MATERNAL CHILD NURSING CARE
7TH EDITION
AUTHOR(S)SHANNON PERRY
TEST BANK
Reference
21st-Century Maternity Nursing — Health Disparities and
Maternal Safety
Clinical Stem
A postpartum client is discharged 12 hours after an
uncomplicated vaginal birth. Before leaving, she says she has
no primary care provider, worries about transportation, and
lives far from the hospital. Her blood pressure is slightly
elevated, and she asks when she should return for follow-up.
Which nursing action is the priority?
,Options
A. Tell the client to call the unit if she develops severe pain
B. Arrange an early follow-up plan and assess barriers to
accessing care
C. Reassure the client that routine postpartum follow-up in 6
weeks is sufficient
D. Encourage the client to rest and increase fluid intake at
home
Correct Answer
B. Arrange an early follow-up plan and assess barriers to
accessing care
Rationale — Correct Answer
This client has clear access-to-care barriers that can contribute
to poor postpartum outcomes. The nurse should prioritize
discharge planning that addresses follow-up, transportation,
and continuity of care, especially with an elevated blood
pressure. This reflects modern maternity nursing focused on
reducing disparities and improving safety.
Rationale — Incorrect Options
A. This is too nonspecific and does not address the client’s
immediate follow-up needs.
C. Six-week follow-up alone is not appropriate when warning
signs and access barriers are present.
,D. Rest and fluids are helpful, but they do not solve the priority
problem of delayed care.
Teaching Point
Postpartum safety begins with timely follow-up and removing
barriers to care.
Citation
Perry, S. (2023). Maternal Child Nursing Care (7th ed.). 21st-
Century Maternity Nursing: Efforts to Reduce Health
Disparities.
Reference
21st-Century Maternity Nursing — Culturally Responsive Care
Clinical Stem
A pregnant client declines a recommended screening test and
states, “In my family, we do not do those procedures unless we
are very sick.” The nurse notes that the client appears anxious
and avoids eye contact. What is the best nursing response?
Options
A. Explain that refusal may harm the fetus and require
documentation of noncompliance
B. Ask the client to explain her beliefs and explore concerns
without judgment
C. Tell the client that modern pregnancy care requires
, following all routine tests
D. Ask the provider to speak with the client immediately
Correct Answer
B. Ask the client to explain her beliefs and explore concerns
without judgment
Rationale — Correct Answer
The nurse should use culturally humble communication and
invite the client to share beliefs, concerns, and decision-making
preferences. This promotes trust, supports informed choice,
and helps the nurse provide individualized education.
Contemporary maternity nursing emphasizes respect,
partnership, and reduced bias.
Rationale — Incorrect Options
A. This approach is coercive and may damage therapeutic
rapport.
C. It dismisses the client’s values and undermines shared
decision-making.
D. Provider involvement may be appropriate later, but the
nurse should first assess the client’s perspective.
Teaching Point
Curiosity and respect build trust when beliefs shape
maternity decisions.
7TH EDITION
AUTHOR(S)SHANNON PERRY
TEST BANK
Reference
21st-Century Maternity Nursing — Health Disparities and
Maternal Safety
Clinical Stem
A postpartum client is discharged 12 hours after an
uncomplicated vaginal birth. Before leaving, she says she has
no primary care provider, worries about transportation, and
lives far from the hospital. Her blood pressure is slightly
elevated, and she asks when she should return for follow-up.
Which nursing action is the priority?
,Options
A. Tell the client to call the unit if she develops severe pain
B. Arrange an early follow-up plan and assess barriers to
accessing care
C. Reassure the client that routine postpartum follow-up in 6
weeks is sufficient
D. Encourage the client to rest and increase fluid intake at
home
Correct Answer
B. Arrange an early follow-up plan and assess barriers to
accessing care
Rationale — Correct Answer
This client has clear access-to-care barriers that can contribute
to poor postpartum outcomes. The nurse should prioritize
discharge planning that addresses follow-up, transportation,
and continuity of care, especially with an elevated blood
pressure. This reflects modern maternity nursing focused on
reducing disparities and improving safety.
Rationale — Incorrect Options
A. This is too nonspecific and does not address the client’s
immediate follow-up needs.
C. Six-week follow-up alone is not appropriate when warning
signs and access barriers are present.
,D. Rest and fluids are helpful, but they do not solve the priority
problem of delayed care.
Teaching Point
Postpartum safety begins with timely follow-up and removing
barriers to care.
Citation
Perry, S. (2023). Maternal Child Nursing Care (7th ed.). 21st-
Century Maternity Nursing: Efforts to Reduce Health
Disparities.
Reference
21st-Century Maternity Nursing — Culturally Responsive Care
Clinical Stem
A pregnant client declines a recommended screening test and
states, “In my family, we do not do those procedures unless we
are very sick.” The nurse notes that the client appears anxious
and avoids eye contact. What is the best nursing response?
Options
A. Explain that refusal may harm the fetus and require
documentation of noncompliance
B. Ask the client to explain her beliefs and explore concerns
without judgment
C. Tell the client that modern pregnancy care requires
, following all routine tests
D. Ask the provider to speak with the client immediately
Correct Answer
B. Ask the client to explain her beliefs and explore concerns
without judgment
Rationale — Correct Answer
The nurse should use culturally humble communication and
invite the client to share beliefs, concerns, and decision-making
preferences. This promotes trust, supports informed choice,
and helps the nurse provide individualized education.
Contemporary maternity nursing emphasizes respect,
partnership, and reduced bias.
Rationale — Incorrect Options
A. This approach is coercive and may damage therapeutic
rapport.
C. It dismisses the client’s values and undermines shared
decision-making.
D. Provider involvement may be appropriate later, but the
nurse should first assess the client’s perspective.
Teaching Point
Curiosity and respect build trust when beliefs shape
maternity decisions.
