Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question: A maternity nurse is caring for a woman during her first
prenatal visit. Which nursing action best reflects a contemporary
approach to 21st-century maternity nursing?
A. Provide the same education plan to all pregnant clients to promote
consistency.
B. Focus primarily on identifying physical complications during
pregnancy.
C. Incorporate the woman’s preferences, cultural context, social needs,
and clinical risks into the plan of care.
D. Defer discussion of social concerns unless a medical complication
develops.
Correct Answer: C. Incorporate the woman’s preferences, cultural
context, social needs, and clinical risks into the plan of care.
Rationale: Contemporary maternity nursing emphasizes individualized,
patient-centered care that considers physical health as well as social,
cultural, emotional, and environmental factors. Integrating these factors
supports safer and more responsive maternity care.
Why the Other Options Are Incorrect:
A. A standardized approach may overlook individual needs, preferences,
risks, and barriers to care.
,B. Physical assessment is essential, but contemporary maternity nursing
addresses the whole person rather than physical complications alone.
C. This approach reflects individualized, patient-centered maternity
care.
D. Social determinants and barriers can affect pregnancy outcomes and
should be considered early rather than only after complications occur.
Question 2
Question: A maternity nurse is reviewing recent changes in maternal-
infant care with a group of nursing students. Which statement best
describes an important goal of advances in maternity care?
A. Reduce unnecessary interventions while maintaining maternal and
newborn safety.
B. Increase the use of technology for every pregnant client.
C. Replace nursing assessment with electronic monitoring.
D. Standardize every aspect of maternity care regardless of individual
circumstances.
Correct Answer: A. Reduce unnecessary interventions while
maintaining maternal and newborn safety.
Rationale: Advances in maternity care are intended to improve
outcomes, safety, quality, and patient experience. Technology and
interventions should be used when clinically appropriate rather than
automatically for every client.
Why the Other Options Are Incorrect:
, A. This reflects the goal of improving care while avoiding unnecessary
interventions.
B. More technology does not automatically mean better care; its use
should be clinically justified.
C. Electronic systems support nursing practice but do not replace
clinical assessment and judgment.
D. Safe maternity care must account for individual clinical needs and
preferences.
Question 3
Question: A nurse is caring for a pregnant client who reports difficulty
attending prenatal appointments because she lacks reliable
transportation. Which response best demonstrates nursing attention to
health disparities?
A. Tell the client that keeping appointments is solely her responsibility.
B. Document the problem and wait for the client to solve it
independently.
C. Explore available transportation and community resources with the
client.
D. Advise the client to schedule fewer appointments.
Correct Answer: C. Explore available transportation and community
resources with the client.
Rationale: Addressing barriers to care is an important component of
reducing health disparities. Nurses can identify social barriers and
7th Edition
• Author(s)Shannon Perry
,Question 1
Question: A maternity nurse is caring for a woman during her first
prenatal visit. Which nursing action best reflects a contemporary
approach to 21st-century maternity nursing?
A. Provide the same education plan to all pregnant clients to promote
consistency.
B. Focus primarily on identifying physical complications during
pregnancy.
C. Incorporate the woman’s preferences, cultural context, social needs,
and clinical risks into the plan of care.
D. Defer discussion of social concerns unless a medical complication
develops.
Correct Answer: C. Incorporate the woman’s preferences, cultural
context, social needs, and clinical risks into the plan of care.
Rationale: Contemporary maternity nursing emphasizes individualized,
patient-centered care that considers physical health as well as social,
cultural, emotional, and environmental factors. Integrating these factors
supports safer and more responsive maternity care.
Why the Other Options Are Incorrect:
A. A standardized approach may overlook individual needs, preferences,
risks, and barriers to care.
,B. Physical assessment is essential, but contemporary maternity nursing
addresses the whole person rather than physical complications alone.
C. This approach reflects individualized, patient-centered maternity
care.
D. Social determinants and barriers can affect pregnancy outcomes and
should be considered early rather than only after complications occur.
Question 2
Question: A maternity nurse is reviewing recent changes in maternal-
infant care with a group of nursing students. Which statement best
describes an important goal of advances in maternity care?
A. Reduce unnecessary interventions while maintaining maternal and
newborn safety.
B. Increase the use of technology for every pregnant client.
C. Replace nursing assessment with electronic monitoring.
D. Standardize every aspect of maternity care regardless of individual
circumstances.
Correct Answer: A. Reduce unnecessary interventions while
maintaining maternal and newborn safety.
Rationale: Advances in maternity care are intended to improve
outcomes, safety, quality, and patient experience. Technology and
interventions should be used when clinically appropriate rather than
automatically for every client.
Why the Other Options Are Incorrect:
, A. This reflects the goal of improving care while avoiding unnecessary
interventions.
B. More technology does not automatically mean better care; its use
should be clinically justified.
C. Electronic systems support nursing practice but do not replace
clinical assessment and judgment.
D. Safe maternity care must account for individual clinical needs and
preferences.
Question 3
Question: A nurse is caring for a pregnant client who reports difficulty
attending prenatal appointments because she lacks reliable
transportation. Which response best demonstrates nursing attention to
health disparities?
A. Tell the client that keeping appointments is solely her responsibility.
B. Document the problem and wait for the client to solve it
independently.
C. Explore available transportation and community resources with the
client.
D. Advise the client to schedule fewer appointments.
Correct Answer: C. Explore available transportation and community
resources with the client.
Rationale: Addressing barriers to care is an important component of
reducing health disparities. Nurses can identify social barriers and
