Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is discussing how maternity care has changed during
the 21st century. Which development best reflects the current
emphasis on maternity nursing practice?
A. Increasing reliance on routine care pathways for all pregnant patients
B. Greater use of individualized, evidence-informed care based on
patient needs
C. Limiting family participation to reduce interruptions during care
D. Focusing primarily on treatment after pregnancy complications
develop
Correct Answer: B. Greater use of individualized, evidence-informed
care based on patient needs
Rationale:
Contemporary maternity nursing emphasizes individualized, evidence-
informed care that considers the patient's clinical condition,
preferences, social circumstances, and access to resources. Modern
models increasingly tailor care delivery rather than assuming one
approach is appropriate for every patient.
Why the Other Options Are Incorrect:
A. Standardized processes can improve safety, but they should not
replace individualized assessment and clinical judgment.
C. Family participation can support education, decision-making, and
adaptation to parenthood when consistent with the patient's
preferences.
,D. Contemporary maternity care places strong emphasis on prevention,
early recognition, health promotion, and reducing avoidable
complications rather than waiting for problems to occur.
Question 2
Question:
A pregnant patient lives several hours from the maternity clinic and
reports difficulty attending frequent appointments because of
transportation and childcare responsibilities. Which nursing action best
reflects a contemporary approach to improving access to maternity
care?
A. Tell the patient that all prenatal visits must occur in person.
B. Encourage the patient to postpone visits until transportation
becomes available.
C. Collaborate with the health care team to determine which services
may safely be provided through alternative care modalities.
D. Recommend that a family member monitor the pregnancy without
professional follow-up.
Correct Answer: C. Collaborate with the health care team to
determine which services may safely be provided through alternative
care modalities.
Rationale:
Contemporary prenatal care may incorporate telehealth or other care-
delivery approaches when clinically appropriate, while preserving
access to examinations, laboratory testing, imaging, and other services
that require in-person care. ACOG recommends tailoring prenatal care
, to medical and social needs and using telemedicine when it can safely
support guideline-based care.
Why the Other Options Are Incorrect:
A. Requiring every encounter to be in person may create unnecessary
access barriers when some services can be delivered remotely.
B. Delaying prenatal care increases the risk that important assessments
or interventions will be missed.
D. Family support is valuable but cannot substitute for appropriate
professional prenatal assessment.
Question 3
Question:
A nurse is caring for patients in a community where transportation,
income, language, and employment interfere with access to prenatal
services. Which nursing approach most directly addresses health
disparities?
A. Provide identical appointment schedules to every patient.
B. Focus only on clinical findings documented during the physical
examination.
C. Identify barriers affecting each patient and connect patients with
appropriate resources and care options.
D. Encourage patients to solve social problems independently before
receiving prenatal care.
Correct Answer: C. Identify barriers affecting each patient and connect
patients with appropriate resources and care options.
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is discussing how maternity care has changed during
the 21st century. Which development best reflects the current
emphasis on maternity nursing practice?
A. Increasing reliance on routine care pathways for all pregnant patients
B. Greater use of individualized, evidence-informed care based on
patient needs
C. Limiting family participation to reduce interruptions during care
D. Focusing primarily on treatment after pregnancy complications
develop
Correct Answer: B. Greater use of individualized, evidence-informed
care based on patient needs
Rationale:
Contemporary maternity nursing emphasizes individualized, evidence-
informed care that considers the patient's clinical condition,
preferences, social circumstances, and access to resources. Modern
models increasingly tailor care delivery rather than assuming one
approach is appropriate for every patient.
Why the Other Options Are Incorrect:
A. Standardized processes can improve safety, but they should not
replace individualized assessment and clinical judgment.
C. Family participation can support education, decision-making, and
adaptation to parenthood when consistent with the patient's
preferences.
,D. Contemporary maternity care places strong emphasis on prevention,
early recognition, health promotion, and reducing avoidable
complications rather than waiting for problems to occur.
Question 2
Question:
A pregnant patient lives several hours from the maternity clinic and
reports difficulty attending frequent appointments because of
transportation and childcare responsibilities. Which nursing action best
reflects a contemporary approach to improving access to maternity
care?
A. Tell the patient that all prenatal visits must occur in person.
B. Encourage the patient to postpone visits until transportation
becomes available.
C. Collaborate with the health care team to determine which services
may safely be provided through alternative care modalities.
D. Recommend that a family member monitor the pregnancy without
professional follow-up.
Correct Answer: C. Collaborate with the health care team to
determine which services may safely be provided through alternative
care modalities.
Rationale:
Contemporary prenatal care may incorporate telehealth or other care-
delivery approaches when clinically appropriate, while preserving
access to examinations, laboratory testing, imaging, and other services
that require in-person care. ACOG recommends tailoring prenatal care
, to medical and social needs and using telemedicine when it can safely
support guideline-based care.
Why the Other Options Are Incorrect:
A. Requiring every encounter to be in person may create unnecessary
access barriers when some services can be delivered remotely.
B. Delaying prenatal care increases the risk that important assessments
or interventions will be missed.
D. Family support is valuable but cannot substitute for appropriate
professional prenatal assessment.
Question 3
Question:
A nurse is caring for patients in a community where transportation,
income, language, and employment interfere with access to prenatal
services. Which nursing approach most directly addresses health
disparities?
A. Provide identical appointment schedules to every patient.
B. Focus only on clinical findings documented during the physical
examination.
C. Identify barriers affecting each patient and connect patients with
appropriate resources and care options.
D. Encourage patients to solve social problems independently before
receiving prenatal care.
Correct Answer: C. Identify barriers affecting each patient and connect
patients with appropriate resources and care options.
