MATERNAL NEWBORN NURSING CRITICAL
COMPONENTS OF NURSING CARE 4TH
EDITION CONNIE DURHAM, ROBERTA
CHAPMAN, LINDA MILLER UPDATED 2026
REAL EXAM QUESTIONS GRADED A+
,
,TABLE OF CONTENT
1. Trends and Issues
2. Ethics and Standards of Practice Issues
3. Genetics, Conception, Fetal Development, and Reproductive Technology
4. Physiological Aspects of Pregnancy
5. The Psycho-Social-Cultural Aspects of Pregnancy
6. Antepartal Tests
7. Complications of Pregnancy
8. Labor and Birth
9. Fetal Heart Rate Assessment
10. Complications of Labor and Birth
11. Intrapartum and Postpartum Care of the Cesarean Birth Families
12. Postpartum Physiological Assessments and Nursing Care
13. Transition to Parenthood
14. Postpartum Complications and Nursing Care
15. Nursing Care of the Neonate and Family
16. Newborn Nutrition
17. Complications of the Neonate and Nursing Care
18. Well Women’s Health
19. Alterations in Women’s Health
, CHAPTER 1: TRENDS AND ISSUES
Summary
This chapter explores current trends and issues influencing maternal-newborn nursing,
including health care delivery models, evidence-based practice, patient safety, quality
improvement, cultural competence, technology, and ethical care. Nurses must adapt to
evolving standards, advocate for women and families, apply research to practice, and ensure
safe, equitable, family-centered care across diverse populations and settings.
1. A nurse reviews current maternity care practices. Which trend most strongly supports
improved maternal-newborn outcomes?
A. Task-oriented nursing care
B. Evidence-based practice
C. Provider-centered decision-making
D. Limited use of technology
THE CORRECT ANSWER: B
Rationale: Evidence-based practice integrates research, clinical expertise, and patient
values to improve safety, quality, and outcomes. Other options limit quality or
patient-centered care.
2. Which factor has most contributed to shorter postpartum hospital stays?
A. Increased cesarean birth rates
B. Cost containment and reimbursement changes
C. Higher maternal complication rates
D. Reduced need for nursing care
THE CORRECT ANSWER: B
Rationale: Insurance reimbursement and cost containment drive earlier discharge,
requiring vigilant nursing assessment and education. Complications and care needs
have not decreased.
3. A nurse caring for a diverse population best demonstrates cultural competence by:
A. Treating all patients exactly the same
B. Avoiding discussion of cultural practices
C. Assessing individual beliefs and preferences