7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is caring for a pregnant patient who has limited
access to transportation and lives several hours from the nearest
obstetric clinic. Which nursing action best reflects a contemporary
approach to maternity care?
A. Encourage the patient to postpone routine prenatal visits until
transportation is available.
B. Explore telehealth and community-based resources that may
improve access to care.
C. Instruct the patient to seek care only when symptoms become
severe.
D. Recommend transferring care to a provider in another region.
Correct Answer: B. Explore telehealth and community-based resources
that may improve access to care.
Rationale:
Contemporary maternity nursing addresses barriers that can interfere
with timely prenatal care. Telehealth and community-based services
may improve continuity, education, monitoring, and access for patients
facing geographic or transportation barriers.
Why the Other Options Are Incorrect:
A. Delaying routine prenatal care can increase the risk of missed
,assessments and preventable complications.
C. Prenatal care should be preventive and ongoing rather than limited
to urgent symptoms.
D. Transferring care without first exploring practical resources does not
directly address the patient's access barrier.
Question 2
Question:
A nurse is discussing advances in maternity care with a group of nursing
students. Which statement best describes the role of the contemporary
maternity nurse?
A. The nurse primarily follows standardized routines established by the
health care institution.
B. The nurse focuses mainly on assisting providers with technical
procedures.
C. The nurse combines evidence-informed care, patient education,
advocacy, and clinical judgment.
D. The nurse limits family participation to situations in which the patient
is unable to decide.
Correct Answer: C. The nurse combines evidence-informed care,
patient education, advocacy, and clinical judgment.
Rationale:
Modern maternity nursing extends beyond task completion. Nurses
integrate evidence-informed practice, education, advocacy, assessment,
communication, and clinical judgment while supporting patients and
families.
, Why the Other Options Are Incorrect:
A. Contemporary practice requires individualized care rather than
simply following routines.
B. Technical assistance is only one component of maternity nursing
practice.
D. Family participation can be appropriate when consistent with the
patient's preferences and plan of care.
Question 3
Question:
A maternity nurse is implementing a plan designed to reduce health
disparities. Which action is most appropriate?
A. Provide identical resources to every patient regardless of individual
circumstances.
B. Focus only on medical conditions and avoid discussing social barriers.
C. Assess factors such as transportation, health literacy, income, and
access to care.
D. Refer all patients with limited resources to social services without
further assessment.
Correct Answer: C. Assess factors such as transportation, health literacy,
income, and access to care.
Rationale:
Reducing disparities begins with identifying barriers that influence
health outcomes. Individual assessment allows the nurse to connect
patients with appropriate resources and tailor care to identified needs.