Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse is orienting to a contemporary maternity unit. Which action
best reflects a 21st-century approach to maternity nursing?
A. Following standardized routines even when the patient's preferences
differ
B. Combining current evidence with individualized, family-centered care
C. Limiting teaching to information the patient requests
D. Focusing primarily on physical recovery rather than psychosocial
needs
Correct Answer: B. Combining current evidence with individualized,
family-centered care
Rationale:
Contemporary maternity nursing integrates evidence-based practice
with individualized care, patient preferences, shared decision-making,
cultural considerations, and family participation. The nurse's role has
expanded beyond task completion to include advocacy, education,
coordination, and support for informed choices.
Why the Other Options Are Incorrect:
A. Standardized routines can support safety, but they should not
replace individualized care when a patient's preferences can be safely
accommodated.
B. This is correct because modern maternity nursing emphasizes
evidence-informed care while respecting patient values, preferences,
and family needs.
,C. Nurses should proactively provide appropriate education rather than
waiting for patients to identify every information need.
D. Contemporary maternity nursing addresses physical, emotional,
social, cultural, and family needs rather than focusing only on physical
recovery.
Question 2
Question:
A maternity nurse is discussing advances that have contributed to
improved outcomes for mothers and infants. Which development has
most directly strengthened the nurse's ability to identify changes in
maternal or fetal status before serious deterioration occurs?
A. Increased availability of written discharge instructions
B. Greater use of fixed nursing routines
C. Expansion of hospital visitor policies
D. Improved maternal and fetal assessment technology
Correct Answer: D. Improved maternal and fetal assessment
technology
Rationale:
Advances in fetal surveillance, maternal monitoring, diagnostic testing,
and electronic health technologies have improved the ability to detect
potential problems earlier. Early recognition allows nurses and other
clinicians to intervene before complications become more severe.
Why the Other Options Are Incorrect:
, A. Discharge instructions support self-management but do not directly
provide early detection of maternal or fetal deterioration.
B. Routines may improve consistency but are not an advance in
assessment technology or early detection.
C. Visitor policies may affect family support but do not directly improve
physiologic monitoring.
D. This is correct because improved monitoring and assessment
technologies can provide timely information about maternal and fetal
well-being.
Question 3
Question:
A pregnant patient says, "I don't feel comfortable asking questions
because the healthcare team seems rushed." Which nursing response
best demonstrates a contemporary approach to maternity care?
A. "Tell me what concerns you have so we can address them together."
B. "The provider will explain everything during the next appointment."
C. "You should review the printed information before asking questions."
D. "Most patients have the same concerns during pregnancy."
Correct Answer: A. "Tell me what concerns you have so we can
address them together."
Rationale:
Contemporary maternity practice values patient participation, health
literacy, communication, and shared decision-making. Inviting the
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse is orienting to a contemporary maternity unit. Which action
best reflects a 21st-century approach to maternity nursing?
A. Following standardized routines even when the patient's preferences
differ
B. Combining current evidence with individualized, family-centered care
C. Limiting teaching to information the patient requests
D. Focusing primarily on physical recovery rather than psychosocial
needs
Correct Answer: B. Combining current evidence with individualized,
family-centered care
Rationale:
Contemporary maternity nursing integrates evidence-based practice
with individualized care, patient preferences, shared decision-making,
cultural considerations, and family participation. The nurse's role has
expanded beyond task completion to include advocacy, education,
coordination, and support for informed choices.
Why the Other Options Are Incorrect:
A. Standardized routines can support safety, but they should not
replace individualized care when a patient's preferences can be safely
accommodated.
B. This is correct because modern maternity nursing emphasizes
evidence-informed care while respecting patient values, preferences,
and family needs.
,C. Nurses should proactively provide appropriate education rather than
waiting for patients to identify every information need.
D. Contemporary maternity nursing addresses physical, emotional,
social, cultural, and family needs rather than focusing only on physical
recovery.
Question 2
Question:
A maternity nurse is discussing advances that have contributed to
improved outcomes for mothers and infants. Which development has
most directly strengthened the nurse's ability to identify changes in
maternal or fetal status before serious deterioration occurs?
A. Increased availability of written discharge instructions
B. Greater use of fixed nursing routines
C. Expansion of hospital visitor policies
D. Improved maternal and fetal assessment technology
Correct Answer: D. Improved maternal and fetal assessment
technology
Rationale:
Advances in fetal surveillance, maternal monitoring, diagnostic testing,
and electronic health technologies have improved the ability to detect
potential problems earlier. Early recognition allows nurses and other
clinicians to intervene before complications become more severe.
Why the Other Options Are Incorrect:
, A. Discharge instructions support self-management but do not directly
provide early detection of maternal or fetal deterioration.
B. Routines may improve consistency but are not an advance in
assessment technology or early detection.
C. Visitor policies may affect family support but do not directly improve
physiologic monitoring.
D. This is correct because improved monitoring and assessment
technologies can provide timely information about maternal and fetal
well-being.
Question 3
Question:
A pregnant patient says, "I don't feel comfortable asking questions
because the healthcare team seems rushed." Which nursing response
best demonstrates a contemporary approach to maternity care?
A. "Tell me what concerns you have so we can address them together."
B. "The provider will explain everything during the next appointment."
C. "You should review the printed information before asking questions."
D. "Most patients have the same concerns during pregnancy."
Correct Answer: A. "Tell me what concerns you have so we can
address them together."
Rationale:
Contemporary maternity practice values patient participation, health
literacy, communication, and shared decision-making. Inviting the
