Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse is discussing changes in maternity nursing practice with a group
of newly licensed nurses. Which development best reflects a major
emphasis of 21st-century maternity care?
A. Increasing routine separation of newborns from their parents after
birth
B. Expanding individualized, evidence-informed, family-centered care
C. Limiting parental participation during hospitalization
D. Standardizing care without regard to patient preferences
Correct Answer: B. Expanding individualized, evidence-informed,
family-centered care
Rationale:
Contemporary maternity nursing emphasizes individualized care,
evidence-informed practice, shared decision-making, and family
involvement. Nurses increasingly consider maternal preferences,
cultural values, clinical evidence, and family needs when planning care.
These approaches support safe care while respecting the patient as an
active participant.
Why the Other Options Are Incorrect:
A. Routine separation is inconsistent with current approaches that
encourage parent–infant contact when clinically appropriate.
,C. Contemporary maternity care generally encourages appropriate
family participation rather than routinely restricting it.
D. Standardized procedures may support safety, but care should also be
individualized to the patient's clinical and personal needs.
Question 2
Question:
A pregnant patient says, "I want to understand my choices before
deciding whether to accept a recommended intervention." Which
nursing response best supports contemporary maternity practice?
A. "The healthcare provider has already determined what is necessary."
B. "You should follow the recommendation without questioning it."
C. "Let's review the available information so you can participate in the
decision."
D. "Your family should make this decision for you."
Correct Answer: C. "Let's review the available information so you can
participate in the decision."
Rationale:
Shared decision-making is an important component of contemporary
maternity nursing. Nurses support patients by providing understandable
information, identifying preferences and concerns, and helping patients
participate meaningfully in decisions about their care.
Why the Other Options Are Incorrect:
A. The provider's recommendation is important, but it does not
eliminate the patient's role in decision-making.
B. This response undermines informed participation and patient
, autonomy.
D. Family involvement can be valuable when desired by the patient, but
decision-making should not automatically be transferred to family
members.
Question 3
Question:
Which nursing action best demonstrates a family-centered approach to
maternity care?
A. Asking the family to leave during routine teaching
B. Encouraging the support person to participate in care according to
the patient's preferences
C. Providing all teaching only to the healthcare provider
D. Limiting family involvement to visiting hours
Correct Answer: B. Encouraging the support person to participate in
care according to the patient's preferences
Rationale:
Family-centered care recognizes the important role that families and
support persons can play in maternal and newborn health. Participation
should be guided by the patient's preferences, safety considerations,
and clinical circumstances.
Why the Other Options Are Incorrect:
A. Excluding family members unnecessarily can limit support and
learning opportunities.
C. Patients and families need understandable education rather than
having information restricted to clinicians.
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse is discussing changes in maternity nursing practice with a group
of newly licensed nurses. Which development best reflects a major
emphasis of 21st-century maternity care?
A. Increasing routine separation of newborns from their parents after
birth
B. Expanding individualized, evidence-informed, family-centered care
C. Limiting parental participation during hospitalization
D. Standardizing care without regard to patient preferences
Correct Answer: B. Expanding individualized, evidence-informed,
family-centered care
Rationale:
Contemporary maternity nursing emphasizes individualized care,
evidence-informed practice, shared decision-making, and family
involvement. Nurses increasingly consider maternal preferences,
cultural values, clinical evidence, and family needs when planning care.
These approaches support safe care while respecting the patient as an
active participant.
Why the Other Options Are Incorrect:
A. Routine separation is inconsistent with current approaches that
encourage parent–infant contact when clinically appropriate.
,C. Contemporary maternity care generally encourages appropriate
family participation rather than routinely restricting it.
D. Standardized procedures may support safety, but care should also be
individualized to the patient's clinical and personal needs.
Question 2
Question:
A pregnant patient says, "I want to understand my choices before
deciding whether to accept a recommended intervention." Which
nursing response best supports contemporary maternity practice?
A. "The healthcare provider has already determined what is necessary."
B. "You should follow the recommendation without questioning it."
C. "Let's review the available information so you can participate in the
decision."
D. "Your family should make this decision for you."
Correct Answer: C. "Let's review the available information so you can
participate in the decision."
Rationale:
Shared decision-making is an important component of contemporary
maternity nursing. Nurses support patients by providing understandable
information, identifying preferences and concerns, and helping patients
participate meaningfully in decisions about their care.
Why the Other Options Are Incorrect:
A. The provider's recommendation is important, but it does not
eliminate the patient's role in decision-making.
B. This response undermines informed participation and patient
, autonomy.
D. Family involvement can be valuable when desired by the patient, but
decision-making should not automatically be transferred to family
members.
Question 3
Question:
Which nursing action best demonstrates a family-centered approach to
maternity care?
A. Asking the family to leave during routine teaching
B. Encouraging the support person to participate in care according to
the patient's preferences
C. Providing all teaching only to the healthcare provider
D. Limiting family involvement to visiting hours
Correct Answer: B. Encouraging the support person to participate in
care according to the patient's preferences
Rationale:
Family-centered care recognizes the important role that families and
support persons can play in maternal and newborn health. Participation
should be guided by the patient's preferences, safety considerations,
and clinical circumstances.
Why the Other Options Are Incorrect:
A. Excluding family members unnecessarily can limit support and
learning opportunities.
C. Patients and families need understandable education rather than
having information restricted to clinicians.
