Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1 — 21st-Century Maternity Nursing
A nurse working in a contemporary maternity unit is planning care for a
pregnant client. Which nursing action best reflects a current patient-
centered approach to maternity care?
A. Providing the same standard teaching plan to every pregnant client
B. Encouraging the client to participate in decisions about her care
C. Limiting the client's involvement to selecting a newborn feeding
method
D. Following the medical plan without discussing alternatives with the
client
Correct Answer: B
Rationale:
Contemporary maternity nursing emphasizes patient-centered care,
shared decision-making, respect for individual preferences, and
collaboration among the client, family, and healthcare team. The nurse
supports the client's autonomy by providing understandable
information and involving the client in decisions.
• A: Standardized education can be useful, but it must be
individualized to the client's needs, culture, knowledge, and
preferences.
• C: Client participation should extend beyond feeding choices to
many aspects of maternal and newborn care.
• D: Nurses have a responsibility to communicate options, support
informed decisions, and advocate for the client.
,Question 2 — Advances in Maternal Care
A nurse is explaining how advances in maternity care have improved
outcomes for mothers and newborns. Which development has most
directly strengthened the ability to identify maternal or fetal
complications early?
A. Increased use of evidence-based screening and monitoring
B. Reduced frequency of prenatal visits
C. Elimination of patient education during pregnancy
D. Routine hospitalization of all pregnant clients
Correct Answer: A
Rationale:
Evidence-based screening, diagnostic technologies, prenatal
assessment, and appropriate monitoring allow healthcare professionals
to recognize risk factors and complications earlier, permitting timely
intervention.
• B: Reducing appropriate prenatal care can delay identification of
complications.
• C: Patient education remains an important component of safe
maternity care.
• D: Most pregnancies do not require routine hospitalization.
Question 3 — Health Disparities
A community health nurse is reviewing maternal health data and
notices higher rates of adverse pregnancy outcomes in a population
, with limited access to prenatal services. Which action should the nurse
take first?
A. Assume the population does not value prenatal care
B. Identify barriers that interfere with access to care
C. Recommend that clients seek private healthcare services
D. Increase the number of written educational materials distributed
Correct Answer: B
Rationale:
A nurse addressing health disparities first identifies structural, social,
economic, geographic, cultural, and healthcare-access barriers.
Understanding the causes of unequal outcomes allows interventions to
be appropriately targeted.
• A: This assumes a cause without assessment and may reinforce
bias.
• C: Private healthcare may be inaccessible because of cost or other
barriers.
• D: Written materials alone do not address transportation, cost,
language, insurance, or availability of services.
Question 4 — Cultural Competence
A pregnant client with limited English proficiency is preparing to discuss
a proposed procedure. Which action is most appropriate?
A. Ask a family member to interpret
B. Use a qualified medical interpreter
7th Edition
• Author(s)Shannon Perry
,Question 1 — 21st-Century Maternity Nursing
A nurse working in a contemporary maternity unit is planning care for a
pregnant client. Which nursing action best reflects a current patient-
centered approach to maternity care?
A. Providing the same standard teaching plan to every pregnant client
B. Encouraging the client to participate in decisions about her care
C. Limiting the client's involvement to selecting a newborn feeding
method
D. Following the medical plan without discussing alternatives with the
client
Correct Answer: B
Rationale:
Contemporary maternity nursing emphasizes patient-centered care,
shared decision-making, respect for individual preferences, and
collaboration among the client, family, and healthcare team. The nurse
supports the client's autonomy by providing understandable
information and involving the client in decisions.
• A: Standardized education can be useful, but it must be
individualized to the client's needs, culture, knowledge, and
preferences.
• C: Client participation should extend beyond feeding choices to
many aspects of maternal and newborn care.
• D: Nurses have a responsibility to communicate options, support
informed decisions, and advocate for the client.
,Question 2 — Advances in Maternal Care
A nurse is explaining how advances in maternity care have improved
outcomes for mothers and newborns. Which development has most
directly strengthened the ability to identify maternal or fetal
complications early?
A. Increased use of evidence-based screening and monitoring
B. Reduced frequency of prenatal visits
C. Elimination of patient education during pregnancy
D. Routine hospitalization of all pregnant clients
Correct Answer: A
Rationale:
Evidence-based screening, diagnostic technologies, prenatal
assessment, and appropriate monitoring allow healthcare professionals
to recognize risk factors and complications earlier, permitting timely
intervention.
• B: Reducing appropriate prenatal care can delay identification of
complications.
• C: Patient education remains an important component of safe
maternity care.
• D: Most pregnancies do not require routine hospitalization.
Question 3 — Health Disparities
A community health nurse is reviewing maternal health data and
notices higher rates of adverse pregnancy outcomes in a population
, with limited access to prenatal services. Which action should the nurse
take first?
A. Assume the population does not value prenatal care
B. Identify barriers that interfere with access to care
C. Recommend that clients seek private healthcare services
D. Increase the number of written educational materials distributed
Correct Answer: B
Rationale:
A nurse addressing health disparities first identifies structural, social,
economic, geographic, cultural, and healthcare-access barriers.
Understanding the causes of unequal outcomes allows interventions to
be appropriately targeted.
• A: This assumes a cause without assessment and may reinforce
bias.
• C: Private healthcare may be inaccessible because of cost or other
barriers.
• D: Written materials alone do not address transportation, cost,
language, insurance, or availability of services.
Question 4 — Cultural Competence
A pregnant client with limited English proficiency is preparing to discuss
a proposed procedure. Which action is most appropriate?
A. Ask a family member to interpret
B. Use a qualified medical interpreter
