7th Edition
• Author(s)Shannon Perry
,PART 1: MATERNITY NURSING
UNIT 1: Introduction to Maternity Nursing
Question 1
Question:
A maternity nurse is discussing changes in 21st-century maternity care
with a group of nursing students. Which development best reflects the
current emphasis on patient-centered maternity nursing?
A. Standardizing the same birth plan for most patients
B. Encouraging women to participate in decisions about their care
C. Limiting family involvement during labor
D. Giving priority to technology over patient preferences
Correct Answer: B. Encouraging women to participate in decisions
about their care
Rationale:
Contemporary maternity nursing emphasizes shared decision-making,
informed choice, respectful communication, and individualized care.
The nurse supports the woman's preferences while ensuring that
decisions remain consistent with safety and clinical needs.
,Why the Other Options Are Incorrect:
A. Standardized plans do not adequately account for individual
preferences, health conditions, or cultural needs.
B. This is correct because patient participation is a major component of
respectful, person-centered maternity care.
C. Family involvement may be valuable when desired by the patient and
appropriate to the clinical situation.
D. Technology can improve assessment and treatment, but it should
support rather than replace individualized nursing care.
Question 2
Question:
A nurse in a community maternity clinic notices that patients with
limited transportation frequently miss prenatal appointments. Which
intervention best addresses this health disparity?
A. Instructing patients to find their own transportation
B. Scheduling fewer prenatal appointments for affected patients
C. Connecting patients with available transportation and community
resources
D. Advising patients to seek care only when complications occur
Correct Answer: C. Connecting patients with available transportation
and community resources
Rationale:
Health disparities may arise from social and structural barriers such as
transportation, financial limitations, geographic access, and difficulty
obtaining services. The nurse can help reduce inequities by identifying
, barriers and connecting patients with appropriate resources rather than
placing responsibility solely on the patient.
Why the Other Options Are Incorrect:
A. This does not address the underlying barrier and may further limit
access to care.
B. Reducing needed prenatal care because of an access problem may
increase risk rather than reduce disparities.
C. This is correct because addressing transportation barriers can
improve access to timely maternity care.
D. Waiting for complications is inconsistent with preventive and
anticipatory maternity care.
Question 3
Question:
Which nursing action most directly demonstrates culturally responsive
maternity care?
A. Asking every patient to follow the same postpartum routine
B. Avoiding discussion of cultural practices to prevent
misunderstandings
C. Asking the patient which cultural or family practices are important
during care
D. Substituting the nurse's preferred practices when cultural beliefs
differ
Correct Answer: C. Asking the patient which cultural or family
practices are important during care