Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit is planning care for a
pregnant client. Which action best reflects a 21st-century approach to
maternity nursing?
A. Using standardized teaching for all pregnant clients
B. Encouraging the client to participate in decisions about her care
C. Limiting family involvement during the hospitalization
D. Deferring most care decisions to the healthcare provider
Correct Answer: B. Encouraging the client to participate in decisions
about her care
Rationale:
Contemporary maternity nursing emphasizes partnership with the
client, shared decision-making, individualized care, and respect for the
client's preferences and values. The nurse's role includes supporting
informed participation rather than directing care without client
involvement.
Why the Other Options Are Incorrect:
A. Standardized education may provide consistency but does not
address individual needs, preferences, health literacy, or circumstances.
B. This is correct because active client participation is a central feature
of contemporary, patient-centered maternity care.
C. Family participation may be valuable when desired by the client and
appropriate to the situation.
D. The nurse collaborates with the healthcare provider but also has an
,independent role in assessment, education, advocacy, and nursing
judgment.
Question 2
Question:
A maternity nurse is evaluating whether a newly introduced infant-
monitoring technology has improved care. Which outcome provides the
strongest evidence that the technology is beneficial?
A. Nurses report that the technology is easy to operate
B. The equipment is used more frequently than the previous system
C. Earlier recognition of concerning infant findings leads to timely
intervention
D. Parents report that the equipment appears modern and advanced
Correct Answer: C. Earlier recognition of concerning infant findings
leads to timely intervention
Rationale:
Advances in maternity and newborn care should ultimately improve
safety, outcomes, assessment, or timeliness of intervention. Technology
is valuable when it contributes meaningfully to clinical decision-making
and patient outcomes rather than simply being newer or more
convenient.
Why the Other Options Are Incorrect:
A. Ease of use is useful, but it does not demonstrate that the
technology improves patient outcomes.
B. Frequency of use does not establish clinical effectiveness.
C. This is correct because earlier recognition followed by appropriate
, intervention directly supports safer maternal–infant care.
D. Appearance has little relevance to whether a clinical technology
improves outcomes.
Question 3
Question:
A nurse notices that clients from a particular community have lower
rates of attendance at prenatal appointments. Which nursing action
best addresses a potential health disparity?
A. Tell clients that prenatal attendance is mandatory for safe pregnancy
B. Provide identical appointment instructions to every client
C. Explore barriers to care and collaborate on realistic solutions
D. Refer clients who miss appointments for disciplinary counseling
Correct Answer: C. Explore barriers to care and collaborate on realistic
solutions
Rationale:
Reducing health disparities requires identifying barriers that may limit
access to healthcare and developing approaches that are responsive to
client and community needs. Barriers may involve transportation, cost,
scheduling, communication, health literacy, or other social factors.
Why the Other Options Are Incorrect:
A. A directive approach does not identify why clients may be unable to
attend or address underlying barriers.
B. Equal instructions do not necessarily create equitable access because
clients may have different circumstances and needs.
C. This is correct because assessing barriers and partnering with clients
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit is planning care for a
pregnant client. Which action best reflects a 21st-century approach to
maternity nursing?
A. Using standardized teaching for all pregnant clients
B. Encouraging the client to participate in decisions about her care
C. Limiting family involvement during the hospitalization
D. Deferring most care decisions to the healthcare provider
Correct Answer: B. Encouraging the client to participate in decisions
about her care
Rationale:
Contemporary maternity nursing emphasizes partnership with the
client, shared decision-making, individualized care, and respect for the
client's preferences and values. The nurse's role includes supporting
informed participation rather than directing care without client
involvement.
Why the Other Options Are Incorrect:
A. Standardized education may provide consistency but does not
address individual needs, preferences, health literacy, or circumstances.
B. This is correct because active client participation is a central feature
of contemporary, patient-centered maternity care.
C. Family participation may be valuable when desired by the client and
appropriate to the situation.
D. The nurse collaborates with the healthcare provider but also has an
,independent role in assessment, education, advocacy, and nursing
judgment.
Question 2
Question:
A maternity nurse is evaluating whether a newly introduced infant-
monitoring technology has improved care. Which outcome provides the
strongest evidence that the technology is beneficial?
A. Nurses report that the technology is easy to operate
B. The equipment is used more frequently than the previous system
C. Earlier recognition of concerning infant findings leads to timely
intervention
D. Parents report that the equipment appears modern and advanced
Correct Answer: C. Earlier recognition of concerning infant findings
leads to timely intervention
Rationale:
Advances in maternity and newborn care should ultimately improve
safety, outcomes, assessment, or timeliness of intervention. Technology
is valuable when it contributes meaningfully to clinical decision-making
and patient outcomes rather than simply being newer or more
convenient.
Why the Other Options Are Incorrect:
A. Ease of use is useful, but it does not demonstrate that the
technology improves patient outcomes.
B. Frequency of use does not establish clinical effectiveness.
C. This is correct because earlier recognition followed by appropriate
, intervention directly supports safer maternal–infant care.
D. Appearance has little relevance to whether a clinical technology
improves outcomes.
Question 3
Question:
A nurse notices that clients from a particular community have lower
rates of attendance at prenatal appointments. Which nursing action
best addresses a potential health disparity?
A. Tell clients that prenatal attendance is mandatory for safe pregnancy
B. Provide identical appointment instructions to every client
C. Explore barriers to care and collaborate on realistic solutions
D. Refer clients who miss appointments for disciplinary counseling
Correct Answer: C. Explore barriers to care and collaborate on realistic
solutions
Rationale:
Reducing health disparities requires identifying barriers that may limit
access to healthcare and developing approaches that are responsive to
client and community needs. Barriers may involve transportation, cost,
scheduling, communication, health literacy, or other social factors.
Why the Other Options Are Incorrect:
A. A directive approach does not identify why clients may be unable to
attend or address underlying barriers.
B. Equal instructions do not necessarily create equitable access because
clients may have different circumstances and needs.
C. This is correct because assessing barriers and partnering with clients
