Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit is reviewing the goals
of 21st-century maternity nursing. Which nursing action best reflects a
current approach to maternity care?
A. Providing standardized care plans with minimal modification for
individual patients
B. Including the woman and her support system in shared decisions
about care
C. Focusing primarily on physical recovery while limiting discussion of
social factors
D. Delaying patient education until discharge to reduce information
overload
Correct Answer: B. Including the woman and her support system in
shared decisions about care
Rationale:
Contemporary maternity nursing emphasizes patient-centered, family-
centered, individualized care. Involving the woman and her support
system in decisions promotes autonomy, informed choice,
communication, and collaborative care. Modern maternity practice also
recognizes that social, emotional, cultural, and environmental factors
influence maternal and infant outcomes.
Why the Other Options Are Incorrect:
A. Standardized approaches can support safety, but maternity care
should still be individualized according to patient needs, preferences,
,risks, and circumstances.
C. Psychosocial and social determinants of health are important
components of comprehensive maternity care and should not be
excluded.
D. Education should begin throughout the course of care and be
reinforced as needed rather than postponed until discharge.
Question 2
Question:
A maternity nurse is discussing advances in the care of mothers and
infants with a nursing student. Which development most directly
supports earlier recognition of maternal or fetal complications?
A. Increased use of routine paper documentation
B. Expanded access to diagnostic and fetal monitoring technologies
C. Reduced communication among members of the healthcare team
D. Delayed assessment until symptoms become pronounced
Correct Answer: B. Expanded access to diagnostic and fetal monitoring
technologies
Rationale:
Modern maternity care has benefited from advances in fetal
surveillance, diagnostic testing, laboratory evaluation, and electronic
monitoring. These technologies can help clinicians identify potentially
significant maternal or fetal changes earlier, allowing timely evaluation
and intervention.
Why the Other Options Are Incorrect:
A. Documentation systems may improve communication and continuity,
, but paper documentation itself is not the major advance described.
C. Effective interprofessional communication supports safe maternity
care and is not a desired contemporary trend.
D. Waiting for severe symptoms can delay treatment and increase risk.
Question 3
Question:
A pregnant patient tells the nurse, “I am worried because I have
difficulty getting to prenatal appointments.” Which response best
reflects a contemporary effort to reduce health disparities?
A. “You should arrange transportation on your own before your next
visit.”
B. “Missing appointments is usually a sign that pregnancy is not a
priority.”
C. “Let’s discuss barriers to your care and identify available resources.”
D. “You can receive the same instructions by reading the discharge
information.”
Correct Answer: C. “Let’s discuss barriers to your care and identify
available resources.”
Rationale:
Reducing health disparities requires identifying barriers that may
prevent patients from obtaining timely, appropriate care.
Transportation, financial limitations, language barriers, access to
services, and other social determinants can affect maternal and infant
outcomes. Nurses can assess barriers, connect patients with resources,
and advocate for equitable access.
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit is reviewing the goals
of 21st-century maternity nursing. Which nursing action best reflects a
current approach to maternity care?
A. Providing standardized care plans with minimal modification for
individual patients
B. Including the woman and her support system in shared decisions
about care
C. Focusing primarily on physical recovery while limiting discussion of
social factors
D. Delaying patient education until discharge to reduce information
overload
Correct Answer: B. Including the woman and her support system in
shared decisions about care
Rationale:
Contemporary maternity nursing emphasizes patient-centered, family-
centered, individualized care. Involving the woman and her support
system in decisions promotes autonomy, informed choice,
communication, and collaborative care. Modern maternity practice also
recognizes that social, emotional, cultural, and environmental factors
influence maternal and infant outcomes.
Why the Other Options Are Incorrect:
A. Standardized approaches can support safety, but maternity care
should still be individualized according to patient needs, preferences,
,risks, and circumstances.
C. Psychosocial and social determinants of health are important
components of comprehensive maternity care and should not be
excluded.
D. Education should begin throughout the course of care and be
reinforced as needed rather than postponed until discharge.
Question 2
Question:
A maternity nurse is discussing advances in the care of mothers and
infants with a nursing student. Which development most directly
supports earlier recognition of maternal or fetal complications?
A. Increased use of routine paper documentation
B. Expanded access to diagnostic and fetal monitoring technologies
C. Reduced communication among members of the healthcare team
D. Delayed assessment until symptoms become pronounced
Correct Answer: B. Expanded access to diagnostic and fetal monitoring
technologies
Rationale:
Modern maternity care has benefited from advances in fetal
surveillance, diagnostic testing, laboratory evaluation, and electronic
monitoring. These technologies can help clinicians identify potentially
significant maternal or fetal changes earlier, allowing timely evaluation
and intervention.
Why the Other Options Are Incorrect:
A. Documentation systems may improve communication and continuity,
, but paper documentation itself is not the major advance described.
C. Effective interprofessional communication supports safe maternity
care and is not a desired contemporary trend.
D. Waiting for severe symptoms can delay treatment and increase risk.
Question 3
Question:
A pregnant patient tells the nurse, “I am worried because I have
difficulty getting to prenatal appointments.” Which response best
reflects a contemporary effort to reduce health disparities?
A. “You should arrange transportation on your own before your next
visit.”
B. “Missing appointments is usually a sign that pregnancy is not a
priority.”
C. “Let’s discuss barriers to your care and identify available resources.”
D. “You can receive the same instructions by reading the discharge
information.”
Correct Answer: C. “Let’s discuss barriers to your care and identify
available resources.”
Rationale:
Reducing health disparities requires identifying barriers that may
prevent patients from obtaining timely, appropriate care.
Transportation, financial limitations, language barriers, access to
services, and other social determinants can affect maternal and infant
outcomes. Nurses can assess barriers, connect patients with resources,
and advocate for equitable access.
