7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a maternity unit explains that 21st-century
maternity nursing differs from traditional maternity care primarily
because it emphasizes which approach?
A. Routine interventions for all pregnant patients
B. Family-centered, evidence-informed, individualized care
C. Physician-directed care with limited patient participation
D. Standardized care plans regardless of maternal preferences
Correct Answer: B. Family-centered, evidence-informed, individualized
care
Rationale:
Contemporary maternity nursing emphasizes individualized care that
incorporates current evidence, patient preferences, family participation,
safety, and collaboration among healthcare professionals. The goal is to
support healthy outcomes while respecting the unique needs and
values of each mother and infant.
Why the Other Options Are Incorrect:
A. Routine interventions for all pregnant patients do not account for
individual risk factors, preferences, or clinical circumstances.
,C. Modern maternity care promotes patient participation and
interprofessional collaboration rather than limiting decisions to
physicians.
D. Standardized plans may provide a framework for care, but they must
be individualized to the patient's needs.
Question 2
Question:
A nurse is reviewing developments that have improved outcomes for
mothers and newborns. Which advancement has most directly
supported earlier recognition of maternal or fetal complications?
A. Increased use of routine bed rest
B. Expanded maternal and fetal assessment technologies
C. Decreased prenatal monitoring
D. Reduced communication among healthcare professionals
Correct Answer: B. Expanded maternal and fetal assessment
technologies
Rationale:
Advances in maternal and fetal assessment have increased the ability of
healthcare professionals to identify potential complications earlier and
intervene appropriately. Improved surveillance, diagnostic methods,
and monitoring contribute to safer maternity care.
Why the Other Options Are Incorrect:
A. Routine bed rest is not a broad modern strategy for improving
maternity outcomes and may introduce additional risks in some
circumstances.
, C. Decreasing prenatal monitoring would reduce opportunities to
identify complications early.
D. Effective communication among healthcare professionals is an
important component of safe maternity care.
Question 3
Question:
A pregnant patient tells the nurse, "I have difficulty getting to prenatal
appointments because I cannot afford transportation." Which nursing
action best reflects contemporary efforts to reduce health disparities?
A. Tell the patient to arrange transportation independently
B. Provide information about available transportation and community
resources
C. Recommend that the patient postpone prenatal care until
transportation is available
D. Explain that transportation problems are unrelated to maternity
outcomes
Correct Answer: B. Provide information about available transportation
and community resources
Rationale:
Access to healthcare can be affected by social and environmental
conditions such as transportation, finances, housing, and availability of
services. Contemporary maternity nursing addresses these barriers by
connecting patients with appropriate community and healthcare
resources.