Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit wants to provide
care consistent with 21st-century maternity nursing. Which action best
reflects this approach?
A. Following standardized routines without modifying care for individual
patients
B. Including the pregnant patient in decisions about care and
incorporating current evidence into practice
C. Limiting family involvement to situations in which the patient is
unable to make decisions
D. Focusing primarily on treatment after complications develop
Correct Answer: B. Including the pregnant patient in decisions about
care and incorporating current evidence into practice
Rationale:
Contemporary maternity nursing emphasizes patient-centered,
evidence-informed care, shared decision-making, respect for patient
preferences, and individualized planning. The nurse combines current
clinical evidence with the patient's values, needs, and circumstances
rather than relying solely on routines.
Why the Other Options Are Incorrect:
A. Standardized procedures can support safety, but care should still be
individualized to the patient's clinical needs and preferences.
C. Family participation may be appropriate when desired by the patient
and when it supports care; it should not be automatically restricted.
,D. Modern maternity nursing emphasizes prevention, health
promotion, early recognition of problems, and management of
complications rather than waiting until complications occur.
Question 2
Question:
A maternity nurse is reviewing changes that have influenced maternal-
newborn care over recent decades. Which development has most
directly strengthened the nurse's ability to support individualized
patient care?
A. Increased use of evidence-based practice
B. Greater reliance on tradition
C. Reduced patient participation in decision-making
D. Decreased collaboration among healthcare professionals
Correct Answer: A. Increased use of evidence-based practice
Rationale:
Evidence-based practice integrates current research, clinical expertise,
and patient preferences to guide care. Its use helps nurses select
interventions that are supported by reliable evidence while still
considering individual circumstances.
Why the Other Options Are Incorrect:
B. Tradition alone does not ensure that a practice remains supported by
current evidence.
C. Contemporary maternity care generally promotes patient
participation rather than reducing it.
, D. Interprofessional collaboration is increasingly important in complex
maternal-newborn care.
Question 3
Question:
A pregnant patient says, “I have heard that some women receive
different care because of their income or where they live.” Which
response by the nurse best demonstrates an understanding of health
disparities?
A. “Differences in health outcomes usually result from personal
choices.”
B. “Health disparities can be influenced by social, economic,
environmental, and healthcare-related factors.”
C. “Health disparities only affect patients who do not have health
insurance.”
D. “Healthcare professionals can eliminate disparities simply by
providing identical care to every patient.”
Correct Answer: B. “Health disparities can be influenced by social,
economic, environmental, and healthcare-related factors.”
Rationale:
Health disparities are differences in health outcomes or access to care
that can be associated with multiple interacting factors, including social
determinants of health and healthcare access. Nurses can help identify
barriers and connect patients with appropriate resources.
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit wants to provide
care consistent with 21st-century maternity nursing. Which action best
reflects this approach?
A. Following standardized routines without modifying care for individual
patients
B. Including the pregnant patient in decisions about care and
incorporating current evidence into practice
C. Limiting family involvement to situations in which the patient is
unable to make decisions
D. Focusing primarily on treatment after complications develop
Correct Answer: B. Including the pregnant patient in decisions about
care and incorporating current evidence into practice
Rationale:
Contemporary maternity nursing emphasizes patient-centered,
evidence-informed care, shared decision-making, respect for patient
preferences, and individualized planning. The nurse combines current
clinical evidence with the patient's values, needs, and circumstances
rather than relying solely on routines.
Why the Other Options Are Incorrect:
A. Standardized procedures can support safety, but care should still be
individualized to the patient's clinical needs and preferences.
C. Family participation may be appropriate when desired by the patient
and when it supports care; it should not be automatically restricted.
,D. Modern maternity nursing emphasizes prevention, health
promotion, early recognition of problems, and management of
complications rather than waiting until complications occur.
Question 2
Question:
A maternity nurse is reviewing changes that have influenced maternal-
newborn care over recent decades. Which development has most
directly strengthened the nurse's ability to support individualized
patient care?
A. Increased use of evidence-based practice
B. Greater reliance on tradition
C. Reduced patient participation in decision-making
D. Decreased collaboration among healthcare professionals
Correct Answer: A. Increased use of evidence-based practice
Rationale:
Evidence-based practice integrates current research, clinical expertise,
and patient preferences to guide care. Its use helps nurses select
interventions that are supported by reliable evidence while still
considering individual circumstances.
Why the Other Options Are Incorrect:
B. Tradition alone does not ensure that a practice remains supported by
current evidence.
C. Contemporary maternity care generally promotes patient
participation rather than reducing it.
, D. Interprofessional collaboration is increasingly important in complex
maternal-newborn care.
Question 3
Question:
A pregnant patient says, “I have heard that some women receive
different care because of their income or where they live.” Which
response by the nurse best demonstrates an understanding of health
disparities?
A. “Differences in health outcomes usually result from personal
choices.”
B. “Health disparities can be influenced by social, economic,
environmental, and healthcare-related factors.”
C. “Health disparities only affect patients who do not have health
insurance.”
D. “Healthcare professionals can eliminate disparities simply by
providing identical care to every patient.”
Correct Answer: B. “Health disparities can be influenced by social,
economic, environmental, and healthcare-related factors.”
Rationale:
Health disparities are differences in health outcomes or access to care
that can be associated with multiple interacting factors, including social
determinants of health and healthcare access. Nurses can help identify
barriers and connect patients with appropriate resources.
