MATERNAL CHILD NURSING CARE
7TH EDITION
AUTHOR(S)SHANNON PERRY
TEST BANK
• Reference: 21st-Century Maternity Nursing — Identifying
Barriers to Care
Stem: A pregnant client at 18 weeks’ gestation says, “I
know I should come to prenatal visits, but I missed my last
two appointments.” She reports working two jobs, no car,
and difficulty paying for medications. What is the nurse’s
priority action?
Options:
A. Teach the client the schedule for routine prenatal
laboratory tests
B. Assess for transportation, financial, and childcare
barriers to care
, C. Explain that missed visits increase the risk for fetal
complications
D. Encourage the client to rest more and reduce work
hours
Correct Answer: B. Assess for transportation, financial,
and childcare barriers to care
Rationale:
Correct: The nurse must first identify the specific social
and practical barriers contributing to poor prenatal follow-
up. This supports equitable care and guides referral to
resources that improve access and outcomes.
Incorrect A: Teaching is useful, but it does not address
why the client is missing care. The immediate priority is to
assess barriers.
Incorrect C: Education alone may increase anxiety without
improving attendance. The nurse should first determine
what is preventing access.
Incorrect D: Advising the client to reduce work hours may
be unrealistic and does not address the access problem.
Teaching Point: Assess barriers first to improve access
and reduce maternal–fetal risk.
Citation: Perry, S. (2023). Maternal Child Nursing Care
(7th ed.). 21st-century maternity nursing.
• Reference: 21st-Century Maternity Nursing — Evidence-
Based Practice
, Stem: A labor unit nurse notices that staff members use
several different methods for neonatal thermoregulation
after birth. The nurse manager asks what action best
supports contemporary maternity nursing practice. What
should the nurse recommend?
Options:
A. Continue individual practice styles to preserve clinical
autonomy
B. Use the method that is fastest for the staff member
C. Standardize care using evidence-based guidelines
D. Delay any change until a physician orders a new policy
Correct Answer: C. Standardize care using evidence-
based guidelines
Rationale:
Correct: Contemporary maternity nursing emphasizes
evidence-based practice to improve outcomes,
consistency, and safety. Standardized care reduces
variation and helps ensure best practices are used for
mothers and newborns.
Incorrect A: Individual practice styles can increase
inconsistency and error. Evidence-based standardization is
safer.
Incorrect B: Speed alone is not the best measure of
quality. Nursing care should be effective and evidence-
based.
, Incorrect D: Nurses can advocate for practice changes
through evidence-based review and quality improvement,
even before a physician order.
Teaching Point: Evidence-based standardization improves
safety and consistency of maternity care.
Citation: Perry, S. (2023). Maternal Child Nursing Care
(7th ed.). 21st-century maternity nursing.
• Reference: 21st-Century Maternity Nursing — Cultural
Humility and Respectful Care
Stem: A postpartum client declines a bath and says her
family tradition requires specific cleansing rituals before
she can bathe or breastfeed. The nurse wants to support
care while respecting the client’s values. What is the best
nursing response?
Options:
A. Explain that hospital routines must be followed for all
clients
B. Ask the client to describe the ritual and how care can
be adapted safely
C. Tell the client the ritual is not medically necessary
D. Document refusal and provide no further discussion
Correct Answer: B. Ask the client to describe the ritual
and how care can be adapted safely
Rationale:
Correct: Contemporary maternity nursing includes
7TH EDITION
AUTHOR(S)SHANNON PERRY
TEST BANK
• Reference: 21st-Century Maternity Nursing — Identifying
Barriers to Care
Stem: A pregnant client at 18 weeks’ gestation says, “I
know I should come to prenatal visits, but I missed my last
two appointments.” She reports working two jobs, no car,
and difficulty paying for medications. What is the nurse’s
priority action?
Options:
A. Teach the client the schedule for routine prenatal
laboratory tests
B. Assess for transportation, financial, and childcare
barriers to care
, C. Explain that missed visits increase the risk for fetal
complications
D. Encourage the client to rest more and reduce work
hours
Correct Answer: B. Assess for transportation, financial,
and childcare barriers to care
Rationale:
Correct: The nurse must first identify the specific social
and practical barriers contributing to poor prenatal follow-
up. This supports equitable care and guides referral to
resources that improve access and outcomes.
Incorrect A: Teaching is useful, but it does not address
why the client is missing care. The immediate priority is to
assess barriers.
Incorrect C: Education alone may increase anxiety without
improving attendance. The nurse should first determine
what is preventing access.
Incorrect D: Advising the client to reduce work hours may
be unrealistic and does not address the access problem.
Teaching Point: Assess barriers first to improve access
and reduce maternal–fetal risk.
Citation: Perry, S. (2023). Maternal Child Nursing Care
(7th ed.). 21st-century maternity nursing.
• Reference: 21st-Century Maternity Nursing — Evidence-
Based Practice
, Stem: A labor unit nurse notices that staff members use
several different methods for neonatal thermoregulation
after birth. The nurse manager asks what action best
supports contemporary maternity nursing practice. What
should the nurse recommend?
Options:
A. Continue individual practice styles to preserve clinical
autonomy
B. Use the method that is fastest for the staff member
C. Standardize care using evidence-based guidelines
D. Delay any change until a physician orders a new policy
Correct Answer: C. Standardize care using evidence-
based guidelines
Rationale:
Correct: Contemporary maternity nursing emphasizes
evidence-based practice to improve outcomes,
consistency, and safety. Standardized care reduces
variation and helps ensure best practices are used for
mothers and newborns.
Incorrect A: Individual practice styles can increase
inconsistency and error. Evidence-based standardization is
safer.
Incorrect B: Speed alone is not the best measure of
quality. Nursing care should be effective and evidence-
based.
, Incorrect D: Nurses can advocate for practice changes
through evidence-based review and quality improvement,
even before a physician order.
Teaching Point: Evidence-based standardization improves
safety and consistency of maternity care.
Citation: Perry, S. (2023). Maternal Child Nursing Care
(7th ed.). 21st-century maternity nursing.
• Reference: 21st-Century Maternity Nursing — Cultural
Humility and Respectful Care
Stem: A postpartum client declines a bath and says her
family tradition requires specific cleansing rituals before
she can bathe or breastfeed. The nurse wants to support
care while respecting the client’s values. What is the best
nursing response?
Options:
A. Explain that hospital routines must be followed for all
clients
B. Ask the client to describe the ritual and how care can
be adapted safely
C. Tell the client the ritual is not medically necessary
D. Document refusal and provide no further discussion
Correct Answer: B. Ask the client to describe the ritual
and how care can be adapted safely
Rationale:
Correct: Contemporary maternity nursing includes
