7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is discussing changes in contemporary maternity care
with a group of nursing students. Which statement best reflects a major
characteristic of 21st-century maternity nursing?
A. Care is increasingly centered on standardized routines rather than
individual preferences.
B. Maternity care increasingly emphasizes evidence-informed practice
and partnership with families.
C. Technological advances have eliminated the need for direct maternal
assessment.
D. Most maternity decisions are made independently by healthcare
providers without patient participation.
Correct Answer: B. Care is increasingly centered on evidence-informed
practice and partnership with families.
Rationale:
Contemporary maternity nursing emphasizes evidence-informed care,
patient participation, family involvement, safety, and individualized
care. Nurses increasingly support informed decision-making while
incorporating advances in technology and clinical practice.
Why the Other Options Are Incorrect:
A. Standardized protocols can promote safety, but contemporary
maternity care also recognizes individual needs, preferences, and
clinical circumstances.
C. Technology supports assessment and monitoring but does not
,replace nursing assessment and clinical judgment.
D. Modern maternity care increasingly supports shared decision-making
rather than excluding mothers and families from decisions.
Question 2
Question:
A nurse is explaining how advances in maternity and newborn care have
affected outcomes. Which nursing action best demonstrates the
appropriate use of these advances?
A. Replacing clinical assessment with electronic monitoring whenever
available
B. Using technology while continuing individualized assessment and
interpretation of findings
C. Allowing technology to determine the treatment plan without
nursing input
D. Limiting communication with the family to prevent interference with
technological procedures
Correct Answer: B. Using technology while continuing individualized
assessment and interpretation of findings
Rationale:
Advances such as electronic monitoring, improved diagnostic
capabilities, and neonatal technologies can enhance care, but nurses
must interpret findings in the context of the patient's clinical condition.
Technology is an aid to nursing judgment, not a replacement for it.
Why the Other Options Are Incorrect:
A. Electronic monitoring does not replace comprehensive nursing
, assessment.
C. Technology provides clinical information but does not independently
determine the appropriate plan of care.
D. Family communication and participation remain important
components of contemporary maternity care.
Question 3
Question:
During orientation, a newly licensed nurse asks why reducing health
disparities is an important goal in maternity nursing. Which response by
the nurse educator is most appropriate?
A. "The goal is to provide identical care to every patient regardless of
circumstances."
B. "The goal is to identify and address factors that contribute to unequal
maternal and infant health outcomes."
C. "The goal is to focus primarily on patients who have the highest
healthcare expenditures."
D. "The goal is to eliminate cultural differences from maternity care."
Correct Answer: B. "The goal is to identify and address factors that
contribute to unequal maternal and infant health outcomes."
Rationale:
Reducing health disparities involves recognizing barriers and conditions
that contribute to unequal outcomes and working to improve equitable
access to appropriate care. Maternity nurses may encounter differences
related to access, socioeconomic conditions, language, geography,
education, and other determinants of health.