Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1 — Multiple Choice
A maternity nurse is participating in a hospital initiative designed to improve maternal outcomes.
Which intervention best reflects a 21st-century approach to improving the safety of maternity
care?
A. Requiring all nurses to use the same intervention for every laboring patient
B. Implementing standardized, evidence-informed protocols while individualizing care to patient
needs
C. Limiting family participation so clinicians can make decisions more efficiently
D. Relying primarily on individual nurse experience when managing complications
Correct Answer: B
Rationale:
Contemporary maternity nursing combines standardized evidence-informed safety practices with
individualized, patient-centered care. Standardized protocols can support consistent recognition
and management of clinical deterioration, while individualized care accounts for patient
preferences, clinical circumstances, culture, values, and available resources.
Incorrect Options:
• A: Standardization should promote safety, not eliminate individualized nursing care.
• C: Family participation can support patient-centered care when desired by the patient
and clinically appropriate.
• D: Clinical experience is valuable, but current evidence, protocols, assessment findings,
and clinical judgment should guide care rather than experience alone.
Nursing Process Linkage:
Planning/Implementation: Select and implement interventions based on evidence and patient-
specific needs.
Clinical Judgment Competencies:
Recognize cues; Generate solutions; Take action.
Difficulty: Moderate
Bloom's Level: Apply
Question 2 — Select All That Apply
A nurse is reviewing strategies intended to reduce maternal and infant health disparities. Which
interventions are appropriate? Select all that apply.
,A. Assessing barriers to transportation for prenatal appointments
B. Using qualified medical interpreters when language barriers exist
C. Assuming all patients have equal access to nutritious food
D. Screening for social factors that may affect health outcomes
E. Providing the same education materials to every patient regardless of literacy needs
F. Connecting patients with community resources when unmet social needs are identified
Correct Answers: A, B, D, F
Rationale:
Reducing health disparities requires recognition of social and structural factors that influence
access to care and outcomes. Nurses can identify barriers such as transportation, food insecurity,
housing instability, limited access to care, language barriers, and difficulty obtaining medications
or supplies. Appropriate referrals and tailored communication can improve access and
continuity.
Incorrect Options:
• C: Assuming equal access can cause important barriers to be missed.
• E: Education should be adapted to language, literacy, learning needs, and patient
preferences rather than delivered identically to everyone.
Nursing Process Linkage:
Assessment: Identify health and social barriers.
Implementation: Provide appropriate support and referrals.
Clinical Judgment Competencies:
Recognize cues; Analyze cues; Take action.
Difficulty: Moderate
Bloom's Level: Analyze
Question 3 — Multiple Choice
A pregnant patient asks, “Why does my nurse keep asking what matters most to me before we
decide what to do?” Which response by the nurse best demonstrates contemporary maternity
nursing practice?
A. “The health care team determines the plan, so your preferences are mainly for
documentation.”
B. “Your preferences are considered because maternity care should support informed, shared
decisions.”
C. “You are asked because patients are now expected to make most clinical decisions
, independently.”
D. “Your preferences matter only when your condition is not considered high risk.”
Correct Answer: B
Rationale:
Modern maternity nursing emphasizes patient-centered care, informed decision-making, respect
for autonomy, and collaboration. The nurse helps the patient understand options, benefits, risks,
and alternatives so the patient can participate meaningfully in decisions.
Incorrect Options:
• A: Patient preferences are not merely documentation.
• C: Shared decision-making does not transfer professional responsibility to the patient.
• D: Patient-centered care applies across the spectrum of maternity care, including high-
risk situations.
Nursing Process Linkage:
Assessment/Planning: Incorporate patient values, goals, and preferences into the plan of care.
Clinical Judgment Competencies:
Recognize cues; Generate solutions; Take action.
Difficulty: Easy
Bloom's Level: Apply
Question 4 — Matrix/Grid Item
A nurse educator is teaching new maternity nurses about major trends in nursing practice. For
each nursing action, identify the primary contemporary practice concept demonstrated.
Evidence-
Health Interprofessional
Nursing Action Based Informatics/Technology
Equity Practice
Practice
Reviews current clinical
recommendations before ✓
revising a unit protocol
7th Edition
• Author(s)Shannon Perry
,Question 1 — Multiple Choice
A maternity nurse is participating in a hospital initiative designed to improve maternal outcomes.
Which intervention best reflects a 21st-century approach to improving the safety of maternity
care?
A. Requiring all nurses to use the same intervention for every laboring patient
B. Implementing standardized, evidence-informed protocols while individualizing care to patient
needs
C. Limiting family participation so clinicians can make decisions more efficiently
D. Relying primarily on individual nurse experience when managing complications
Correct Answer: B
Rationale:
Contemporary maternity nursing combines standardized evidence-informed safety practices with
individualized, patient-centered care. Standardized protocols can support consistent recognition
and management of clinical deterioration, while individualized care accounts for patient
preferences, clinical circumstances, culture, values, and available resources.
Incorrect Options:
• A: Standardization should promote safety, not eliminate individualized nursing care.
• C: Family participation can support patient-centered care when desired by the patient
and clinically appropriate.
• D: Clinical experience is valuable, but current evidence, protocols, assessment findings,
and clinical judgment should guide care rather than experience alone.
Nursing Process Linkage:
Planning/Implementation: Select and implement interventions based on evidence and patient-
specific needs.
Clinical Judgment Competencies:
Recognize cues; Generate solutions; Take action.
Difficulty: Moderate
Bloom's Level: Apply
Question 2 — Select All That Apply
A nurse is reviewing strategies intended to reduce maternal and infant health disparities. Which
interventions are appropriate? Select all that apply.
,A. Assessing barriers to transportation for prenatal appointments
B. Using qualified medical interpreters when language barriers exist
C. Assuming all patients have equal access to nutritious food
D. Screening for social factors that may affect health outcomes
E. Providing the same education materials to every patient regardless of literacy needs
F. Connecting patients with community resources when unmet social needs are identified
Correct Answers: A, B, D, F
Rationale:
Reducing health disparities requires recognition of social and structural factors that influence
access to care and outcomes. Nurses can identify barriers such as transportation, food insecurity,
housing instability, limited access to care, language barriers, and difficulty obtaining medications
or supplies. Appropriate referrals and tailored communication can improve access and
continuity.
Incorrect Options:
• C: Assuming equal access can cause important barriers to be missed.
• E: Education should be adapted to language, literacy, learning needs, and patient
preferences rather than delivered identically to everyone.
Nursing Process Linkage:
Assessment: Identify health and social barriers.
Implementation: Provide appropriate support and referrals.
Clinical Judgment Competencies:
Recognize cues; Analyze cues; Take action.
Difficulty: Moderate
Bloom's Level: Analyze
Question 3 — Multiple Choice
A pregnant patient asks, “Why does my nurse keep asking what matters most to me before we
decide what to do?” Which response by the nurse best demonstrates contemporary maternity
nursing practice?
A. “The health care team determines the plan, so your preferences are mainly for
documentation.”
B. “Your preferences are considered because maternity care should support informed, shared
decisions.”
C. “You are asked because patients are now expected to make most clinical decisions
, independently.”
D. “Your preferences matter only when your condition is not considered high risk.”
Correct Answer: B
Rationale:
Modern maternity nursing emphasizes patient-centered care, informed decision-making, respect
for autonomy, and collaboration. The nurse helps the patient understand options, benefits, risks,
and alternatives so the patient can participate meaningfully in decisions.
Incorrect Options:
• A: Patient preferences are not merely documentation.
• C: Shared decision-making does not transfer professional responsibility to the patient.
• D: Patient-centered care applies across the spectrum of maternity care, including high-
risk situations.
Nursing Process Linkage:
Assessment/Planning: Incorporate patient values, goals, and preferences into the plan of care.
Clinical Judgment Competencies:
Recognize cues; Generate solutions; Take action.
Difficulty: Easy
Bloom's Level: Apply
Question 4 — Matrix/Grid Item
A nurse educator is teaching new maternity nurses about major trends in nursing practice. For
each nursing action, identify the primary contemporary practice concept demonstrated.
Evidence-
Health Interprofessional
Nursing Action Based Informatics/Technology
Equity Practice
Practice
Reviews current clinical
recommendations before ✓
revising a unit protocol
