Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse is caring for a pregnant client who asks why current maternity
care encourages her to participate actively in decisions about her care.
Which response by the nurse best reflects a contemporary approach to
maternity nursing?
A. “The healthcare team makes most decisions because pregnancy care
follows standardized procedures.”
B. “Your preferences and values are considered along with clinical
evidence when decisions are made.”
C. “The primary purpose of maternity care is to prevent the client from
making decisions that could increase risk.”
D. “Family members should make most decisions because pregnancy
affects the entire household.”
Correct Answer: B. Your preferences and values are considered along
with clinical evidence when decisions are made.
Rationale:
Contemporary maternity nursing emphasizes shared decision-making,
respect for patient autonomy, evidence-informed care, and
individualized treatment. The nurse supports the client in
understanding available options and participating meaningfully in
decisions.
Why the Other Options Are Incorrect:
A. Standardized procedures can support safety, but they do not replace
individualized assessment and patient participation.
,B. Correct. Current maternity practice integrates clinical evidence with
the client's values, preferences, circumstances, and informed choices.
C. Risk reduction is important, but the nurse should not unnecessarily
restrict a competent client's autonomy.
D. Family involvement may be valuable when desired by the client, but
the client remains central to decisions concerning her care.
Question 2
Question:
A nurse is evaluating whether a newly introduced digital prenatal
monitoring system has improved care on a maternity unit. Which
finding would provide the strongest evidence that the technology has
benefited patients?
A. Nurses report that the system is easier to learn than the previous
system.
B. The unit purchased fewer paper forms after implementation.
C. Staff members use the system during every prenatal appointment.
D. Timely recognition of concerning findings has increased without
reducing appropriate patient contact.
Correct Answer: D. Timely recognition of concerning findings has
increased without reducing appropriate patient contact.
Rationale:
An advancement in maternity care should be evaluated by meaningful
patient and clinical outcomes rather than convenience alone.
Technology is most beneficial when it improves safety, assessment,
, communication, or outcomes while complementing—not replacing—
appropriate nursing care.
Why the Other Options Are Incorrect:
A. Ease of use is important for implementation but does not
demonstrate improved patient outcomes.
B. Reduced paperwork may improve efficiency but does not establish
improved maternity care.
C. Consistent use demonstrates adoption of the technology but does
not prove that it improves care.
D. Correct. Improved recognition of clinically important findings while
preserving therapeutic patient interaction demonstrates meaningful
clinical benefit.
Question 3
Question:
A maternity nurse is planning a community education program aimed at
reducing disparities in maternal health. Which intervention best
addresses a potential health disparity?
A. Connecting clients with limited healthcare access to transportation
and prenatal care resources
B. Providing identical appointment schedules to every client regardless
of circumstances
C. Advising clients to seek care only when symptoms become severe
D. Limiting education to clients who already demonstrate strong health
literacy
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A nurse is caring for a pregnant client who asks why current maternity
care encourages her to participate actively in decisions about her care.
Which response by the nurse best reflects a contemporary approach to
maternity nursing?
A. “The healthcare team makes most decisions because pregnancy care
follows standardized procedures.”
B. “Your preferences and values are considered along with clinical
evidence when decisions are made.”
C. “The primary purpose of maternity care is to prevent the client from
making decisions that could increase risk.”
D. “Family members should make most decisions because pregnancy
affects the entire household.”
Correct Answer: B. Your preferences and values are considered along
with clinical evidence when decisions are made.
Rationale:
Contemporary maternity nursing emphasizes shared decision-making,
respect for patient autonomy, evidence-informed care, and
individualized treatment. The nurse supports the client in
understanding available options and participating meaningfully in
decisions.
Why the Other Options Are Incorrect:
A. Standardized procedures can support safety, but they do not replace
individualized assessment and patient participation.
,B. Correct. Current maternity practice integrates clinical evidence with
the client's values, preferences, circumstances, and informed choices.
C. Risk reduction is important, but the nurse should not unnecessarily
restrict a competent client's autonomy.
D. Family involvement may be valuable when desired by the client, but
the client remains central to decisions concerning her care.
Question 2
Question:
A nurse is evaluating whether a newly introduced digital prenatal
monitoring system has improved care on a maternity unit. Which
finding would provide the strongest evidence that the technology has
benefited patients?
A. Nurses report that the system is easier to learn than the previous
system.
B. The unit purchased fewer paper forms after implementation.
C. Staff members use the system during every prenatal appointment.
D. Timely recognition of concerning findings has increased without
reducing appropriate patient contact.
Correct Answer: D. Timely recognition of concerning findings has
increased without reducing appropriate patient contact.
Rationale:
An advancement in maternity care should be evaluated by meaningful
patient and clinical outcomes rather than convenience alone.
Technology is most beneficial when it improves safety, assessment,
, communication, or outcomes while complementing—not replacing—
appropriate nursing care.
Why the Other Options Are Incorrect:
A. Ease of use is important for implementation but does not
demonstrate improved patient outcomes.
B. Reduced paperwork may improve efficiency but does not establish
improved maternity care.
C. Consistent use demonstrates adoption of the technology but does
not prove that it improves care.
D. Correct. Improved recognition of clinically important findings while
preserving therapeutic patient interaction demonstrates meaningful
clinical benefit.
Question 3
Question:
A maternity nurse is planning a community education program aimed at
reducing disparities in maternal health. Which intervention best
addresses a potential health disparity?
A. Connecting clients with limited healthcare access to transportation
and prenatal care resources
B. Providing identical appointment schedules to every client regardless
of circumstances
C. Advising clients to seek care only when symptoms become severe
D. Limiting education to clients who already demonstrate strong health
literacy
