Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity setting is planning care
for a pregnant client. Which nursing action best reflects a current
patient-centered approach to maternity care?
A. Provide standardized teaching to all pregnant clients to ensure
consistency.
B. Encourage the client to participate in decisions about her care after
receiving understandable information.
C. Ask the healthcare provider to make the major decisions because the
provider has greater clinical expertise.
D. Focus primarily on physiologic outcomes because psychosocial needs
are addressed separately.
Correct Answer: B. Encourage the client to participate in decisions
about her care after receiving understandable information.
Rationale:
Contemporary maternity nursing emphasizes patient-centered, shared
decision-making. The nurse supports the client by providing
understandable information, exploring preferences and values, and
facilitating informed participation in care decisions. This approach
recognizes the pregnant or postpartum person as an active partner
rather than a passive recipient of care.
Why the Other Options Are Incorrect:
A. Standardized information can be useful, but education should be
individualized to the client's needs, literacy, culture, and preferences.
B. Correct. Shared decision-making promotes autonomy and active
participation in maternity care.
,C. Although healthcare providers contribute clinical expertise, clients
should participate in decisions affecting their care whenever possible.
D. Contemporary maternity nursing addresses physiologic,
psychological, social, cultural, and family needs together.
Question 2
Question:
A maternity nurse is reviewing recent improvements in maternal and
infant care with a group of nursing students. Which development most
directly illustrates how advances in healthcare have improved the ability
to identify potential problems before complications become severe?
A. Increased use of routine screening and evidence-based risk
assessment
B. Greater reliance on family members to identify complications
C. Decreased communication between healthcare disciplines
D. Reduction in prenatal education to minimize client anxiety
Correct Answer: A. Increased use of routine screening and evidence-
based risk assessment
Rationale:
Advances in maternity care include improved screening, diagnostic
technologies, and risk assessment that permit earlier recognition of
maternal and fetal concerns. Early identification allows timely
intervention and can reduce preventable complications.
Why the Other Options Are Incorrect:
A. Correct. Screening and systematic risk assessment support earlier
recognition and management of problems.
, B. Family observations are valuable but do not replace professional
screening and assessment.
C. Contemporary maternity care increasingly emphasizes
interprofessional communication rather than reducing it.
D. Prenatal education remains an important component of prevention,
health promotion, and informed decision-making.
Question 3
Question:
A nurse is caring for a pregnant client who has limited transportation,
inconsistent access to nutritious food, and difficulty attending prenatal
appointments. Which nursing response best addresses a health
disparity?
A. Explain that missed appointments may increase pregnancy risks.
B. Encourage the client to make greater personal sacrifices to attend
appointments.
C. Assess barriers and connect the client with available transportation,
nutrition, and community resources.
D. Recommend transferring care to another facility without assessing
the client's circumstances.
Correct Answer: C. Assess barriers and connect the client with available
transportation, nutrition, and community resources.
Rationale:
Health disparities can be influenced by social and structural factors that
affect access to care and health outcomes. The nurse should identify
barriers rather than assume that the client is simply noncompliant.
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity setting is planning care
for a pregnant client. Which nursing action best reflects a current
patient-centered approach to maternity care?
A. Provide standardized teaching to all pregnant clients to ensure
consistency.
B. Encourage the client to participate in decisions about her care after
receiving understandable information.
C. Ask the healthcare provider to make the major decisions because the
provider has greater clinical expertise.
D. Focus primarily on physiologic outcomes because psychosocial needs
are addressed separately.
Correct Answer: B. Encourage the client to participate in decisions
about her care after receiving understandable information.
Rationale:
Contemporary maternity nursing emphasizes patient-centered, shared
decision-making. The nurse supports the client by providing
understandable information, exploring preferences and values, and
facilitating informed participation in care decisions. This approach
recognizes the pregnant or postpartum person as an active partner
rather than a passive recipient of care.
Why the Other Options Are Incorrect:
A. Standardized information can be useful, but education should be
individualized to the client's needs, literacy, culture, and preferences.
B. Correct. Shared decision-making promotes autonomy and active
participation in maternity care.
,C. Although healthcare providers contribute clinical expertise, clients
should participate in decisions affecting their care whenever possible.
D. Contemporary maternity nursing addresses physiologic,
psychological, social, cultural, and family needs together.
Question 2
Question:
A maternity nurse is reviewing recent improvements in maternal and
infant care with a group of nursing students. Which development most
directly illustrates how advances in healthcare have improved the ability
to identify potential problems before complications become severe?
A. Increased use of routine screening and evidence-based risk
assessment
B. Greater reliance on family members to identify complications
C. Decreased communication between healthcare disciplines
D. Reduction in prenatal education to minimize client anxiety
Correct Answer: A. Increased use of routine screening and evidence-
based risk assessment
Rationale:
Advances in maternity care include improved screening, diagnostic
technologies, and risk assessment that permit earlier recognition of
maternal and fetal concerns. Early identification allows timely
intervention and can reduce preventable complications.
Why the Other Options Are Incorrect:
A. Correct. Screening and systematic risk assessment support earlier
recognition and management of problems.
, B. Family observations are valuable but do not replace professional
screening and assessment.
C. Contemporary maternity care increasingly emphasizes
interprofessional communication rather than reducing it.
D. Prenatal education remains an important component of prevention,
health promotion, and informed decision-making.
Question 3
Question:
A nurse is caring for a pregnant client who has limited transportation,
inconsistent access to nutritious food, and difficulty attending prenatal
appointments. Which nursing response best addresses a health
disparity?
A. Explain that missed appointments may increase pregnancy risks.
B. Encourage the client to make greater personal sacrifices to attend
appointments.
C. Assess barriers and connect the client with available transportation,
nutrition, and community resources.
D. Recommend transferring care to another facility without assessing
the client's circumstances.
Correct Answer: C. Assess barriers and connect the client with available
transportation, nutrition, and community resources.
Rationale:
Health disparities can be influenced by social and structural factors that
affect access to care and health outcomes. The nurse should identify
barriers rather than assume that the client is simply noncompliant.
