,
,Chapter 1: The Past, Present, and Future
Introduction to Maternity and Pediatric Nursing, 9th
Edition (Leifer, 2022)
MULTIPLE CHOICE
1. A nurse manager is implementing evidence-based
practice (EBP) guidelines on the maternity unit.
Which action best demonstrates the integration of
EBP into clinical decision-making?
A. Following traditional practices that have been
used for years without question
B. Combining current research evidence with clinical
expertise and patient preferences
C. Using only research articles without considering
individual patient circumstances
D. Relying solely on physician orders without nursing
input
ANS: B
Rationale: Evidence-based practice integrates three
components: best current research evidence, clinical
expertise, and patient values/preferences. This
approach ensures care is scientifically sound while
remaining individualized. Traditional practices
, without evidence may be outdated or ineffective.
PTS: 1
NAT: Client Needs: Safe and Effective Care
Environment: Management of Care
TOP: Chapter 1: The Past, Present, and Future KEY:
Integrated Process: Nursing Process
HLM: Cognitive Level: Apply
2. A nurse is reviewing maternal mortality statistics and
notes disparities affecting minority populations.
Which factor contributes most significantly to these
disparities?
A. Biological differences between racial groups
B. Social determinants of health including access to
care, education, and systemic bias
C. Genetic predisposition to pregnancy complications
D. Patient noncompliance with medical advice
ANS: B
Rationale: Maternal mortality disparities are
primarily driven by social determinants of health:
limited healthcare access, lower education, poverty,
implicit bias in care, and structural racism. Biological
differences do not explain disparities; systemic
,Chapter 1: The Past, Present, and Future
Introduction to Maternity and Pediatric Nursing, 9th
Edition (Leifer, 2022)
MULTIPLE CHOICE
1. A nurse manager is implementing evidence-based
practice (EBP) guidelines on the maternity unit.
Which action best demonstrates the integration of
EBP into clinical decision-making?
A. Following traditional practices that have been
used for years without question
B. Combining current research evidence with clinical
expertise and patient preferences
C. Using only research articles without considering
individual patient circumstances
D. Relying solely on physician orders without nursing
input
ANS: B
Rationale: Evidence-based practice integrates three
components: best current research evidence, clinical
expertise, and patient values/preferences. This
approach ensures care is scientifically sound while
remaining individualized. Traditional practices
, without evidence may be outdated or ineffective.
PTS: 1
NAT: Client Needs: Safe and Effective Care
Environment: Management of Care
TOP: Chapter 1: The Past, Present, and Future KEY:
Integrated Process: Nursing Process
HLM: Cognitive Level: Apply
2. A nurse is reviewing maternal mortality statistics and
notes disparities affecting minority populations.
Which factor contributes most significantly to these
disparities?
A. Biological differences between racial groups
B. Social determinants of health including access to
care, education, and systemic bias
C. Genetic predisposition to pregnancy complications
D. Patient noncompliance with medical advice
ANS: B
Rationale: Maternal mortality disparities are
primarily driven by social determinants of health:
limited healthcare access, lower education, poverty,
implicit bias in care, and structural racism. Biological
differences do not explain disparities; systemic
