Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is reviewing changes in 21st-century maternity care
with a group of new staff members. Which development best reflects
the current emphasis in maternity nursing practice?
A. Increasing reliance on standardized care for all pregnant patients
B. Expanding individualized, family-centered care based on patient
needs and preferences
C. Limiting family participation to reduce interruptions during clinical
care
D. Focusing primarily on technological interventions rather than
communication
Correct Answer: B. Expanding individualized, family-centered care
based on patient needs and preferences
Rationale:
Contemporary maternity nursing emphasizes individualized and family-
centered care. Nurses integrate clinical evidence with the patient's
values, preferences, circumstances, and family context rather than
assuming that one approach is appropriate for everyone.
,Why the Other Options Are Incorrect:
A. Standardized protocols can support safety, but they should not
replace individualized assessment and care planning.
C. Family participation can support education, emotional support,
decision-making, and continuity of care when the patient desires it.
D. Technology can improve assessment and treatment, but effective
communication, education, and nursing judgment remain essential.
Question 2
Question:
A pregnant patient says, “I want to understand all of my options before
deciding how I want my maternity care to proceed.” Which nursing
response best demonstrates a contemporary approach to maternity
care?
A. “Your healthcare provider will decide which option is safest.”
B. “Most patients choose the standard approach, so that is usually
recommended.”
C. “Let’s discuss the available options and what matters most to you.”
D. “You should follow the plan that your family recommends.”
Correct Answer: C. “Let’s discuss the available options and what
matters most to you.”
Rationale:
Contemporary maternity care supports informed participation and
shared decision-making. The nurse should provide understandable
, information, clarify patient goals, and help the patient participate
meaningfully in decisions.
Why the Other Options Are Incorrect:
A. The healthcare provider may recommend a plan, but the patient's
informed preferences remain important in shared decision-making.
B. A commonly selected option is not automatically the best option for
every patient.
D. Family opinions may be important to the patient, but the patient's
informed preferences should guide decisions about personal
healthcare.
Question 3
Question:
Which nursing action is most consistent with efforts to reduce health
disparities in maternity care?
A. Providing identical teaching materials to every patient
B. Asking patients to adjust their preferences to fit the healthcare
system
C. Identifying barriers that may interfere with access to prenatal and
maternity services
D. Avoiding questions about social circumstances to protect privacy
Correct Answer: C. Identifying barriers that may interfere with access
to prenatal and maternity services
Rationale:
Reducing health disparities requires recognition of barriers that affect
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is reviewing changes in 21st-century maternity care
with a group of new staff members. Which development best reflects
the current emphasis in maternity nursing practice?
A. Increasing reliance on standardized care for all pregnant patients
B. Expanding individualized, family-centered care based on patient
needs and preferences
C. Limiting family participation to reduce interruptions during clinical
care
D. Focusing primarily on technological interventions rather than
communication
Correct Answer: B. Expanding individualized, family-centered care
based on patient needs and preferences
Rationale:
Contemporary maternity nursing emphasizes individualized and family-
centered care. Nurses integrate clinical evidence with the patient's
values, preferences, circumstances, and family context rather than
assuming that one approach is appropriate for everyone.
,Why the Other Options Are Incorrect:
A. Standardized protocols can support safety, but they should not
replace individualized assessment and care planning.
C. Family participation can support education, emotional support,
decision-making, and continuity of care when the patient desires it.
D. Technology can improve assessment and treatment, but effective
communication, education, and nursing judgment remain essential.
Question 2
Question:
A pregnant patient says, “I want to understand all of my options before
deciding how I want my maternity care to proceed.” Which nursing
response best demonstrates a contemporary approach to maternity
care?
A. “Your healthcare provider will decide which option is safest.”
B. “Most patients choose the standard approach, so that is usually
recommended.”
C. “Let’s discuss the available options and what matters most to you.”
D. “You should follow the plan that your family recommends.”
Correct Answer: C. “Let’s discuss the available options and what
matters most to you.”
Rationale:
Contemporary maternity care supports informed participation and
shared decision-making. The nurse should provide understandable
, information, clarify patient goals, and help the patient participate
meaningfully in decisions.
Why the Other Options Are Incorrect:
A. The healthcare provider may recommend a plan, but the patient's
informed preferences remain important in shared decision-making.
B. A commonly selected option is not automatically the best option for
every patient.
D. Family opinions may be important to the patient, but the patient's
informed preferences should guide decisions about personal
healthcare.
Question 3
Question:
Which nursing action is most consistent with efforts to reduce health
disparities in maternity care?
A. Providing identical teaching materials to every patient
B. Asking patients to adjust their preferences to fit the healthcare
system
C. Identifying barriers that may interfere with access to prenatal and
maternity services
D. Avoiding questions about social circumstances to protect privacy
Correct Answer: C. Identifying barriers that may interfere with access
to prenatal and maternity services
Rationale:
Reducing health disparities requires recognition of barriers that affect
