Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit wants to provide
care that reflects the major goals of 21st-century maternity nursing.
Which nursing action best demonstrates this approach?
A. Following the same care plan for every postpartum patient
B. Incorporating current evidence, patient preferences, and family
needs into care
C. Limiting family involvement to prevent interruptions in care
D. Focusing primarily on completing routine procedures efficiently
Correct Answer: B. Incorporating current evidence, patient
preferences, and family needs into care
Rationale:
Contemporary maternity nursing emphasizes evidence-informed
practice, individualized care, patient participation, and family-centered
care. The nurse should recognize that mothers and infants have
different needs, risks, preferences, and social circumstances.
Why the Other Options Are Incorrect:
A. Standardized approaches can promote consistency, but they should
not replace individualized assessment and care planning.
C. Appropriate family involvement can support maternal and infant
outcomes and should be encouraged when consistent with the patient's
preferences.
D. Efficient completion of tasks is important, but contemporary
maternity nursing prioritizes safe, individualized, relationship-centered
care over task completion alone.
,Question 2
Question 2
Question:
A nurse is caring for a pregnant patient who reports missing several
prenatal appointments because of unreliable transportation. Which
nursing action best addresses the underlying issue?
A. Explain that prenatal visits are the patient's responsibility
B. Document the missed appointments as nonadherence
C. Explore transportation barriers and connect the patient with
available resources
D. Recommend that the patient schedule all future appointments at the
hospital
Correct Answer: C. Explore transportation barriers and connect the
patient with available resources
Rationale:
Transportation is a social and structural factor that can affect access to
reproductive and maternity care. Contemporary practice encourages
nurses and other clinicians to identify such barriers and facilitate
referrals or resources rather than interpreting missed care simply as
individual noncompliance. (ACOG)
, Why the Other Options Are Incorrect:
A. This response places responsibility entirely on the patient without
assessing barriers that may interfere with access.
B. Simply labeling the behavior as nonadherence fails to identify a
potentially modifiable access problem.
D. Scheduling appointments at one location does not solve the patient's
transportation barrier and may further limit access.
Question 3
Question:
Which nursing action most directly promotes respectful maternity care?
A. Performing procedures promptly without discussing them to reduce
anxiety
B. Asking permission before performing an examination and explaining
what will occur
C. Allowing only the health care team to determine the birth plan
D. Encouraging the patient to follow customary unit routines without
discussion
Correct Answer: B. Asking permission before performing an
examination and explaining what will occur
Rationale:
Respectful maternity care protects dignity, privacy, rights, informed
choice, and freedom from mistreatment. Explaining care and obtaining
appropriate consent or permission supports patient autonomy and
trust. (World Health Organization)
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit wants to provide
care that reflects the major goals of 21st-century maternity nursing.
Which nursing action best demonstrates this approach?
A. Following the same care plan for every postpartum patient
B. Incorporating current evidence, patient preferences, and family
needs into care
C. Limiting family involvement to prevent interruptions in care
D. Focusing primarily on completing routine procedures efficiently
Correct Answer: B. Incorporating current evidence, patient
preferences, and family needs into care
Rationale:
Contemporary maternity nursing emphasizes evidence-informed
practice, individualized care, patient participation, and family-centered
care. The nurse should recognize that mothers and infants have
different needs, risks, preferences, and social circumstances.
Why the Other Options Are Incorrect:
A. Standardized approaches can promote consistency, but they should
not replace individualized assessment and care planning.
C. Appropriate family involvement can support maternal and infant
outcomes and should be encouraged when consistent with the patient's
preferences.
D. Efficient completion of tasks is important, but contemporary
maternity nursing prioritizes safe, individualized, relationship-centered
care over task completion alone.
,Question 2
Question 2
Question:
A nurse is caring for a pregnant patient who reports missing several
prenatal appointments because of unreliable transportation. Which
nursing action best addresses the underlying issue?
A. Explain that prenatal visits are the patient's responsibility
B. Document the missed appointments as nonadherence
C. Explore transportation barriers and connect the patient with
available resources
D. Recommend that the patient schedule all future appointments at the
hospital
Correct Answer: C. Explore transportation barriers and connect the
patient with available resources
Rationale:
Transportation is a social and structural factor that can affect access to
reproductive and maternity care. Contemporary practice encourages
nurses and other clinicians to identify such barriers and facilitate
referrals or resources rather than interpreting missed care simply as
individual noncompliance. (ACOG)
, Why the Other Options Are Incorrect:
A. This response places responsibility entirely on the patient without
assessing barriers that may interfere with access.
B. Simply labeling the behavior as nonadherence fails to identify a
potentially modifiable access problem.
D. Scheduling appointments at one location does not solve the patient's
transportation barrier and may further limit access.
Question 3
Question:
Which nursing action most directly promotes respectful maternity care?
A. Performing procedures promptly without discussing them to reduce
anxiety
B. Asking permission before performing an examination and explaining
what will occur
C. Allowing only the health care team to determine the birth plan
D. Encouraging the patient to follow customary unit routines without
discussion
Correct Answer: B. Asking permission before performing an
examination and explaining what will occur
Rationale:
Respectful maternity care protects dignity, privacy, rights, informed
choice, and freedom from mistreatment. Explaining care and obtaining
appropriate consent or permission supports patient autonomy and
trust. (World Health Organization)
