7th Edition
• Author(s)Shannon Perry
• PublisherPublished
by Mosby Copyright© 2023
• ISBN: 9780323776714
,TEST BANK
QUESTION 1 — Multiple Choice
A labor and delivery nurse is reviewing changes in maternity
care over the last decade. Which advancement has contributed
most directly to improved maternal outcomes in high-risk
pregnancies?
A. Increased use of rooming-in care
B. Expanded use of fetal surveillance technology
C. Elimination of cesarean births
D. Routine induction at 36 weeks
Correct Answer:
B. Expanded use of fetal surveillance technology
Rationale:
Continuous fetal monitoring, biophysical profiles, and improved
maternal-fetal surveillance have enhanced early identification
of fetal compromise and maternal complications, improving
outcomes in high-risk pregnancies.
Incorrect Options:
• A: Rooming-in promotes bonding but does not primarily
reduce high-risk maternal complications.
, • C: Cesarean births remain necessary in many obstetric
emergencies.
• D: Elective induction at 36 weeks may increase neonatal
complications.
Nursing Process Linkage:
Assessment
Clinical Judgment Competencies:
• Recognize cues
• Analyze cues
Difficulty:
Moderate
Cognitive Level:
Application
QUESTION 2 — SATA
The nurse is discussing current trends in maternity nursing
practice. Which statements accurately reflect contemporary
maternity care? Select all that apply.
A. Family-centered care is encouraged
B. Cultural sensitivity improves patient outcomes
C. Fathers are discouraged from delivery attendance
D. Evidence-based practice guides nursing interventions
, E. Telehealth has increased access to prenatal education
F. Standardized care eliminates the need for individualized
plans
Correct Answers:
A, B, D, E
Rationale:
Modern maternity care emphasizes evidence-based practice,
individualized care, family involvement, and culturally
competent approaches. Telehealth has expanded prenatal
access, especially in underserved communities.
Incorrect Options:
• C: Partner participation is encouraged when desired by the
patient.
• F: Individualized care remains essential despite
standardized protocols.
Nursing Process Linkage:
Planning
Clinical Judgment Competencies:
• Generate solutions
• Take action
Difficulty:
Moderate