7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is reviewing changes in practice during the 21st
century with a group of newly hired nurses. Which statement best
reflects a contemporary approach to maternity nursing?
A. Care is primarily focused on managing complications after they occur.
B. Care emphasizes prevention, evidence-informed practice, and
collaboration with patients and families.
C. Care is centered on standardized routines that minimize patient
participation.
D. Care primarily depends on traditional practices passed down within
the profession.
Correct Answer: B. Care emphasizes prevention, evidence-informed
practice, and collaboration with patients and families.
Rationale:
Contemporary maternity nursing emphasizes prevention, patient-
centered care, evidence-informed decision-making, health promotion,
and collaboration with families and the interprofessional team. Modern
nurses are expected to support informed participation rather than rely
solely on provider-directed or routine-based care.
Why the Other Options Are Incorrect:
A. Contemporary maternity care emphasizes preventing complications
and identifying risk early rather than focusing only on treatment after
problems develop.
B. Correct. Prevention, evidence-informed practice, collaboration, and
,patient participation are central to contemporary nursing care.
C. Standardization can promote safety, but contemporary practice also
values individualized care and patient participation.
D. Traditional knowledge may contribute to practice, but current
nursing care must incorporate evidence and changing healthcare needs.
Question 2
Question:
A pregnant patient asks why maternity services increasingly include
counseling about nutrition, exercise, mental well-being, and substance
use during routine prenatal visits. Which response by the nurse is most
appropriate?
A. "These topics are mainly addressed because they can help reduce
hospital costs."
B. "These assessments are primarily used to identify patients who will
require cesarean birth."
C. "Comprehensive prenatal care addresses factors that can influence
maternal and infant health outcomes."
D. "Most of these issues are evaluated only when pregnancy
complications become apparent."
Correct Answer: C. Comprehensive prenatal care addresses factors
that can influence maternal and infant health outcomes.
Rationale:
Modern maternity nursing recognizes that maternal and infant
outcomes are influenced by nutrition, physical activity, mental health,
substance exposure, social conditions, and access to care. Integrating
, these areas into prenatal care supports prevention, early identification
of risks, and health promotion.
Why the Other Options Are Incorrect:
A. Cost containment may be an indirect benefit, but it does not explain
the primary clinical purpose of comprehensive prenatal assessment.
B. Prenatal counseling is not primarily intended to predict cesarean
birth.
C. Correct. These factors can affect maternal well-being, fetal
development, pregnancy outcomes, and postpartum health.
D. Contemporary care emphasizes early assessment and prevention
rather than waiting for complications.
Question 3
Question:
A nurse working in a community prenatal clinic notices that patients
from some neighborhoods have substantially less access to prenatal
services than patients from other areas. Which nursing action best
addresses a health disparity?
A. Provide identical appointment instructions to all patients.
B. Encourage patients to arrange transportation independently.
C. Identify barriers to care and connect patients with appropriate
community resources.
D. Refer patients with limited access to the emergency department for
prenatal care.
Correct Answer: C. Identify barriers to care and connect patients with
appropriate community resources.