Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit is reviewing changes
in maternity practice with a newly hired nurse. Which development
best reflects a major principle of 21st-century maternity nursing?
A. Increasing use of standardized care without modification for
individual patients
B. Greater emphasis on evidence-informed, family-centered, and
individualized care
C. Limiting parents' participation during routine newborn care
D. Focusing primarily on physiologic outcomes rather than psychosocial
needs
Correct Answer: B. Greater emphasis on evidence-informed, family-
centered, and individualized care
Rationale:
Contemporary maternity nursing emphasizes evidence-informed
practice, individualized care, family participation, patient preferences,
and attention to both physiologic and psychosocial outcomes. Modern
maternity care increasingly involves the mother and family as active
participants in decision-making.
Why the Other Options Are Incorrect:
A. Standardization can improve safety, but maternity care must still be
,individualized to patient needs, preferences, risks, and circumstances.
C. Family participation is an important component of family-centered
maternity and newborn care when clinically appropriate.
D. Contemporary practice recognizes that emotional, social, cultural,
and family needs are important components of maternal and newborn
health.
Question 2
Question:
A pregnant client tells the nurse, “I want to understand all of my choices
before deciding whether to accept a recommended intervention.”
Which nursing response best reflects contemporary maternity practice?
A. “The healthcare provider has already determined what is safest for
you.”
B. “You should follow the recommendation because pregnancy can
change quickly.”
C. “Let’s review the benefits, risks, and alternatives so you can
participate in the decision.”
D. “Your family should decide because they may understand the
situation better.”
Correct Answer: C. “Let’s review the benefits, risks, and alternatives so
you can participate in the decision.”
Rationale:
Shared decision-making supports informed participation by the client.
The nurse should provide understandable information, clarify questions,
, respect preferences and values, and support the client in making
informed healthcare decisions.
Why the Other Options Are Incorrect:
A. The nurse should not dismiss the client's role in healthcare decisions
or imply that the provider alone determines the plan.
B. Fear or pressure should not replace informed participation in
decision-making.
D. Family members may provide support, but the competent client
remains the primary decision-maker for her care.
Question 3
Question:
Which nursing action most directly supports efforts to reduce maternal
and infant health disparities?
A. Providing identical discharge instructions to every family
B. Screening for barriers that may interfere with access to prenatal and
postpartum care
C. Encouraging families to rely on internet resources for health
information
D. Delaying education until the family demonstrates a need for
assistance
Correct Answer: B. Screening for barriers that may interfere with access
to prenatal and postpartum care
Rationale:
Reducing health disparities requires recognition of barriers such as
transportation, financial limitations, health literacy, language
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit is reviewing changes
in maternity practice with a newly hired nurse. Which development
best reflects a major principle of 21st-century maternity nursing?
A. Increasing use of standardized care without modification for
individual patients
B. Greater emphasis on evidence-informed, family-centered, and
individualized care
C. Limiting parents' participation during routine newborn care
D. Focusing primarily on physiologic outcomes rather than psychosocial
needs
Correct Answer: B. Greater emphasis on evidence-informed, family-
centered, and individualized care
Rationale:
Contemporary maternity nursing emphasizes evidence-informed
practice, individualized care, family participation, patient preferences,
and attention to both physiologic and psychosocial outcomes. Modern
maternity care increasingly involves the mother and family as active
participants in decision-making.
Why the Other Options Are Incorrect:
A. Standardization can improve safety, but maternity care must still be
,individualized to patient needs, preferences, risks, and circumstances.
C. Family participation is an important component of family-centered
maternity and newborn care when clinically appropriate.
D. Contemporary practice recognizes that emotional, social, cultural,
and family needs are important components of maternal and newborn
health.
Question 2
Question:
A pregnant client tells the nurse, “I want to understand all of my choices
before deciding whether to accept a recommended intervention.”
Which nursing response best reflects contemporary maternity practice?
A. “The healthcare provider has already determined what is safest for
you.”
B. “You should follow the recommendation because pregnancy can
change quickly.”
C. “Let’s review the benefits, risks, and alternatives so you can
participate in the decision.”
D. “Your family should decide because they may understand the
situation better.”
Correct Answer: C. “Let’s review the benefits, risks, and alternatives so
you can participate in the decision.”
Rationale:
Shared decision-making supports informed participation by the client.
The nurse should provide understandable information, clarify questions,
, respect preferences and values, and support the client in making
informed healthcare decisions.
Why the Other Options Are Incorrect:
A. The nurse should not dismiss the client's role in healthcare decisions
or imply that the provider alone determines the plan.
B. Fear or pressure should not replace informed participation in
decision-making.
D. Family members may provide support, but the competent client
remains the primary decision-maker for her care.
Question 3
Question:
Which nursing action most directly supports efforts to reduce maternal
and infant health disparities?
A. Providing identical discharge instructions to every family
B. Screening for barriers that may interfere with access to prenatal and
postpartum care
C. Encouraging families to rely on internet resources for health
information
D. Delaying education until the family demonstrates a need for
assistance
Correct Answer: B. Screening for barriers that may interfere with access
to prenatal and postpartum care
Rationale:
Reducing health disparities requires recognition of barriers such as
transportation, financial limitations, health literacy, language
