. Standardizing care so that all clients receive identical interventions
B. Focusing primarily on the physiologic aspects of pregnancy
C. Combining evidence-informed care with individualized, family-
centered decision-making
D. Limiting the client's involvement in decisions to prevent anxiety
Correct Answer: C. Combining evidence-informed care with
individualized, family-centered decision-making
Rationale:
Contemporary maternity nursing emphasizes evidence-informed
practice while recognizing that each pregnancy, birth experience, and
family is unique. Nurses support informed decision-making, respect
client preferences, and provide individualized, family-centered care.
Why the Other Options Are Incorrect:
A. Identical care for every client does not account for individual health
needs, preferences, culture, or risk factors.
B. Physiologic care is important, but modern maternity nursing also
addresses psychosocial, cultural, educational, and family needs.
D. Clients should be actively involved in decisions about their care
whenever possible.
Question 2
,A maternity nurse is reviewing improvements in maternal-infant care
over recent decades. Which development has most directly supported
safer maternity care?
A. Greater reliance on routine interventions regardless of clinical
findings
B. Increased use of evidence-informed clinical practices
C. Reduced communication between healthcare disciplines
D. Limiting prenatal care to clients with identified complications
Correct Answer: B. Increased use of evidence-informed clinical
practices
Rationale:
Advances in maternity nursing include greater integration of research
evidence into clinical decision-making. Evidence-informed care helps
nurses select interventions that are supported by current knowledge
and appropriate to the client's circumstances.
Why the Other Options Are Incorrect:
A. Routine interventions without consideration of individual findings
may expose clients to unnecessary risks.
C. Interprofessional communication is increasingly important for safe
maternal-infant care.
D. Prenatal care is important for all pregnant clients, not only those
with identified complications.
Question 3
, A nurse is caring for a pregnant client who has limited financial
resources and difficulty accessing prenatal appointments. Which action
best addresses a contemporary maternity nursing priority?
A. Tell the client that missed appointments demonstrate poor health
responsibility
B. Focus only on the client's current physical assessment
C. Identify barriers to care and connect the client with appropriate
community resources
D. Recommend that the client postpone prenatal care until
transportation is available
Correct Answer: C. Identify barriers to care and connect the client with
appropriate community resources
Rationale:
Reducing health disparities requires nurses to recognize barriers such as
transportation, finances, communication difficulties, and limited access
to healthcare. Connecting clients with appropriate resources can
improve access and continuity of care.
Why the Other Options Are Incorrect:
A. This response is judgmental and does not address the underlying
barrier.
B. Physical assessment alone does not resolve social or structural
barriers affecting health.
D. Delaying prenatal care can increase the risk of missed opportunities
for prevention, screening, and early intervention.
Question 4
