7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse is discussing the role of maternity nursing in the 21st century
with a group of nursing students. Which statement best reflects
contemporary maternity nursing practice?
A. Care primarily focuses on treating complications after they occur.
B. Care emphasizes prevention, health promotion, evidence-informed
practice, and partnership with families.
C. Care is centered almost exclusively on the physical needs of the
mother.
D. Care is largely determined by traditional practices that remain
unchanged over time.
Correct Answer: B. Care emphasizes prevention, health promotion,
evidence-informed practice, and partnership with families.
Rationale:
Contemporary maternity nursing extends beyond treating illness or
complications. Nurses promote maternal and infant health through
prevention, education, early recognition of risk, evidence-informed
care, and collaboration with patients and families. The modern
approach recognizes the mother and infant as members of a family and
community system.
Why the Other Options Are Incorrect:
A. Treating complications is important, but modern maternity nursing
places substantial emphasis on prevention and early intervention rather
than waiting for problems to occur.
,B. Correct. Contemporary maternity nursing incorporates prevention,
health promotion, evidence-informed care, and family partnership.
C. Maternity nursing addresses the mother, infant, and family rather
than focusing exclusively on maternal physical needs.
D. Nursing practice evolves as research, technology, healthcare systems,
and population needs change.
Question 2
Question:
A maternity nurse is planning care for a patient who has limited access
to prenatal services. Which nursing action best supports efforts to
reduce health disparities?
A. Provide the same discharge instructions to every patient without
modification.
B. Identify barriers to care and connect the patient with appropriate
community resources.
C. Encourage the patient to independently locate healthcare services.
D. Delay education until the patient establishes regular prenatal care.
Correct Answer: B. Identify barriers to care and connect the patient
with appropriate community resources.
Rationale:
Reducing health disparities requires nurses to recognize barriers such as
transportation, financial limitations, geographic access, health literacy,
and limited healthcare availability. Connecting patients with appropriate
resources can improve access to preventive and maternity services.
, Why the Other Options Are Incorrect:
A. Identical teaching may fail to address differences in health literacy,
resources, language, or individual needs.
B. Correct. Identifying barriers and facilitating connections to resources
directly supports equitable access to care.
C. Expecting the patient to navigate barriers independently may worsen
disparities.
D. Education and support should begin when the patient is encountered
rather than being postponed.
Question 3
Question:
A nurse working in a maternity clinic notices that some patients have
markedly different maternal and infant outcomes despite receiving care
within the same healthcare system. Which nursing response is most
appropriate?
A. Assume the differences are primarily related to patient motivation.
B. Examine social, economic, cultural, and healthcare access factors that
may contribute to the differences.
C. Limit additional services to patients who demonstrate poor
outcomes.
D. Focus only on biological factors because social factors are outside
nursing practice.
Correct Answer: B. Examine social, economic, cultural, and healthcare
access factors that may contribute to the differences.