Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit is reviewing changes
in maternity care over the past several decades. Which development
best reflects a major advancement in 21st-century maternity nursing?
A. Increased use of routine interventions for all pregnant clients
B. Greater emphasis on evidence-informed, individualized, family-
centered care
C. Replacement of nursing assessment with continuous technology-
based monitoring
D. Standardization of maternity care without consideration of client
preferences
Correct Answer: B. Greater emphasis on evidence-informed,
individualized, family-centered care
Rationale:
Contemporary maternity nursing emphasizes individualized care that
incorporates clinical evidence, patient preferences, safety, and family
participation. Nurses increasingly function as advocates, educators,
coordinators, and clinical decision-makers rather than simply carrying
out standardized interventions.
,Why the Other Options Are Incorrect:
A. Routine interventions for every client do not reflect individualized
maternity care and may expose patients to unnecessary procedures.
B. This option correctly reflects the movement toward individualized,
evidence-informed, family-centered maternity practice.
C. Technology supports assessment but does not replace professional
nursing judgment and direct patient assessment.
D. Contemporary practice recognizes individual values, needs,
preferences, and clinical circumstances.
Question 2
Question:
A maternity nurse explains to a student that advances in maternal-
infant care have changed the nurse's responsibilities. Which nursing
activity best demonstrates this change?
A. Following the same care plan for every postpartum client
B. Limiting patient education to information provided at discharge
C. Using current evidence to support individualized clinical decisions
D. Allowing technology to determine all nursing interventions
Correct Answer: C. Using current evidence to support individualized
clinical decisions
Rationale:
Modern maternity nursing requires nurses to integrate current evidence
with assessment findings, clinical judgment, patient preferences, and
safety considerations. This approach supports individualized decision-
, making and improves the ability to respond to changing maternal and
infant needs.
Why the Other Options Are Incorrect:
A. Standardization can support safety, but care must still be
individualized according to patient needs.
B. Patient education should occur throughout the maternity experience
rather than being restricted to discharge.
C. Evidence-informed individualized decision-making is a central
component of contemporary nursing practice.
D. Technology provides valuable information but does not replace
nursing judgment.
Question 3
Question:
A nurse is caring for two postpartum clients with similar diagnoses. One
client requests that a support person participate in teaching, while the
other prefers private education. Which action best reflects
contemporary maternity nursing?
A. Provide identical teaching to both clients to ensure fairness.
B. Ask both clients to follow the unit's standard teaching schedule.
C. Adapt the teaching approach to each client's preferences and
circumstances.
D. Require participation of the support person because family
involvement is encouraged.
Correct Answer: C. Adapt the teaching approach to each client's
preferences and circumstances.
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit is reviewing changes
in maternity care over the past several decades. Which development
best reflects a major advancement in 21st-century maternity nursing?
A. Increased use of routine interventions for all pregnant clients
B. Greater emphasis on evidence-informed, individualized, family-
centered care
C. Replacement of nursing assessment with continuous technology-
based monitoring
D. Standardization of maternity care without consideration of client
preferences
Correct Answer: B. Greater emphasis on evidence-informed,
individualized, family-centered care
Rationale:
Contemporary maternity nursing emphasizes individualized care that
incorporates clinical evidence, patient preferences, safety, and family
participation. Nurses increasingly function as advocates, educators,
coordinators, and clinical decision-makers rather than simply carrying
out standardized interventions.
,Why the Other Options Are Incorrect:
A. Routine interventions for every client do not reflect individualized
maternity care and may expose patients to unnecessary procedures.
B. This option correctly reflects the movement toward individualized,
evidence-informed, family-centered maternity practice.
C. Technology supports assessment but does not replace professional
nursing judgment and direct patient assessment.
D. Contemporary practice recognizes individual values, needs,
preferences, and clinical circumstances.
Question 2
Question:
A maternity nurse explains to a student that advances in maternal-
infant care have changed the nurse's responsibilities. Which nursing
activity best demonstrates this change?
A. Following the same care plan for every postpartum client
B. Limiting patient education to information provided at discharge
C. Using current evidence to support individualized clinical decisions
D. Allowing technology to determine all nursing interventions
Correct Answer: C. Using current evidence to support individualized
clinical decisions
Rationale:
Modern maternity nursing requires nurses to integrate current evidence
with assessment findings, clinical judgment, patient preferences, and
safety considerations. This approach supports individualized decision-
, making and improves the ability to respond to changing maternal and
infant needs.
Why the Other Options Are Incorrect:
A. Standardization can support safety, but care must still be
individualized according to patient needs.
B. Patient education should occur throughout the maternity experience
rather than being restricted to discharge.
C. Evidence-informed individualized decision-making is a central
component of contemporary nursing practice.
D. Technology provides valuable information but does not replace
nursing judgment.
Question 3
Question:
A nurse is caring for two postpartum clients with similar diagnoses. One
client requests that a support person participate in teaching, while the
other prefers private education. Which action best reflects
contemporary maternity nursing?
A. Provide identical teaching to both clients to ensure fairness.
B. Ask both clients to follow the unit's standard teaching schedule.
C. Adapt the teaching approach to each client's preferences and
circumstances.
D. Require participation of the support person because family
involvement is encouraged.
Correct Answer: C. Adapt the teaching approach to each client's
preferences and circumstances.
