Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit is planning care for a
pregnant client who has limited access to transportation and lives
several hours from the nearest prenatal clinic. Which nursing action
best reflects a current approach to maternity care?
A. Instruct the client to arrange all prenatal appointments during
business hours.
B. Assess barriers to care and collaborate on accessible follow-up
options.
C. Advise the client to seek care only when pregnancy complications
develop.
D. Focus the visit primarily on completing the physical assessment.
Correct Answer: B. Assess barriers to care and collaborate on
accessible follow-up options.
Rationale:
Contemporary maternity nursing recognizes that health outcomes are
influenced by access to healthcare and other social factors. The nurse
should identify barriers such as transportation and work with the client
and healthcare team to improve continuity and accessibility of care.
Why the Other Options Are Incorrect:
A. Requiring appointments only during business hours may create an
additional barrier for clients with transportation, employment, or
caregiving responsibilities.
,C. Waiting until complications occur is inconsistent with preventive
maternity care and may increase the risk of delayed recognition of
problems.
D. Physical assessment is important, but focusing only on physiologic
findings overlooks social and access-related factors that can affect
maternal and infant outcomes.
Question 2
Question:
Which nursing action most directly supports efforts to reduce health
disparities in maternity care?
A. Providing identical teaching to every client regardless of individual
circumstances
B. Limiting education to information requested by the client
C. Referring all clients to the same community resources
D. Identifying individual barriers and adapting care and education
accordingly
Correct Answer: D. Identifying individual barriers and adapting care
and education accordingly
Rationale:
Reducing disparities involves recognizing that clients may experience
different barriers to obtaining high-quality care. Individualized
assessment, culturally responsive communication, and appropriate
resource coordination help promote equitable access and outcomes.
, Why the Other Options Are Incorrect:
A. Treating every client identically may ignore important differences in
language, resources, health literacy, transportation, or social
circumstances.
B. Waiting for clients to identify their own needs can miss important
barriers that the nurse should proactively assess.
C. A single resource approach may not meet the different needs of
individual clients or communities.
Question 3
Question:
A maternity nurse is caring for a client who repeatedly uses telehealth
for prenatal follow-up. Which statement best describes an appropriate
nursing perspective on this contemporary practice?
A. Telehealth can expand access to appropriate maternity services when
used within its capabilities.
B. Telehealth should completely replace in-person prenatal assessment.
C. Telehealth is primarily useful for clients without medical concerns.
D. Telehealth eliminates the need for ongoing physical assessment.
Correct Answer: A. Telehealth can expand access to appropriate
maternity services when used within its capabilities.
Rationale:
Contemporary maternity practice may incorporate technology to
improve communication, follow-up, education, and access. Telehealth
can be valuable for appropriate encounters, but it does not replace
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse working in a contemporary maternity unit is planning care for a
pregnant client who has limited access to transportation and lives
several hours from the nearest prenatal clinic. Which nursing action
best reflects a current approach to maternity care?
A. Instruct the client to arrange all prenatal appointments during
business hours.
B. Assess barriers to care and collaborate on accessible follow-up
options.
C. Advise the client to seek care only when pregnancy complications
develop.
D. Focus the visit primarily on completing the physical assessment.
Correct Answer: B. Assess barriers to care and collaborate on
accessible follow-up options.
Rationale:
Contemporary maternity nursing recognizes that health outcomes are
influenced by access to healthcare and other social factors. The nurse
should identify barriers such as transportation and work with the client
and healthcare team to improve continuity and accessibility of care.
Why the Other Options Are Incorrect:
A. Requiring appointments only during business hours may create an
additional barrier for clients with transportation, employment, or
caregiving responsibilities.
,C. Waiting until complications occur is inconsistent with preventive
maternity care and may increase the risk of delayed recognition of
problems.
D. Physical assessment is important, but focusing only on physiologic
findings overlooks social and access-related factors that can affect
maternal and infant outcomes.
Question 2
Question:
Which nursing action most directly supports efforts to reduce health
disparities in maternity care?
A. Providing identical teaching to every client regardless of individual
circumstances
B. Limiting education to information requested by the client
C. Referring all clients to the same community resources
D. Identifying individual barriers and adapting care and education
accordingly
Correct Answer: D. Identifying individual barriers and adapting care
and education accordingly
Rationale:
Reducing disparities involves recognizing that clients may experience
different barriers to obtaining high-quality care. Individualized
assessment, culturally responsive communication, and appropriate
resource coordination help promote equitable access and outcomes.
, Why the Other Options Are Incorrect:
A. Treating every client identically may ignore important differences in
language, resources, health literacy, transportation, or social
circumstances.
B. Waiting for clients to identify their own needs can miss important
barriers that the nurse should proactively assess.
C. A single resource approach may not meet the different needs of
individual clients or communities.
Question 3
Question:
A maternity nurse is caring for a client who repeatedly uses telehealth
for prenatal follow-up. Which statement best describes an appropriate
nursing perspective on this contemporary practice?
A. Telehealth can expand access to appropriate maternity services when
used within its capabilities.
B. Telehealth should completely replace in-person prenatal assessment.
C. Telehealth is primarily useful for clients without medical concerns.
D. Telehealth eliminates the need for ongoing physical assessment.
Correct Answer: A. Telehealth can expand access to appropriate
maternity services when used within its capabilities.
Rationale:
Contemporary maternity practice may incorporate technology to
improve communication, follow-up, education, and access. Telehealth
can be valuable for appropriate encounters, but it does not replace
