7th Edition
• Author(s)Shannon Perry
,Part 1: Maternity Nursing
Unit 1: Introduction to Maternity Nursing
Question 1
Question:
A nurse caring for a pregnant client wants to practice 21st-century
maternity nursing. Which action best reflects a contemporary approach
to maternity care?
A. Encourage the client to follow the same care plan used for most
pregnant clients.
B. Include the client in decisions about care after providing
understandable information about available options.
C. Allow only the primary healthcare provider to determine the birth
plan.
D. Focus primarily on the physical needs of the client during pregnancy.
Correct Answer: B. Include the client in decisions about care after
providing understandable information about available options.
Rationale:
Contemporary maternity nursing emphasizes patient-centered care,
shared decision-making, informed participation, and respect for
individual preferences. The nurse helps the client understand options
and supports informed choices while maintaining safety.
Why the Other Options Are Incorrect:
A. Using the same plan for most clients does not account for individual
needs, preferences, risks, or circumstances.
C. The healthcare provider has an important clinical role, but the client
should participate in decisions affecting their care.
,D. Maternity nursing addresses physical, emotional, social, cultural, and
family needs rather than focusing only on physical concerns.
Question 2
Question:
Which nursing goal is most consistent with efforts to improve maternal
and infant outcomes?
A. Increase the use of identical interventions for all clients.
B. Reduce communication between maternity nurses and community
resources.
C. Identify barriers to care and connect clients with appropriate
resources.
D. Limit prenatal education to clients considered high risk.
Correct Answer: C. Identify barriers to care and connect clients with
appropriate resources.
Rationale:
Improving outcomes includes identifying barriers such as limited access
to services, transportation difficulties, inadequate health literacy, or
financial challenges. Nurses can help connect clients and families with
appropriate healthcare and community resources.
Why the Other Options Are Incorrect:
A. Uniform interventions may fail to address differences in individual
needs and circumstances.
B. Collaboration with community resources can improve continuity and
access to care.
, D. Health education is valuable for all pregnant clients, not only those
classified as high risk.
Question 3
Question:
A maternity nurse is reviewing current trends in nursing practice. Which
activity demonstrates an expanding role for nurses in contemporary
maternity care?
A. Providing only tasks delegated by another healthcare professional
B. Using evidence and clinical judgment to coordinate individualized
care
C. Restricting patient education to discharge instructions
D. Avoiding involvement in care coordination
Correct Answer: B. Using evidence and clinical judgment to coordinate
individualized care
Rationale:
Modern nursing practice increasingly emphasizes evidence-informed
care, clinical judgment, patient education, coordination, advocacy, and
continuity of care. Nurses actively contribute to planning and evaluating
care rather than functioning only as task performers.
Why the Other Options Are Incorrect:
A. Nurses have independent professional responsibilities within their
scope of practice.
C. Education should occur throughout the maternity care process rather
than only at discharge.