Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,QUESTION 1 — Multiple Choice
Difficulty: Intermediate
Bloom’s Level: Apply
Nursing Process: Assessment → Planning
Clinical Judgment Competency: Recognize cues; Analyze cues
A maternity nurse is discussing advances in 21st-century maternity care with a group of student
nurses. Which statement by a student best demonstrates understanding of a major contemporary
change in maternity nursing?
A. “Technology has reduced the need for nurses to perform direct maternal assessment.”
B. “Current maternity care increasingly combines technology with evidence-based assessment
and individualized care.”
C. “Electronic health records have replaced communication between members of the maternity
team.”
D. “Modern maternity care focuses primarily on the management of complications after they
occur.”
Correct Answer: B
Rationale:
Contemporary maternity nursing integrates technological advances with clinical assessment,
evidence-based interventions, patient education, prevention, and individualized care. Technology
supports nursing practice but does not replace nursing judgment or direct patient assessment.
Incorrect options:
• A: Incorrect. Technology augments assessment; it does not eliminate the nurse’s
responsibility for direct assessment and clinical judgment.
• C: Incorrect. Electronic records facilitate communication and information sharing but do
not replace interprofessional communication.
• D: Incorrect. Modern practice emphasizes prevention, early recognition, health
promotion, and risk reduction in addition to treatment.
Clinical Judgment Linkage: The nurse recognizes useful technological information while
retaining responsibility for clinical interpretation.
QUESTION 2 — Multiple Choice
Difficulty: Intermediate
Bloom’s Level: Apply
,Nursing Process: Implementation
Clinical Judgment Competency: Take action; Provide patient-centered care
A laboring patient says, “I want to understand why this procedure is being recommended before I
agree to it.” The nurse should first:
A. Tell the patient that the procedure is routine and usually safe.
B. Ask the patient to sign the consent form before continuing.
C. Ensure that the patient receives understandable information and has an opportunity to ask
questions.
D. Ask the support person to make the decision for the patient.
Correct Answer: C
Rationale:
Respectful maternity care centers the patient’s dignity, autonomy, informed choice, and
participation in decisions. The nurse should facilitate communication and ensure that the patient
has an appropriate opportunity to understand the proposed care. WHO describes respectful
maternity and newborn care as person-centered and supportive of informed choices.
Incorrect options:
• A: Incorrect. Describing something as routine does not provide individualized informed
information.
• B: Incorrect. Signing a form without adequate understanding does not fulfill the purpose
of informed consent.
• D: Incorrect. A support person may assist, but the competent patient remains the
primary decision-maker.
Clinical Judgment Linkage: The nurse identifies the patient’s expressed need for information
as a cue requiring immediate support for autonomy.
QUESTION 3 — Multiple Choice
Difficulty: Intermediate
Bloom’s Level: Analyze
Nursing Process: Assessment
Clinical Judgment Competency: Recognize cues; Analyze cues
A prenatal nurse notices that several patients from the same rural community frequently miss
appointments. Which finding should the nurse investigate first as a potential contributor to this
pattern?
, A. The patients prefer evening television programs.
B. The patients report difficulty obtaining reliable transportation.
C. The patients have different preferred foods.
D. The patients have different fetal sex preferences.
Correct Answer: B
Rationale:
Transportation is a structural and social factor that can interfere with access to health care.
Contemporary reproductive and maternity care emphasizes assessment of social and structural
drivers rather than assuming that missed care reflects lack of motivation. ACOG specifically
recommends attention to transportation and other logistical barriers.
Incorrect options:
• A: Incorrect. Television preferences do not reasonably explain repeated missed prenatal
appointments.
• C: Incorrect. Food preferences may be relevant to nutrition counseling but do not
directly explain appointment attendance.
• D: Incorrect. Fetal sex preferences are not a logical explanation for access barriers.
Clinical Judgment Linkage: The nurse analyzes a pattern and looks for an underlying
modifiable barrier rather than attributing it to patient behavior.
QUESTION 4 — Multiple Choice
Difficulty: Advanced
Bloom’s Level: Analyze
Nursing Process: Assessment → Planning
Clinical Judgment Competency: Analyze cues; Identify solutions
A pregnant patient reports that she has stopped attending prenatal appointments because she
cannot afford transportation and is worried about losing wages when she misses work. Which
nursing response best reflects a health-equity approach?
A. “You need to make prenatal care a higher priority.”
B. “Missing appointments could put your baby at risk.”
C. “Let’s identify transportation, scheduling, and community resources that may help you access
care.”
D. “Ask a family member to drive you to the clinic.”
Correct Answer: C
7th Edition
• Author(s)Shannon Perry
,QUESTION 1 — Multiple Choice
Difficulty: Intermediate
Bloom’s Level: Apply
Nursing Process: Assessment → Planning
Clinical Judgment Competency: Recognize cues; Analyze cues
A maternity nurse is discussing advances in 21st-century maternity care with a group of student
nurses. Which statement by a student best demonstrates understanding of a major contemporary
change in maternity nursing?
A. “Technology has reduced the need for nurses to perform direct maternal assessment.”
B. “Current maternity care increasingly combines technology with evidence-based assessment
and individualized care.”
C. “Electronic health records have replaced communication between members of the maternity
team.”
D. “Modern maternity care focuses primarily on the management of complications after they
occur.”
Correct Answer: B
Rationale:
Contemporary maternity nursing integrates technological advances with clinical assessment,
evidence-based interventions, patient education, prevention, and individualized care. Technology
supports nursing practice but does not replace nursing judgment or direct patient assessment.
Incorrect options:
• A: Incorrect. Technology augments assessment; it does not eliminate the nurse’s
responsibility for direct assessment and clinical judgment.
• C: Incorrect. Electronic records facilitate communication and information sharing but do
not replace interprofessional communication.
• D: Incorrect. Modern practice emphasizes prevention, early recognition, health
promotion, and risk reduction in addition to treatment.
Clinical Judgment Linkage: The nurse recognizes useful technological information while
retaining responsibility for clinical interpretation.
QUESTION 2 — Multiple Choice
Difficulty: Intermediate
Bloom’s Level: Apply
,Nursing Process: Implementation
Clinical Judgment Competency: Take action; Provide patient-centered care
A laboring patient says, “I want to understand why this procedure is being recommended before I
agree to it.” The nurse should first:
A. Tell the patient that the procedure is routine and usually safe.
B. Ask the patient to sign the consent form before continuing.
C. Ensure that the patient receives understandable information and has an opportunity to ask
questions.
D. Ask the support person to make the decision for the patient.
Correct Answer: C
Rationale:
Respectful maternity care centers the patient’s dignity, autonomy, informed choice, and
participation in decisions. The nurse should facilitate communication and ensure that the patient
has an appropriate opportunity to understand the proposed care. WHO describes respectful
maternity and newborn care as person-centered and supportive of informed choices.
Incorrect options:
• A: Incorrect. Describing something as routine does not provide individualized informed
information.
• B: Incorrect. Signing a form without adequate understanding does not fulfill the purpose
of informed consent.
• D: Incorrect. A support person may assist, but the competent patient remains the
primary decision-maker.
Clinical Judgment Linkage: The nurse identifies the patient’s expressed need for information
as a cue requiring immediate support for autonomy.
QUESTION 3 — Multiple Choice
Difficulty: Intermediate
Bloom’s Level: Analyze
Nursing Process: Assessment
Clinical Judgment Competency: Recognize cues; Analyze cues
A prenatal nurse notices that several patients from the same rural community frequently miss
appointments. Which finding should the nurse investigate first as a potential contributor to this
pattern?
, A. The patients prefer evening television programs.
B. The patients report difficulty obtaining reliable transportation.
C. The patients have different preferred foods.
D. The patients have different fetal sex preferences.
Correct Answer: B
Rationale:
Transportation is a structural and social factor that can interfere with access to health care.
Contemporary reproductive and maternity care emphasizes assessment of social and structural
drivers rather than assuming that missed care reflects lack of motivation. ACOG specifically
recommends attention to transportation and other logistical barriers.
Incorrect options:
• A: Incorrect. Television preferences do not reasonably explain repeated missed prenatal
appointments.
• C: Incorrect. Food preferences may be relevant to nutrition counseling but do not
directly explain appointment attendance.
• D: Incorrect. Fetal sex preferences are not a logical explanation for access barriers.
Clinical Judgment Linkage: The nurse analyzes a pattern and looks for an underlying
modifiable barrier rather than attributing it to patient behavior.
QUESTION 4 — Multiple Choice
Difficulty: Advanced
Bloom’s Level: Analyze
Nursing Process: Assessment → Planning
Clinical Judgment Competency: Analyze cues; Identify solutions
A pregnant patient reports that she has stopped attending prenatal appointments because she
cannot afford transportation and is worried about losing wages when she misses work. Which
nursing response best reflects a health-equity approach?
A. “You need to make prenatal care a higher priority.”
B. “Missing appointments could put your baby at risk.”
C. “Let’s identify transportation, scheduling, and community resources that may help you access
care.”
D. “Ask a family member to drive you to the clinic.”
Correct Answer: C
