7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit is planning care for a
pregnant patient. Which nursing approach best reflects a 21st-century
maternity nursing model?
A. Follow standardized routines without modifying care for individual
needs
B. Focus primarily on the physiologic aspects of pregnancy and birth
C. Combine evidence-informed care with individualized, patient- and
family-centered decision-making
D. Limit patient participation to choices about comfort measures
Correct Answer: C. Combine evidence-informed care with
individualized, patient- and family-centered decision-making
Rationale:
Contemporary maternity nursing emphasizes individualized care,
patient participation, family involvement, evidence-informed practice,
safety, and attention to social and cultural factors. The nurse integrates
clinical knowledge with the patient's preferences, needs, and
circumstances.
,Why the Other Options Are Incorrect:
A. Standardization can support safety, but care must still be adapted to
the individual patient's needs and clinical condition.
B. Physiologic care is important, but contemporary maternity nursing
addresses psychological, social, cultural, and family needs as well.
D. Patients should participate in meaningful decisions throughout their
care rather than being limited to comfort-related choices.
Question 2
Question:
A maternity nurse is explaining how maternity care has changed over
time. Which development best represents an important advance in
modern care of mothers and infants?
A. Greater reliance on routine interventions for all patients
B. Increased use of evidence-informed assessment and early
recognition of complications
C. Reduced emphasis on preventive care because treatment options
have expanded
D. Decreased involvement of patients and families in care planning
Correct Answer: B. Increased use of evidence-informed assessment
and early recognition of complications
Rationale:
Advances in maternity care include improved assessment, screening,
monitoring, prevention, and early recognition of maternal and newborn
complications. These developments support safer outcomes through
earlier intervention when problems arise.
, Why the Other Options Are Incorrect:
A. Contemporary care increasingly supports individualized management
rather than automatically applying the same interventions to every
patient.
C. Prevention remains an important component of modern maternity
care.
D. Patient and family participation has generally become more
important, not less important, in contemporary practice.
Question 3
Question:
A pregnant patient asks the nurse why maternity services increasingly
address social conditions during prenatal care. Which response is most
appropriate?
A. “Social conditions are considered mainly when a patient cannot
follow medical treatment.”
B. “Social conditions can affect access to care, health behaviors, risks,
and health outcomes.”
C. “Social conditions are primarily relevant after the baby is born.”
D. “Social conditions are considered only when a patient requests
assistance.”
Correct Answer: B. Social conditions can affect access to care, health
behaviors, risks, and health outcomes.
Rationale:
Reducing health disparities requires recognition of factors that
influence whether patients can obtain and benefit from healthcare.