Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,PART 1: MATERNITY NURSING
UNIT 1: INTRODUCTION TO MATERNITY NURSING
Question 1
Question:
Which nursing approach best reflects 21st-century maternity nursing?
A. Providing identical prenatal care schedules to all pregnant patients
B. Centering care on evidence, patient preferences, safety, and
individual needs
C. Limiting family involvement to prevent interference with clinical
decisions
D. Focusing primarily on treatment after complications develop
Correct Answer: B. Centering care on evidence, patient preferences,
safety, and individual needs
Rationale:
Contemporary maternity nursing emphasizes safe, evidence-informed,
person-centered care that considers the individual patient's needs,
preferences, circumstances, and values. Modern quality-of-care
frameworks also emphasize care that is effective, timely, equitable,
integrated, and people-centered.
Why the Other Options Are Incorrect:
A. A standardized framework can provide consistency, but
contemporary practice increasingly recognizes the need to individualize
care according to risk, needs, and circumstances.
,C. Family involvement may be important when desired by the patient
and appropriate to the clinical situation; excluding families categorically
is not patient-centered.
D. Modern maternity nursing emphasizes prevention, early recognition,
health promotion, and continuity of care rather than waiting for
complications to occur.
Question 2
Question:
A pregnant patient asks why the nurse is discussing the patient's
preferences before developing the plan of care. Which response best
reflects current maternity nursing practice?
A. “The care team makes the final decisions, so preferences are mainly
informational.”
B. “Your preferences help the team individualize care and support
shared decisions.”
C. “Preferences are considered only when there is no established
clinical recommendation.”
D. “Preference-based care is mainly used for low-risk pregnancies.”
Correct Answer: B. “Your preferences help the team individualize care
and support shared decisions.”
Rationale:
Patient autonomy and shared decision-making are important
components of contemporary maternity care. Current professional
guidance emphasizes tailoring care to individual circumstances and
strengthening patient participation in decisions.
, Why the Other Options Are Incorrect:
A. The patient should not be treated as a passive recipient of care when
meaningful choices are available.
C. Shared decision-making can be relevant even when evidence-based
recommendations exist; the patient's values and circumstances still
matter.
D. Shared decision-making is not limited to low-risk pregnancies.
Question 3
Question:
A nurse participates in a prenatal follow-up visit conducted through
telehealth. Which action is most important to maintain safe nursing
practice?
A. Assume that telehealth can replace every in-person assessment
B. Determine whether the patient's needs can be safely managed
remotely
C. Avoid documenting information obtained during the virtual visit
D. Delay escalation until the next scheduled in-person appointment
Correct Answer: B. Determine whether the patient's needs can be
safely managed remotely
Rationale:
Telehealth can expand access to care, particularly for people who face
geographic or mobility barriers, but nurses must determine whether
remote assessment is appropriate and recognize when in-person
evaluation or escalation is necessary.
7th Edition
• Author(s)Shannon Perry
,PART 1: MATERNITY NURSING
UNIT 1: INTRODUCTION TO MATERNITY NURSING
Question 1
Question:
Which nursing approach best reflects 21st-century maternity nursing?
A. Providing identical prenatal care schedules to all pregnant patients
B. Centering care on evidence, patient preferences, safety, and
individual needs
C. Limiting family involvement to prevent interference with clinical
decisions
D. Focusing primarily on treatment after complications develop
Correct Answer: B. Centering care on evidence, patient preferences,
safety, and individual needs
Rationale:
Contemporary maternity nursing emphasizes safe, evidence-informed,
person-centered care that considers the individual patient's needs,
preferences, circumstances, and values. Modern quality-of-care
frameworks also emphasize care that is effective, timely, equitable,
integrated, and people-centered.
Why the Other Options Are Incorrect:
A. A standardized framework can provide consistency, but
contemporary practice increasingly recognizes the need to individualize
care according to risk, needs, and circumstances.
,C. Family involvement may be important when desired by the patient
and appropriate to the clinical situation; excluding families categorically
is not patient-centered.
D. Modern maternity nursing emphasizes prevention, early recognition,
health promotion, and continuity of care rather than waiting for
complications to occur.
Question 2
Question:
A pregnant patient asks why the nurse is discussing the patient's
preferences before developing the plan of care. Which response best
reflects current maternity nursing practice?
A. “The care team makes the final decisions, so preferences are mainly
informational.”
B. “Your preferences help the team individualize care and support
shared decisions.”
C. “Preferences are considered only when there is no established
clinical recommendation.”
D. “Preference-based care is mainly used for low-risk pregnancies.”
Correct Answer: B. “Your preferences help the team individualize care
and support shared decisions.”
Rationale:
Patient autonomy and shared decision-making are important
components of contemporary maternity care. Current professional
guidance emphasizes tailoring care to individual circumstances and
strengthening patient participation in decisions.
, Why the Other Options Are Incorrect:
A. The patient should not be treated as a passive recipient of care when
meaningful choices are available.
C. Shared decision-making can be relevant even when evidence-based
recommendations exist; the patient's values and circumstances still
matter.
D. Shared decision-making is not limited to low-risk pregnancies.
Question 3
Question:
A nurse participates in a prenatal follow-up visit conducted through
telehealth. Which action is most important to maintain safe nursing
practice?
A. Assume that telehealth can replace every in-person assessment
B. Determine whether the patient's needs can be safely managed
remotely
C. Avoid documenting information obtained during the virtual visit
D. Delay escalation until the next scheduled in-person appointment
Correct Answer: B. Determine whether the patient's needs can be
safely managed remotely
Rationale:
Telehealth can expand access to care, particularly for people who face
geographic or mobility barriers, but nurses must determine whether
remote assessment is appropriate and recognize when in-person
evaluation or escalation is necessary.
