Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is reviewing changes in contemporary maternity care
with a group of nursing students. Which development best reflects a
21st-century approach to maternity nursing?
A. Increasing emphasis on standardized care that minimizes patient
participation
B. Greater integration of evidence-based practice, technology, and
patient-centered care
C. Limiting family involvement to reduce interference with clinical care
D. Focusing primarily on treatment after complications occur
Correct Answer: B. Greater integration of evidence-based practice,
technology, and patient-centered care
Rationale:
Contemporary maternity nursing increasingly combines evidence-based
practice with health technology, individualized care, shared decision-
making, and attention to patient preferences. The nurse's role extends
beyond treating complications to promoting health, preventing adverse
outcomes, and supporting informed participation.
Why the Other Options Are Incorrect:
A. Standardization can support safety, but care that minimizes patient
participation does not reflect the patient-centered emphasis of
contemporary maternity nursing.
B. Correct. Modern maternity care integrates current evidence,
technology, communication, and individualized care.
C. Family participation may be valuable when desired by the patient and
appropriate to the clinical situation.
,D. Contemporary care emphasizes prevention, early recognition, health
promotion, and risk reduction in addition to treatment.
Question 2
Question:
A nurse is planning care for a pregnant patient who has limited access
to transportation and lives far from the nearest maternity clinic. Which
nursing action most directly addresses a potential health disparity?
A. Schedule all follow-up visits at the hospital regardless of
transportation difficulties
B. Encourage the patient to seek care only when symptoms become
severe
C. Explore available transportation, telehealth, and community-based
resources with the patient
D. Recommend that the patient relocate closer to the hospital
Correct Answer: C. Explore available transportation, telehealth, and
community-based resources with the patient
Rationale:
Health disparities can be influenced by access barriers such as
transportation and geographic distance. The nurse should identify
practical barriers and connect the patient with available resources that
may improve access to prenatal and maternity care.
Why the Other Options Are Incorrect:
A. Scheduling without addressing the transportation barrier does not
solve the patient's access problem.
B. Delaying care until symptoms become severe increases risk and is not
, an appropriate strategy for improving access.
C. Correct. Identifying barriers and connecting patients with feasible
resources supports more equitable access to care.
D. Relocation may be unrealistic and does not represent an
individualized approach to addressing the underlying barrier.
Question 3
Question:
Which nursing behavior best demonstrates patient-centered maternity
care?
A. Selecting a plan of care without discussing alternatives with the
patient
B. Encouraging the patient to follow hospital routines without question
C. Incorporating the patient's values, preferences, and goals into the
plan of care
D. Asking the family to make decisions on behalf of the patient
Correct Answer: C. Incorporating the patient's values, preferences,
and goals into the plan of care
Rationale:
Patient-centered maternity care recognizes the pregnant or postpartum
patient as an active participant in decisions about care. The nurse
supports informed choices while considering clinical needs, personal
values, preferences, and goals.
Why the Other Options Are Incorrect:
A. Excluding the patient from decisions is inconsistent with shared
decision-making.
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is reviewing changes in contemporary maternity care
with a group of nursing students. Which development best reflects a
21st-century approach to maternity nursing?
A. Increasing emphasis on standardized care that minimizes patient
participation
B. Greater integration of evidence-based practice, technology, and
patient-centered care
C. Limiting family involvement to reduce interference with clinical care
D. Focusing primarily on treatment after complications occur
Correct Answer: B. Greater integration of evidence-based practice,
technology, and patient-centered care
Rationale:
Contemporary maternity nursing increasingly combines evidence-based
practice with health technology, individualized care, shared decision-
making, and attention to patient preferences. The nurse's role extends
beyond treating complications to promoting health, preventing adverse
outcomes, and supporting informed participation.
Why the Other Options Are Incorrect:
A. Standardization can support safety, but care that minimizes patient
participation does not reflect the patient-centered emphasis of
contemporary maternity nursing.
B. Correct. Modern maternity care integrates current evidence,
technology, communication, and individualized care.
C. Family participation may be valuable when desired by the patient and
appropriate to the clinical situation.
,D. Contemporary care emphasizes prevention, early recognition, health
promotion, and risk reduction in addition to treatment.
Question 2
Question:
A nurse is planning care for a pregnant patient who has limited access
to transportation and lives far from the nearest maternity clinic. Which
nursing action most directly addresses a potential health disparity?
A. Schedule all follow-up visits at the hospital regardless of
transportation difficulties
B. Encourage the patient to seek care only when symptoms become
severe
C. Explore available transportation, telehealth, and community-based
resources with the patient
D. Recommend that the patient relocate closer to the hospital
Correct Answer: C. Explore available transportation, telehealth, and
community-based resources with the patient
Rationale:
Health disparities can be influenced by access barriers such as
transportation and geographic distance. The nurse should identify
practical barriers and connect the patient with available resources that
may improve access to prenatal and maternity care.
Why the Other Options Are Incorrect:
A. Scheduling without addressing the transportation barrier does not
solve the patient's access problem.
B. Delaying care until symptoms become severe increases risk and is not
, an appropriate strategy for improving access.
C. Correct. Identifying barriers and connecting patients with feasible
resources supports more equitable access to care.
D. Relocation may be unrealistic and does not represent an
individualized approach to addressing the underlying barrier.
Question 3
Question:
Which nursing behavior best demonstrates patient-centered maternity
care?
A. Selecting a plan of care without discussing alternatives with the
patient
B. Encouraging the patient to follow hospital routines without question
C. Incorporating the patient's values, preferences, and goals into the
plan of care
D. Asking the family to make decisions on behalf of the patient
Correct Answer: C. Incorporating the patient's values, preferences,
and goals into the plan of care
Rationale:
Patient-centered maternity care recognizes the pregnant or postpartum
patient as an active participant in decisions about care. The nurse
supports informed choices while considering clinical needs, personal
values, preferences, and goals.
Why the Other Options Are Incorrect:
A. Excluding the patient from decisions is inconsistent with shared
decision-making.
