Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse in a contemporary maternity unit is caring for a pregnant
patient who has limited transportation, works irregular hours, and has
missed two prenatal appointments. Which nursing action best
addresses a potential barrier to receiving maternity care?
A. Document the missed appointments and advise the patient to
reschedule independently.
B. Explore the patient's barriers and connect the patient with available
transportation and scheduling resources.
C. Emphasize that missed prenatal visits increase maternal and fetal
risk.
D. Recommend that the patient arrange appointments only during
regular business hours.
Correct Answer: B. Explore the patient's barriers and connect the
patient with available transportation and scheduling resources.
Rationale:
Contemporary maternity nursing recognizes that access to care is
influenced by social and structural factors such as transportation, work
schedules, finances, childcare, and access to services. The nurse should
,assess the specific barrier and facilitate practical resources that improve
continuity of care. This approach supports health equity rather than
placing sole responsibility on the patient.
Why the Other Options Are Incorrect:
A. Documentation is necessary, but simply telling the patient to
reschedule does not address the underlying access barrier.
B. Correct. Identifying barriers and facilitating resources promotes
timely, equitable prenatal care.
C. The information may be appropriate as part of education, but
emphasizing risk without addressing the barrier does not solve the
access problem.
D. Restricting appointments to conventional hours may further limit
access for patients with employment or transportation constraints.
Question 2
Question:
A maternity nurse is explaining how maternity care has changed over
the past several decades. Which statement by the nurse best reflects a
major contemporary trend?
A. Maternity care increasingly incorporates patient participation in
decisions about care.
B. Maternity care is primarily directed by the healthcare provider
without patient input.
C. Technology has eliminated the need for individualized nursing
assessment.
D. Family involvement is discouraged to reduce interference with
clinical care.
, Correct Answer: A. Maternity care increasingly incorporates patient
participation in decisions about care.
Rationale:
Modern maternity nursing emphasizes patient-centered and shared
decision-making approaches. Patients should receive understandable
information, participate in decisions, and have their preferences
incorporated when clinically appropriate. Technology and professional
expertise support care but do not replace individualized assessment or
patient involvement.
Why the Other Options Are Incorrect:
A. Correct. Contemporary maternity practice emphasizes informed
participation and shared decision-making.
B. This reflects a provider-directed model rather than contemporary
patient-centered practice.
C. Technology supplements assessment but cannot replace clinical
judgment and direct patient evaluation.
D. Family-centered care recognizes that appropriate family participation
can support maternal and infant well-being.
Question 3
Question:
A pregnant patient who speaks limited English is preparing for a
prenatal procedure. The patient's adult child offers to translate the
nurse's explanations. What is the nurse's best action?
A. Accept the family member's assistance because the patient knows
the person.
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse in a contemporary maternity unit is caring for a pregnant
patient who has limited transportation, works irregular hours, and has
missed two prenatal appointments. Which nursing action best
addresses a potential barrier to receiving maternity care?
A. Document the missed appointments and advise the patient to
reschedule independently.
B. Explore the patient's barriers and connect the patient with available
transportation and scheduling resources.
C. Emphasize that missed prenatal visits increase maternal and fetal
risk.
D. Recommend that the patient arrange appointments only during
regular business hours.
Correct Answer: B. Explore the patient's barriers and connect the
patient with available transportation and scheduling resources.
Rationale:
Contemporary maternity nursing recognizes that access to care is
influenced by social and structural factors such as transportation, work
schedules, finances, childcare, and access to services. The nurse should
,assess the specific barrier and facilitate practical resources that improve
continuity of care. This approach supports health equity rather than
placing sole responsibility on the patient.
Why the Other Options Are Incorrect:
A. Documentation is necessary, but simply telling the patient to
reschedule does not address the underlying access barrier.
B. Correct. Identifying barriers and facilitating resources promotes
timely, equitable prenatal care.
C. The information may be appropriate as part of education, but
emphasizing risk without addressing the barrier does not solve the
access problem.
D. Restricting appointments to conventional hours may further limit
access for patients with employment or transportation constraints.
Question 2
Question:
A maternity nurse is explaining how maternity care has changed over
the past several decades. Which statement by the nurse best reflects a
major contemporary trend?
A. Maternity care increasingly incorporates patient participation in
decisions about care.
B. Maternity care is primarily directed by the healthcare provider
without patient input.
C. Technology has eliminated the need for individualized nursing
assessment.
D. Family involvement is discouraged to reduce interference with
clinical care.
, Correct Answer: A. Maternity care increasingly incorporates patient
participation in decisions about care.
Rationale:
Modern maternity nursing emphasizes patient-centered and shared
decision-making approaches. Patients should receive understandable
information, participate in decisions, and have their preferences
incorporated when clinically appropriate. Technology and professional
expertise support care but do not replace individualized assessment or
patient involvement.
Why the Other Options Are Incorrect:
A. Correct. Contemporary maternity practice emphasizes informed
participation and shared decision-making.
B. This reflects a provider-directed model rather than contemporary
patient-centered practice.
C. Technology supplements assessment but cannot replace clinical
judgment and direct patient evaluation.
D. Family-centered care recognizes that appropriate family participation
can support maternal and infant well-being.
Question 3
Question:
A pregnant patient who speaks limited English is preparing for a
prenatal procedure. The patient's adult child offers to translate the
nurse's explanations. What is the nurse's best action?
A. Accept the family member's assistance because the patient knows
the person.
