Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse is discussing 21st-century maternity nursing with a group of
nursing students. Which statement best reflects a current emphasis in
maternity care?
A. Standardizing care means providing the same interventions to every
patient regardless of preference.
B. Maternity care increasingly emphasizes evidence-informed practice,
patient participation, and coordinated care.
C. Most maternity decisions should be based primarily on traditions
established by experienced nurses.
D. Technology has reduced the need for communication between
nurses, patients, and other professionals.
Correct Answer: B. Evidence-informed practice, patient participation,
and coordinated care
Rationale:
Contemporary maternity nursing integrates evidence-informed care
with shared decision-making, communication, interdisciplinary
collaboration, safety, and individualized care. The nurse supports the
patient as an active participant while using current clinical evidence to
guide care.
,Why the Other Options Are Incorrect:
A. Individual preferences, values, and clinical circumstances must be
considered; identical interventions are not appropriate for every
patient.
C. Clinical experience is valuable, but current evidence and patient-
specific assessment are essential components of safe maternity
practice.
D. Technology can support care, but it does not replace therapeutic
communication or interdisciplinary collaboration.
Question 2
Question:
A maternity nurse participates in a hospital quality-improvement
project designed to reduce preventable complications during pregnancy
and childbirth. Which activity best demonstrates the nurse's role in
contemporary maternity practice?
A. Using established routines without evaluating outcomes
B. Collecting outcome data and helping implement evidence-informed
changes
C. Limiting participation to tasks specifically assigned by the unit
manager
D. Waiting for physicians to identify all problems before recommending
changes
Correct Answer: B. Collecting outcome data and helping implement
evidence-informed changes
, Rationale:
Modern maternity nursing includes quality improvement, evaluation of
outcomes, and participation in system-level efforts to improve maternal
and infant health. Perinatal quality collaboratives, for example, use
multidisciplinary teams and improvement science to identify care gaps
and improve outcomes.
Why the Other Options Are Incorrect:
A. Contemporary practice requires nurses to evaluate whether care
processes are producing desirable outcomes.
C. Nurses are active contributors to quality and safety initiatives rather
than passive recipients of assignments.
D. Nurses should communicate concerns and contribute observations
without waiting for another discipline to identify every problem.
Question 3
Question:
A pregnant patient tells the nurse, “I have heard that new technology
can replace most routine prenatal visits.” Which response by the nurse
is most appropriate?
A. “Technology has made in-person prenatal care unnecessary for most
patients.”
B. “Technology can support access and communication, but prenatal
care still requires appropriate clinical assessment.”
C. “Telehealth should be used only when pregnancy complications are
present.”
D. “Routine prenatal care is primarily optional when a patient has no
symptoms.”
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse is discussing 21st-century maternity nursing with a group of
nursing students. Which statement best reflects a current emphasis in
maternity care?
A. Standardizing care means providing the same interventions to every
patient regardless of preference.
B. Maternity care increasingly emphasizes evidence-informed practice,
patient participation, and coordinated care.
C. Most maternity decisions should be based primarily on traditions
established by experienced nurses.
D. Technology has reduced the need for communication between
nurses, patients, and other professionals.
Correct Answer: B. Evidence-informed practice, patient participation,
and coordinated care
Rationale:
Contemporary maternity nursing integrates evidence-informed care
with shared decision-making, communication, interdisciplinary
collaboration, safety, and individualized care. The nurse supports the
patient as an active participant while using current clinical evidence to
guide care.
,Why the Other Options Are Incorrect:
A. Individual preferences, values, and clinical circumstances must be
considered; identical interventions are not appropriate for every
patient.
C. Clinical experience is valuable, but current evidence and patient-
specific assessment are essential components of safe maternity
practice.
D. Technology can support care, but it does not replace therapeutic
communication or interdisciplinary collaboration.
Question 2
Question:
A maternity nurse participates in a hospital quality-improvement
project designed to reduce preventable complications during pregnancy
and childbirth. Which activity best demonstrates the nurse's role in
contemporary maternity practice?
A. Using established routines without evaluating outcomes
B. Collecting outcome data and helping implement evidence-informed
changes
C. Limiting participation to tasks specifically assigned by the unit
manager
D. Waiting for physicians to identify all problems before recommending
changes
Correct Answer: B. Collecting outcome data and helping implement
evidence-informed changes
, Rationale:
Modern maternity nursing includes quality improvement, evaluation of
outcomes, and participation in system-level efforts to improve maternal
and infant health. Perinatal quality collaboratives, for example, use
multidisciplinary teams and improvement science to identify care gaps
and improve outcomes.
Why the Other Options Are Incorrect:
A. Contemporary practice requires nurses to evaluate whether care
processes are producing desirable outcomes.
C. Nurses are active contributors to quality and safety initiatives rather
than passive recipients of assignments.
D. Nurses should communicate concerns and contribute observations
without waiting for another discipline to identify every problem.
Question 3
Question:
A pregnant patient tells the nurse, “I have heard that new technology
can replace most routine prenatal visits.” Which response by the nurse
is most appropriate?
A. “Technology has made in-person prenatal care unnecessary for most
patients.”
B. “Technology can support access and communication, but prenatal
care still requires appropriate clinical assessment.”
C. “Telehealth should be used only when pregnancy complications are
present.”
D. “Routine prenatal care is primarily optional when a patient has no
symptoms.”
