Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is orienting a new graduate to contemporary
maternity nursing practice. Which statement best reflects a major
characteristic of 21st-century maternity nursing?
A. Care is primarily centered on completing standardized procedures
efficiently.
B. Care emphasizes evidence-informed practice, patient participation,
and collaboration.
C. Care decisions are primarily determined by the health care provider's
preferences.
D. Care focuses mainly on treating complications after they occur.
Correct Answer: B. Evidence-informed practice, patient participation,
and collaboration
Rationale:
Contemporary maternity nursing emphasizes evidence-informed care,
partnership with patients and families, interdisciplinary collaboration,
prevention, and shared decision-making. Modern maternity practice
increasingly incorporates technology and individualized approaches
while maintaining patient safety and quality of care.
Why the Other Options Are Incorrect:
A. Standardized procedures are useful for safety, but contemporary
nursing requires clinical judgment and individualized care rather than
procedure-focused practice alone.
C. Current practice supports informed participation by the patient
rather than decisions being controlled solely by the provider.
D. Prevention, health promotion, early recognition, and continuity of
,care are important components of contemporary maternity nursing, not
only treatment of complications.
Question 2
Question:
A pregnant patient asks why the nurse is discussing housing,
transportation, food access, and social support during a prenatal visit.
Which response is most appropriate?
A. "These factors can influence your ability to obtain and benefit from
maternity care."
B. "These questions are used mainly to determine whether you qualify
for insurance."
C. "These issues are collected for research purposes rather than clinical
care."
D. "These questions help determine which pregnancy complications you
already have."
Correct Answer: A. "These factors can influence your ability to obtain
and benefit from maternity care."
Rationale:
Contemporary maternity care recognizes that social and structural
conditions can affect access to care and health outcomes. ACOG's 2025
guidance recommends assessing medical, social, and structural drivers
of health and connecting patients with appropriate system or
community resources when unmet needs are identified.
Why the Other Options Are Incorrect:
B. Social needs may affect insurance access, but the purpose of the
, assessment is broader than determining eligibility.
C. Social needs assessment is clinically relevant and can guide
individualized care and referrals.
D. These questions do not establish a diagnosis of an existing obstetric
complication.
Question 3
Question:
Which nursing action best demonstrates family-centered maternity
care?
A. Providing the same education to every family regardless of
preferences
B. Making decisions for the patient to reduce uncertainty
C. Inviting the patient and chosen support persons to participate in care
discussions
D. Limiting family involvement until discharge teaching begins
Correct Answer: C. Inviting the patient and chosen support persons to
participate in care discussions
Rationale:
Family-centered care recognizes the patient and family as participants in
care and incorporates their preferences, values, concerns, and needs.
Contemporary respectful care also emphasizes dignity and informed
choice for patients and families.
Why the Other Options Are Incorrect:
A. Education should be individualized according to patient and family
needs rather than uniformly delivered.
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is orienting a new graduate to contemporary
maternity nursing practice. Which statement best reflects a major
characteristic of 21st-century maternity nursing?
A. Care is primarily centered on completing standardized procedures
efficiently.
B. Care emphasizes evidence-informed practice, patient participation,
and collaboration.
C. Care decisions are primarily determined by the health care provider's
preferences.
D. Care focuses mainly on treating complications after they occur.
Correct Answer: B. Evidence-informed practice, patient participation,
and collaboration
Rationale:
Contemporary maternity nursing emphasizes evidence-informed care,
partnership with patients and families, interdisciplinary collaboration,
prevention, and shared decision-making. Modern maternity practice
increasingly incorporates technology and individualized approaches
while maintaining patient safety and quality of care.
Why the Other Options Are Incorrect:
A. Standardized procedures are useful for safety, but contemporary
nursing requires clinical judgment and individualized care rather than
procedure-focused practice alone.
C. Current practice supports informed participation by the patient
rather than decisions being controlled solely by the provider.
D. Prevention, health promotion, early recognition, and continuity of
,care are important components of contemporary maternity nursing, not
only treatment of complications.
Question 2
Question:
A pregnant patient asks why the nurse is discussing housing,
transportation, food access, and social support during a prenatal visit.
Which response is most appropriate?
A. "These factors can influence your ability to obtain and benefit from
maternity care."
B. "These questions are used mainly to determine whether you qualify
for insurance."
C. "These issues are collected for research purposes rather than clinical
care."
D. "These questions help determine which pregnancy complications you
already have."
Correct Answer: A. "These factors can influence your ability to obtain
and benefit from maternity care."
Rationale:
Contemporary maternity care recognizes that social and structural
conditions can affect access to care and health outcomes. ACOG's 2025
guidance recommends assessing medical, social, and structural drivers
of health and connecting patients with appropriate system or
community resources when unmet needs are identified.
Why the Other Options Are Incorrect:
B. Social needs may affect insurance access, but the purpose of the
, assessment is broader than determining eligibility.
C. Social needs assessment is clinically relevant and can guide
individualized care and referrals.
D. These questions do not establish a diagnosis of an existing obstetric
complication.
Question 3
Question:
Which nursing action best demonstrates family-centered maternity
care?
A. Providing the same education to every family regardless of
preferences
B. Making decisions for the patient to reduce uncertainty
C. Inviting the patient and chosen support persons to participate in care
discussions
D. Limiting family involvement until discharge teaching begins
Correct Answer: C. Inviting the patient and chosen support persons to
participate in care discussions
Rationale:
Family-centered care recognizes the patient and family as participants in
care and incorporates their preferences, values, concerns, and needs.
Contemporary respectful care also emphasizes dignity and informed
choice for patients and families.
Why the Other Options Are Incorrect:
A. Education should be individualized according to patient and family
needs rather than uniformly delivered.
