Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is discussing the goals of 21st-century maternity care
with a group of nursing students. Which statement best reflects a
current priority in maternity nursing?
A. Standardizing care so that all patients receive identical interventions
B. Emphasizing technology over communication with the childbearing
patient
C. Providing safe, evidence-informed, equitable, and person-centered
care
D. Focusing primarily on treatment after maternal complications occur
Correct Answer: C. Providing safe, evidence-informed, equitable, and
person-centered care
Rationale:
Contemporary maternity care emphasizes quality, safety, equity,
evidence-informed practice, and care that incorporates the patient's
preferences, needs, values, dignity, and informed choices. Current
global quality-of-care frameworks specifically emphasize care that is
safe, effective, timely, equitable, integrated, and people-centered.
,Why the Other Options Are Incorrect:
A. Standardized processes can improve safety, but maternity care must
still be individualized to the patient's clinical needs, preferences, and
circumstances.
B. Technology can improve assessment and treatment, but it does not
replace therapeutic communication or person-centered nursing care.
D. Modern maternity nursing places substantial emphasis on
prevention, early recognition, health promotion, and reducing
complications rather than waiting for problems to occur.
Question 2
Question:
A nurse is caring for a pregnant patient who asks why the maternity unit
includes the patient and a support person in discussions about the birth
plan. Which response best reflects contemporary maternity practice?
A. "Including others reduces the amount of teaching the nurse must
provide."
B. "Family involvement allows the healthcare team to make decisions
more quickly."
C. "Patients should have opportunities to participate in informed
decisions about their care."
D. "Support persons are included because they are responsible for
reinforcing all medical decisions."
Correct Answer: C. "Patients should have opportunities to participate
in informed decisions about their care."
, Rationale:
Contemporary maternity care emphasizes informed choice,
communication, dignity, and continuous support. Respectful care
includes enabling patients to participate meaningfully in decisions
affecting pregnancy and childbirth.
Why the Other Options Are Incorrect:
A. Family or support-person involvement does not eliminate the nurse's
responsibility for individualized teaching.
B. The primary purpose is not to speed decision-making but to support
informed, respectful, patient-centered care.
D. Support persons can participate according to the patient's wishes,
but they do not assume responsibility for the patient's healthcare
decisions.
Question 3
Question:
A maternity nurse notices that a patient appears hesitant to ask
questions because English is not the patient's preferred language.
Which nursing action is most appropriate?
A. Ask a family member to interpret all medical information.
B. Speak more loudly and use simplified medical terminology.
C. Arrange qualified language assistance and encourage the patient to
ask questions.
D. Provide written information and avoid further discussion unless the
patient requests it.
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is discussing the goals of 21st-century maternity care
with a group of nursing students. Which statement best reflects a
current priority in maternity nursing?
A. Standardizing care so that all patients receive identical interventions
B. Emphasizing technology over communication with the childbearing
patient
C. Providing safe, evidence-informed, equitable, and person-centered
care
D. Focusing primarily on treatment after maternal complications occur
Correct Answer: C. Providing safe, evidence-informed, equitable, and
person-centered care
Rationale:
Contemporary maternity care emphasizes quality, safety, equity,
evidence-informed practice, and care that incorporates the patient's
preferences, needs, values, dignity, and informed choices. Current
global quality-of-care frameworks specifically emphasize care that is
safe, effective, timely, equitable, integrated, and people-centered.
,Why the Other Options Are Incorrect:
A. Standardized processes can improve safety, but maternity care must
still be individualized to the patient's clinical needs, preferences, and
circumstances.
B. Technology can improve assessment and treatment, but it does not
replace therapeutic communication or person-centered nursing care.
D. Modern maternity nursing places substantial emphasis on
prevention, early recognition, health promotion, and reducing
complications rather than waiting for problems to occur.
Question 2
Question:
A nurse is caring for a pregnant patient who asks why the maternity unit
includes the patient and a support person in discussions about the birth
plan. Which response best reflects contemporary maternity practice?
A. "Including others reduces the amount of teaching the nurse must
provide."
B. "Family involvement allows the healthcare team to make decisions
more quickly."
C. "Patients should have opportunities to participate in informed
decisions about their care."
D. "Support persons are included because they are responsible for
reinforcing all medical decisions."
Correct Answer: C. "Patients should have opportunities to participate
in informed decisions about their care."
, Rationale:
Contemporary maternity care emphasizes informed choice,
communication, dignity, and continuous support. Respectful care
includes enabling patients to participate meaningfully in decisions
affecting pregnancy and childbirth.
Why the Other Options Are Incorrect:
A. Family or support-person involvement does not eliminate the nurse's
responsibility for individualized teaching.
B. The primary purpose is not to speed decision-making but to support
informed, respectful, patient-centered care.
D. Support persons can participate according to the patient's wishes,
but they do not assume responsibility for the patient's healthcare
decisions.
Question 3
Question:
A maternity nurse notices that a patient appears hesitant to ask
questions because English is not the patient's preferred language.
Which nursing action is most appropriate?
A. Ask a family member to interpret all medical information.
B. Speak more loudly and use simplified medical terminology.
C. Arrange qualified language assistance and encourage the patient to
ask questions.
D. Provide written information and avoid further discussion unless the
patient requests it.
