Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is planning care for a pregnant patient whose family
has limited access to transportation and prenatal services. Which
nursing action best reflects a 21st-century approach to maternity
nursing?
A. Provide the standard prenatal teaching packet and instruct the
patient to arrange transportation independently.
B. Identify barriers to care and connect the patient with appropriate
community and healthcare resources.
C. Delay nonurgent prenatal teaching until the patient can consistently
attend scheduled visits.
D. Focus primarily on the patient's physical assessment because social
concerns are outside the nurse's role.
Correct Answer: B. Identify barriers to care and connect the patient
with appropriate community and healthcare resources.
Rationale:
Contemporary maternity nursing recognizes that health outcomes are
influenced by social and access-related factors. Nurses can reduce
,barriers by assessing the patient's circumstances, coordinating
resources, and facilitating continuity of care.
Why the Other Options Are Incorrect:
A. Providing standard information without addressing access barriers
may not meet the patient's actual healthcare needs.
B. This is correct because identifying and addressing barriers supports
equitable access and continuity of maternity care.
C. Delaying care can increase the risk that important preventive or
assessment services will be missed.
D. Social and environmental factors can directly affect maternal and
infant outcomes and are relevant to nursing care.
Question 2
Question:
Which development most directly illustrates an advance in the care of
mothers and infants?
A. Greater reliance on routine interventions for every pregnancy
B. Increased use of evidence-informed practices to identify and manage
maternal and neonatal risks
C. Reduced involvement of families in maternity care decisions
D. Limiting prenatal care to patients with identified complications
Correct Answer: B. Increased use of evidence-informed practices to
identify and manage maternal and neonatal risks
Rationale:
Advances in maternity care include improved assessment, screening,
monitoring, prevention, and treatment based on evolving evidence.
, These approaches support earlier recognition of risk and improved
outcomes for mothers and infants.
Why the Other Options Are Incorrect:
A. Contemporary care emphasizes individualized assessment rather
than assuming every pregnancy requires the same interventions.
B. This is correct because evidence-informed assessment and
management are central to advances in maternal and infant care.
C. Modern maternity care generally emphasizes family involvement
when appropriate.
D. Preventive and prenatal care are important for all pregnancies, not
only those already identified as high risk.
Question 3
Question:
A nurse notices that a patient repeatedly misses prenatal appointments
because of work responsibilities. Which response best demonstrates
contemporary nursing practice?
A. Tell the patient that missed appointments demonstrate poor
commitment to prenatal care.
B. Ask the patient to choose between employment and recommended
prenatal visits.
C. Explore scheduling barriers and collaborate on realistic options for
receiving care.
D. Document the missed appointments and wait for the healthcare
provider to address the issue.
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is planning care for a pregnant patient whose family
has limited access to transportation and prenatal services. Which
nursing action best reflects a 21st-century approach to maternity
nursing?
A. Provide the standard prenatal teaching packet and instruct the
patient to arrange transportation independently.
B. Identify barriers to care and connect the patient with appropriate
community and healthcare resources.
C. Delay nonurgent prenatal teaching until the patient can consistently
attend scheduled visits.
D. Focus primarily on the patient's physical assessment because social
concerns are outside the nurse's role.
Correct Answer: B. Identify barriers to care and connect the patient
with appropriate community and healthcare resources.
Rationale:
Contemporary maternity nursing recognizes that health outcomes are
influenced by social and access-related factors. Nurses can reduce
,barriers by assessing the patient's circumstances, coordinating
resources, and facilitating continuity of care.
Why the Other Options Are Incorrect:
A. Providing standard information without addressing access barriers
may not meet the patient's actual healthcare needs.
B. This is correct because identifying and addressing barriers supports
equitable access and continuity of maternity care.
C. Delaying care can increase the risk that important preventive or
assessment services will be missed.
D. Social and environmental factors can directly affect maternal and
infant outcomes and are relevant to nursing care.
Question 2
Question:
Which development most directly illustrates an advance in the care of
mothers and infants?
A. Greater reliance on routine interventions for every pregnancy
B. Increased use of evidence-informed practices to identify and manage
maternal and neonatal risks
C. Reduced involvement of families in maternity care decisions
D. Limiting prenatal care to patients with identified complications
Correct Answer: B. Increased use of evidence-informed practices to
identify and manage maternal and neonatal risks
Rationale:
Advances in maternity care include improved assessment, screening,
monitoring, prevention, and treatment based on evolving evidence.
, These approaches support earlier recognition of risk and improved
outcomes for mothers and infants.
Why the Other Options Are Incorrect:
A. Contemporary care emphasizes individualized assessment rather
than assuming every pregnancy requires the same interventions.
B. This is correct because evidence-informed assessment and
management are central to advances in maternal and infant care.
C. Modern maternity care generally emphasizes family involvement
when appropriate.
D. Preventive and prenatal care are important for all pregnancies, not
only those already identified as high risk.
Question 3
Question:
A nurse notices that a patient repeatedly misses prenatal appointments
because of work responsibilities. Which response best demonstrates
contemporary nursing practice?
A. Tell the patient that missed appointments demonstrate poor
commitment to prenatal care.
B. Ask the patient to choose between employment and recommended
prenatal visits.
C. Explore scheduling barriers and collaborate on realistic options for
receiving care.
D. Document the missed appointments and wait for the healthcare
provider to address the issue.
