Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1 — Multiple Choice
A nurse in a contemporary maternity unit is planning care for a postpartum client and her
newborn. Which nursing action best reflects the current emphasis on family-centered maternity
care?
A. Ask the partner to remain outside the room during most nursing procedures.
B. Develop the plan of care primarily from the nurse's assessment findings.
C. Encourage the parents to participate in decisions and routine newborn care.
D. Limit parental involvement until the newborn has completed all assessments.
Correct Answer: C
Rationale: Family-centered care recognizes parents and families as active participants in care.
Nurses promote communication, shared decision-making, participation in infant care, and respect
for family preferences while maintaining safety.
Incorrect Options:
• A: Unnecessarily limits family participation.
• B: The nurse's assessment is essential, but contemporary care also incorporates the
family's knowledge, goals, and preferences.
• D: Parent participation should be encouraged when clinically appropriate rather than
routinely delayed.
Nursing Process Linkage: Planning, Implementation
Clinical Judgment Competency: Generate Solutions; Take Action
Difficulty: Moderate
Bloom's Level: Apply
Question 2 — Multiple Choice
A maternity nurse is caring for a client who has limited access to prenatal care because of
transportation difficulties. Which nursing intervention best addresses a social determinant
contributing to a health disparity?
A. Tell the client to arrange transportation before the next appointment.
B. Provide information about available transportation and community resources.
C. Document that the client is noncompliant with prenatal care.
D. Schedule appointments only during standard weekday hours.
Correct Answer: B
,Rationale: Access to transportation can directly affect healthcare access. A contemporary
maternity nurse identifies barriers and connects the client with appropriate community or
healthcare resources rather than labeling the client as noncompliant.
Incorrect Options:
• A: Places the responsibility entirely on the client without addressing the identified
barrier.
• C: "Noncompliance" fails to recognize the structural factor affecting access.
• D: May worsen rather than reduce the access problem.
Nursing Process Linkage: Assessment, Planning, Implementation
Clinical Judgment Competency: Recognize Cues; Analyze Cues; Generate Solutions
Difficulty: Moderate
Bloom's Level: Apply
Question 3 — Multiple Choice
Which example best demonstrates an advance in maternity care that supports improved safety?
A. Replacing individualized assessment with standardized routines
B. Using evidence-informed protocols together with ongoing clinical assessment
C. Delaying communication until the entire healthcare team is available
D. Providing identical interventions to all families regardless of risk
Correct Answer: B
Rationale: Contemporary maternity care combines evidence-informed approaches, standardized
safety practices, and individualized clinical assessment. Protocols support consistency but do not
replace professional judgment.
Incorrect Options:
• A: Standardization should support, not replace, individualized assessment.
• C: Delayed communication can interfere with timely care.
• D: Maternity care must account for differences in risks, needs, preferences, and
circumstances.
Nursing Process Linkage: Assessment, Planning, Implementation
Clinical Judgment Competency: Analyze Cues; Generate Solutions
Difficulty: Moderate
Bloom's Level: Apply
, Question 4 — Multiple Choice
A nurse notices that a maternity unit's patient-education materials are available only in one
language, although many families speak other languages. Which action best reflects equitable
nursing practice?
A. Ask family members to interpret all education.
B. Provide the same materials and assume the family can understand them.
C. Obtain appropriate language assistance and culturally responsive educational materials.
D. Reduce the amount of education given to clients who have limited English proficiency.
Correct Answer: C
Rationale: Equitable care requires communication that clients can understand. Appropriate
interpreter services and accessible educational materials promote informed participation and
patient safety.
Incorrect Options:
• A: Family interpretation may be incomplete, inaccurate, or inappropriate for sensitive
healthcare communication.
• B: Providing inaccessible materials does not constitute equitable education.
• D: Language barriers should be addressed, not used as a reason to reduce essential
education.
Nursing Process Linkage: Assessment, Implementation
Clinical Judgment Competency: Recognize Cues; Take Action
Difficulty: Moderate
Bloom's Level: Apply
Question 5 — Multiple Choice
Which nursing practice best demonstrates the contemporary maternity concept of promoting
maternal and newborn participation in care?
A. Completing all newborn care while the parents observe
B. Encouraging parents to learn and perform appropriate newborn-care activities
C. Asking parents to wait until discharge before practicing infant care
D. Restricting parental questions to scheduled teaching sessions
Correct Answer: B
7th Edition
• Author(s)Shannon Perry
,Question 1 — Multiple Choice
A nurse in a contemporary maternity unit is planning care for a postpartum client and her
newborn. Which nursing action best reflects the current emphasis on family-centered maternity
care?
A. Ask the partner to remain outside the room during most nursing procedures.
B. Develop the plan of care primarily from the nurse's assessment findings.
C. Encourage the parents to participate in decisions and routine newborn care.
D. Limit parental involvement until the newborn has completed all assessments.
Correct Answer: C
Rationale: Family-centered care recognizes parents and families as active participants in care.
Nurses promote communication, shared decision-making, participation in infant care, and respect
for family preferences while maintaining safety.
Incorrect Options:
• A: Unnecessarily limits family participation.
• B: The nurse's assessment is essential, but contemporary care also incorporates the
family's knowledge, goals, and preferences.
• D: Parent participation should be encouraged when clinically appropriate rather than
routinely delayed.
Nursing Process Linkage: Planning, Implementation
Clinical Judgment Competency: Generate Solutions; Take Action
Difficulty: Moderate
Bloom's Level: Apply
Question 2 — Multiple Choice
A maternity nurse is caring for a client who has limited access to prenatal care because of
transportation difficulties. Which nursing intervention best addresses a social determinant
contributing to a health disparity?
A. Tell the client to arrange transportation before the next appointment.
B. Provide information about available transportation and community resources.
C. Document that the client is noncompliant with prenatal care.
D. Schedule appointments only during standard weekday hours.
Correct Answer: B
,Rationale: Access to transportation can directly affect healthcare access. A contemporary
maternity nurse identifies barriers and connects the client with appropriate community or
healthcare resources rather than labeling the client as noncompliant.
Incorrect Options:
• A: Places the responsibility entirely on the client without addressing the identified
barrier.
• C: "Noncompliance" fails to recognize the structural factor affecting access.
• D: May worsen rather than reduce the access problem.
Nursing Process Linkage: Assessment, Planning, Implementation
Clinical Judgment Competency: Recognize Cues; Analyze Cues; Generate Solutions
Difficulty: Moderate
Bloom's Level: Apply
Question 3 — Multiple Choice
Which example best demonstrates an advance in maternity care that supports improved safety?
A. Replacing individualized assessment with standardized routines
B. Using evidence-informed protocols together with ongoing clinical assessment
C. Delaying communication until the entire healthcare team is available
D. Providing identical interventions to all families regardless of risk
Correct Answer: B
Rationale: Contemporary maternity care combines evidence-informed approaches, standardized
safety practices, and individualized clinical assessment. Protocols support consistency but do not
replace professional judgment.
Incorrect Options:
• A: Standardization should support, not replace, individualized assessment.
• C: Delayed communication can interfere with timely care.
• D: Maternity care must account for differences in risks, needs, preferences, and
circumstances.
Nursing Process Linkage: Assessment, Planning, Implementation
Clinical Judgment Competency: Analyze Cues; Generate Solutions
Difficulty: Moderate
Bloom's Level: Apply
, Question 4 — Multiple Choice
A nurse notices that a maternity unit's patient-education materials are available only in one
language, although many families speak other languages. Which action best reflects equitable
nursing practice?
A. Ask family members to interpret all education.
B. Provide the same materials and assume the family can understand them.
C. Obtain appropriate language assistance and culturally responsive educational materials.
D. Reduce the amount of education given to clients who have limited English proficiency.
Correct Answer: C
Rationale: Equitable care requires communication that clients can understand. Appropriate
interpreter services and accessible educational materials promote informed participation and
patient safety.
Incorrect Options:
• A: Family interpretation may be incomplete, inaccurate, or inappropriate for sensitive
healthcare communication.
• B: Providing inaccessible materials does not constitute equitable education.
• D: Language barriers should be addressed, not used as a reason to reduce essential
education.
Nursing Process Linkage: Assessment, Implementation
Clinical Judgment Competency: Recognize Cues; Take Action
Difficulty: Moderate
Bloom's Level: Apply
Question 5 — Multiple Choice
Which nursing practice best demonstrates the contemporary maternity concept of promoting
maternal and newborn participation in care?
A. Completing all newborn care while the parents observe
B. Encouraging parents to learn and perform appropriate newborn-care activities
C. Asking parents to wait until discharge before practicing infant care
D. Restricting parental questions to scheduled teaching sessions
Correct Answer: B
