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 group of newly hired nurses. Which
statement best reflects a 21st-century approach to maternity nursing?
A. Care should primarily focus on treating complications after they
occur.
B. Maternity care should integrate evidence-based practice, patient
preferences, prevention, and family involvement.
C. Routine maternity care should be standardized without adjusting for
individual patient needs.
D. Nurses should limit family participation to prevent interference with
clinical care.
Correct Answer: B. Integrating evidence-based practice, patient
preferences, prevention, and family involvement
Rationale:
Contemporary maternity nursing emphasizes holistic, individualized,
evidence-informed care. The nurse considers prevention, patient
preferences, family participation, safety, and the changing needs of
mothers and infants rather than focusing only on the treatment of
complications.
Why the Other Options Are Incorrect:
A. Modern maternity nursing emphasizes prevention, early recognition,
and health promotion in addition to treatment of complications.
C. Standardized practices provide consistency, but care must still be
,individualized according to patient needs and circumstances.
D. Family-centered care recognizes that appropriate family participation
can support maternal and infant outcomes and should not
automatically be excluded.
Question 2
Question:
A pregnant patient asks why maternity nursing practice has changed
substantially over recent decades. Which response by the nurse is most
appropriate?
A. “Most changes have occurred because fewer families want
professional maternity care.”
B. “Advances in science, technology, health care, and evidence-based
practice have changed how mothers and infants are cared for.”
C. “Maternity nursing is now focused almost entirely on technology
rather than nursing assessment.”
D. “Changes have mainly resulted from replacing nursing care with
physician-directed care.”
Correct Answer: B. “Advances in science, technology, health care, and
evidence-based practice have changed how mothers and infants are
cared for.”
Rationale:
Maternity nursing has evolved as knowledge, technology, research, and
health-care systems have advanced. Nurses increasingly use evidence-
based assessment, prevention, education, and coordinated care to
support maternal and infant health.
, Why the Other Options Are Incorrect:
A. Changes in maternity care are not primarily explained by declining
demand for professional services.
C. Technology is important, but contemporary maternity nursing
continues to depend heavily on assessment, education, advocacy, and
clinical judgment.
D. Changes in maternity care do not represent a replacement of nursing
care by physicians.
Question 3
Question:
A maternity nurse is planning care for a patient whose pregnancy is
considered low risk. Which nursing action best demonstrates the
contemporary emphasis on prevention?
A. Waiting for abnormal findings before providing health teaching
B. Providing anticipatory guidance and identifying factors that could
increase maternal or infant risk
C. Limiting assessment to the patient's current physical complaints
D. Referring all preventive decisions to the health-care provider
Correct Answer: B. Providing anticipatory guidance and identifying
factors that could increase maternal or infant risk
Rationale:
Preventive maternity nursing includes identifying risk factors early,
promoting healthy behaviors, and providing education before
complications develop. Anticipatory guidance helps patients recognize
health needs and warning signs proactively.