Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse is orienting to contemporary maternity practice and reviews the
concept of 21st-century maternity nursing. Which statement best
reflects this approach?
A. Care should focus primarily on the physiologic needs of the mother
during hospitalization.
B. Maternity care should integrate evidence-based practice, patient
preferences, technology, prevention, and family involvement.
C. Most maternity decisions should be standardized so that all patients
receive identical care.
D. The nurse's primary responsibility is to follow provider orders rather
than participate in clinical decision-making.
Correct Answer: B. Maternity care should integrate evidence-based
practice, patient preferences, technology, prevention, and family
involvement.
Rationale:
Contemporary maternity nursing is broader than managing pregnancy
and birth alone. It incorporates evidence-based practice, health
promotion, preventive care, patient preferences, family-centered care,
,clinical technology, interdisciplinary collaboration, and attention to
social factors that influence maternal and infant outcomes. Nurses
participate actively in assessment, education, advocacy, coordination,
and clinical decision-making.
Why the Other Options Are Incorrect:
A. Contemporary maternity nursing addresses the health of the mother
and infant across the continuum rather than focusing only on
hospitalization and physiologic needs.
B. Correct. This approach reflects the multidimensional nature of 21st-
century maternity nursing.
C. Standardization can support safety, but care must also be
individualized according to patient needs, preferences, risks, and
circumstances.
D. Nurses have independent responsibilities for assessment, education,
advocacy, clinical judgment, and evaluation in addition to carrying out
prescribed treatments.
Question 2
Question:
A pregnant patient tells the nurse, "I want to be involved in deciding
which options are used during my care." Which nursing response best
demonstrates contemporary maternity practice?
A. "The healthcare provider will make the major decisions for you."
B. "You should choose whichever option the hospital recommends."
C. "We will provide information about the available options so you can
, participate in decisions about your care."
D. "Your family should decide because they may understand the
situation better."
Correct Answer: C. "We will provide information about the available
options so you can participate in decisions about your care."
Rationale:
Patient-centered maternity care supports informed participation and
shared decision-making. The nurse promotes understanding by
providing relevant information, clarifying questions, supporting patient
preferences, and helping the patient participate in decisions consistent
with informed consent.
Why the Other Options Are Incorrect:
A. This response dismisses the patient's role in decision-making and
does not reflect shared decision-making.
B. Recommendations should be discussed with the patient rather than
presented as a mandatory choice without consideration of preferences
and circumstances.
C. Correct. This response supports informed choice and active patient
participation.
D. Family involvement may be valuable when desired by the patient,
but the patient remains central to decisions about personal healthcare.
Question 3
Question:
A nurse is reviewing advances that have influenced the care of mothers
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse is orienting to contemporary maternity practice and reviews the
concept of 21st-century maternity nursing. Which statement best
reflects this approach?
A. Care should focus primarily on the physiologic needs of the mother
during hospitalization.
B. Maternity care should integrate evidence-based practice, patient
preferences, technology, prevention, and family involvement.
C. Most maternity decisions should be standardized so that all patients
receive identical care.
D. The nurse's primary responsibility is to follow provider orders rather
than participate in clinical decision-making.
Correct Answer: B. Maternity care should integrate evidence-based
practice, patient preferences, technology, prevention, and family
involvement.
Rationale:
Contemporary maternity nursing is broader than managing pregnancy
and birth alone. It incorporates evidence-based practice, health
promotion, preventive care, patient preferences, family-centered care,
,clinical technology, interdisciplinary collaboration, and attention to
social factors that influence maternal and infant outcomes. Nurses
participate actively in assessment, education, advocacy, coordination,
and clinical decision-making.
Why the Other Options Are Incorrect:
A. Contemporary maternity nursing addresses the health of the mother
and infant across the continuum rather than focusing only on
hospitalization and physiologic needs.
B. Correct. This approach reflects the multidimensional nature of 21st-
century maternity nursing.
C. Standardization can support safety, but care must also be
individualized according to patient needs, preferences, risks, and
circumstances.
D. Nurses have independent responsibilities for assessment, education,
advocacy, clinical judgment, and evaluation in addition to carrying out
prescribed treatments.
Question 2
Question:
A pregnant patient tells the nurse, "I want to be involved in deciding
which options are used during my care." Which nursing response best
demonstrates contemporary maternity practice?
A. "The healthcare provider will make the major decisions for you."
B. "You should choose whichever option the hospital recommends."
C. "We will provide information about the available options so you can
, participate in decisions about your care."
D. "Your family should decide because they may understand the
situation better."
Correct Answer: C. "We will provide information about the available
options so you can participate in decisions about your care."
Rationale:
Patient-centered maternity care supports informed participation and
shared decision-making. The nurse promotes understanding by
providing relevant information, clarifying questions, supporting patient
preferences, and helping the patient participate in decisions consistent
with informed consent.
Why the Other Options Are Incorrect:
A. This response dismisses the patient's role in decision-making and
does not reflect shared decision-making.
B. Recommendations should be discussed with the patient rather than
presented as a mandatory choice without consideration of preferences
and circumstances.
C. Correct. This response supports informed choice and active patient
participation.
D. Family involvement may be valuable when desired by the patient,
but the patient remains central to decisions about personal healthcare.
Question 3
Question:
A nurse is reviewing advances that have influenced the care of mothers
