7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit is planning care for a
pregnant client. Which nursing action best reflects a 21st-century
approach to maternity care?
A. Use the same care plan for all clients with uncomplicated
pregnancies.
B. Encourage the client to participate in decisions about her care and
birth preferences.
C. Limit family involvement to prevent interference with clinical care.
D. Focus primarily on physical findings rather than psychosocial
concerns.
Correct Answer: B. Encourage the client to participate in decisions
about her care and birth preferences.
Rationale:
Contemporary maternity nursing emphasizes client-centered, evidence-
informed, collaborative care. Involving the client in decisions respects
autonomy, supports informed choice, and recognizes the individual’s
preferences, values, and needs.
,Why the Other Options Are Incorrect:
A. A standardized approach may provide a framework for care, but
maternity nursing must be individualized according to the client’s
condition, preferences, and circumstances.
C. Family participation may be valuable when desired by the client and
appropriate to the situation. Excluding family automatically does not
reflect family-centered care.
D. Maternity nursing addresses physical, psychological, social, cultural,
and family needs rather than focusing exclusively on physical findings.
Question 2
Question:
A maternity nurse explains that advances in maternal and infant care
have improved outcomes. Which statement best demonstrates the
effect of these advances?
A. Most pregnancy complications can now be completely prevented.
B. Technology has eliminated the need for nursing assessment during
pregnancy.
C. Improved screening and monitoring can support earlier recognition
of maternal or fetal problems.
D. Advances in care have made prenatal care unnecessary for low-risk
clients.
Correct Answer: C. Improved screening and monitoring can support
earlier recognition of maternal or fetal problems.
Rationale:
Modern maternity care includes improved diagnostic, screening, and
, monitoring approaches that can help identify risks earlier and facilitate
timely intervention. Nursing assessment remains essential because
technology complements rather than replaces clinical judgment.
Why the Other Options Are Incorrect:
A. Advances have improved prevention and management but have not
eliminated pregnancy complications.
B. Technology does not replace nursing assessment, observation,
communication, or clinical judgment.
D. Prenatal care remains important for identifying risks, monitoring
maternal and fetal well-being, and promoting health.
Question 3
Question:
A nurse is discussing health disparities with a pregnant client who has
difficulty obtaining prenatal care because of transportation and
financial barriers. Which nursing intervention is most appropriate?
A. Instruct the client to arrange transportation independently.
B. Provide referrals to available community and social support
resources.
C. Encourage the client to postpone appointments until transportation
is available.
D. Explain that missed prenatal visits are primarily the client’s
responsibility.
Correct Answer: B. Provide referrals to available community and social
support resources.