Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Part 1: Maternity Nursing
Unit 1: Introduction to Maternity Nursing
Question 1
Question:
A nurse working in a contemporary maternity unit is reviewing changes
in maternity care with a newly hired nurse. Which statement best
reflects a major principle of 21st-century maternity nursing?
A. Maternity care should focus primarily on the physiologic needs of the
mother.
B. Routine care should be standardized with minimal individualization.
C. Care should integrate evidence, patient preferences, safety, and
family participation.
D. Most maternity decisions should be made by health professionals to
reduce maternal anxiety.
Correct Answer: C. Care should integrate evidence, patient
preferences, safety, and family participation.
Rationale:
Contemporary maternity nursing emphasizes patient-centered,
evidence-informed care while recognizing the mother and infant as part
,of a family system. Nurses support informed decision-making, safety,
shared participation, and individualized care rather than relying
exclusively on standardized routines.
Why the Other Options Are Incorrect:
A. Focusing only on maternal physiology overlooks psychosocial needs,
infant well-being, family involvement, and patient preferences.
B. Standardization can improve safety, but maternity nursing also
requires individualized care based on clinical findings and patient
circumstances.
D. Contemporary practice supports informed participation by patients
and families rather than excluding them from decisions.
Question 2
Question:
A nurse is caring for a pregnant patient who has limited access to
transportation and has missed several prenatal appointments. Which
nursing response best reflects an effort to reduce health disparities?
A. Explain that missed appointments may place the pregnancy at
greater risk.
B. Provide a list of private transportation companies for the patient to
contact.
C. Explore barriers to care and connect the patient with available
community resources.
D. Ask the patient to reschedule once transportation becomes available.
Correct Answer: C. Explore barriers to care and connect the patient
with available community resources.
, Rationale:
Reducing health disparities requires identifying barriers that interfere
with access to healthcare and helping patients connect with
appropriate resources. Transportation, financial limitations, geographic
access, and social circumstances may influence the ability to obtain
consistent maternity care.
Why the Other Options Are Incorrect:
A. This identifies a possible consequence but does not address the
barrier preventing access.
B. Providing a resource without assessing affordability, accessibility, or
suitability may not solve the patient's problem.
D. Delaying care may increase the risk of preventable complications.
Question 3
Question:
A pregnant adolescent tells the nurse, "I do not want my mother in the
examination room." What is the nurse's best initial response?
A. "Your mother should remain with you because you need support."
B. "Let's discuss who you would like involved in your care."
C. "Your healthcare provider will decide whether your mother stays."
D. "You should reconsider because family involvement is important
during pregnancy."
Correct Answer: B. "Let's discuss who you would like involved in your
care."
Rationale:
Patient-centered maternity nursing respects the patient's preferences
7th Edition
• Author(s)Shannon Perry
,Part 1: Maternity Nursing
Unit 1: Introduction to Maternity Nursing
Question 1
Question:
A nurse working in a contemporary maternity unit is reviewing changes
in maternity care with a newly hired nurse. Which statement best
reflects a major principle of 21st-century maternity nursing?
A. Maternity care should focus primarily on the physiologic needs of the
mother.
B. Routine care should be standardized with minimal individualization.
C. Care should integrate evidence, patient preferences, safety, and
family participation.
D. Most maternity decisions should be made by health professionals to
reduce maternal anxiety.
Correct Answer: C. Care should integrate evidence, patient
preferences, safety, and family participation.
Rationale:
Contemporary maternity nursing emphasizes patient-centered,
evidence-informed care while recognizing the mother and infant as part
,of a family system. Nurses support informed decision-making, safety,
shared participation, and individualized care rather than relying
exclusively on standardized routines.
Why the Other Options Are Incorrect:
A. Focusing only on maternal physiology overlooks psychosocial needs,
infant well-being, family involvement, and patient preferences.
B. Standardization can improve safety, but maternity nursing also
requires individualized care based on clinical findings and patient
circumstances.
D. Contemporary practice supports informed participation by patients
and families rather than excluding them from decisions.
Question 2
Question:
A nurse is caring for a pregnant patient who has limited access to
transportation and has missed several prenatal appointments. Which
nursing response best reflects an effort to reduce health disparities?
A. Explain that missed appointments may place the pregnancy at
greater risk.
B. Provide a list of private transportation companies for the patient to
contact.
C. Explore barriers to care and connect the patient with available
community resources.
D. Ask the patient to reschedule once transportation becomes available.
Correct Answer: C. Explore barriers to care and connect the patient
with available community resources.
, Rationale:
Reducing health disparities requires identifying barriers that interfere
with access to healthcare and helping patients connect with
appropriate resources. Transportation, financial limitations, geographic
access, and social circumstances may influence the ability to obtain
consistent maternity care.
Why the Other Options Are Incorrect:
A. This identifies a possible consequence but does not address the
barrier preventing access.
B. Providing a resource without assessing affordability, accessibility, or
suitability may not solve the patient's problem.
D. Delaying care may increase the risk of preventable complications.
Question 3
Question:
A pregnant adolescent tells the nurse, "I do not want my mother in the
examination room." What is the nurse's best initial response?
A. "Your mother should remain with you because you need support."
B. "Let's discuss who you would like involved in your care."
C. "Your healthcare provider will decide whether your mother stays."
D. "You should reconsider because family involvement is important
during pregnancy."
Correct Answer: B. "Let's discuss who you would like involved in your
care."
Rationale:
Patient-centered maternity nursing respects the patient's preferences
