Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
• ISBN: 9780323776714
TEST BANK
,Question 1: Multiple Choice
A labor and delivery nurse is implementing evidence-based
strategies to improve maternal outcomes. Which intervention
best reflects a major advancement in 21st-century maternity
care?
A. Restricting support persons during labor for all patients
B. Encouraging routine episiotomy to shorten labor
C. Promoting delayed umbilical cord clamping for stable
newborns
D. Separating the newborn from the parent immediately after
birth
Correct Answer: C. Promoting delayed umbilical cord clamping
for stable newborns
Rationale
Delayed cord clamping improves neonatal iron stores and
reduces the risk of anemia in term and preterm infants.
Incorrect Options
• A: Continuous labor support improves maternal
satisfaction and outcomes.
• B: Routine episiotomy is no longer recommended.
• D: Immediate skin-to-skin contact is encouraged when
clinically appropriate.
,Nursing Process: Implementation
Clinical Judgment Competency: Take Action
Difficulty Level: Moderate
Bloom's Level: Apply
Question 2: Select All That Apply
A nurse is reviewing factors that contribute to maternal health
disparities. Which factors should the nurse identify? (Select all
that apply.)
A. Limited access to prenatal care
B. Implicit bias in healthcare settings
C. Health literacy challenges
D. Equal distribution of healthcare resources
E. Transportation barriers
Correct Answers: A, B, C, E
Rationale
Social determinants of health, including access barriers, implicit
bias, transportation limitations, and health literacy challenges,
contribute significantly to disparities in maternal outcomes.
Incorrect Option
• D: Healthcare resources are not distributed equally across
populations.
Nursing Process: Assessment
, Clinical Judgment Competency: Recognize Cues
Difficulty Level: Moderate
Bloom's Level: Analyze
Question 3: Multiple Choice
A nurse participates in a quality improvement initiative focused
on reducing severe maternal morbidity. Which outcome best
indicates success?
A. Reduced postpartum length of stay for all patients
B. Increased use of standardized hemorrhage protocols
C. Increased cesarean birth rates
D. Reduced prenatal education sessions
Correct Answer: B. Increased use of standardized hemorrhage
protocols
Rationale
Standardized protocols improve early recognition and
management of obstetric emergencies, reducing morbidity and
mortality.
Incorrect Options
• A: Length of stay alone is not an indicator of improved
outcomes.
• C: Higher cesarean rates do not necessarily improve
maternal outcomes.
7th Edition
• Author(s)Shannon Perry
• ISBN: 9780323776714
TEST BANK
,Question 1: Multiple Choice
A labor and delivery nurse is implementing evidence-based
strategies to improve maternal outcomes. Which intervention
best reflects a major advancement in 21st-century maternity
care?
A. Restricting support persons during labor for all patients
B. Encouraging routine episiotomy to shorten labor
C. Promoting delayed umbilical cord clamping for stable
newborns
D. Separating the newborn from the parent immediately after
birth
Correct Answer: C. Promoting delayed umbilical cord clamping
for stable newborns
Rationale
Delayed cord clamping improves neonatal iron stores and
reduces the risk of anemia in term and preterm infants.
Incorrect Options
• A: Continuous labor support improves maternal
satisfaction and outcomes.
• B: Routine episiotomy is no longer recommended.
• D: Immediate skin-to-skin contact is encouraged when
clinically appropriate.
,Nursing Process: Implementation
Clinical Judgment Competency: Take Action
Difficulty Level: Moderate
Bloom's Level: Apply
Question 2: Select All That Apply
A nurse is reviewing factors that contribute to maternal health
disparities. Which factors should the nurse identify? (Select all
that apply.)
A. Limited access to prenatal care
B. Implicit bias in healthcare settings
C. Health literacy challenges
D. Equal distribution of healthcare resources
E. Transportation barriers
Correct Answers: A, B, C, E
Rationale
Social determinants of health, including access barriers, implicit
bias, transportation limitations, and health literacy challenges,
contribute significantly to disparities in maternal outcomes.
Incorrect Option
• D: Healthcare resources are not distributed equally across
populations.
Nursing Process: Assessment
, Clinical Judgment Competency: Recognize Cues
Difficulty Level: Moderate
Bloom's Level: Analyze
Question 3: Multiple Choice
A nurse participates in a quality improvement initiative focused
on reducing severe maternal morbidity. Which outcome best
indicates success?
A. Reduced postpartum length of stay for all patients
B. Increased use of standardized hemorrhage protocols
C. Increased cesarean birth rates
D. Reduced prenatal education sessions
Correct Answer: B. Increased use of standardized hemorrhage
protocols
Rationale
Standardized protocols improve early recognition and
management of obstetric emergencies, reducing morbidity and
mortality.
Incorrect Options
• A: Length of stay alone is not an indicator of improved
outcomes.
• C: Higher cesarean rates do not necessarily improve
maternal outcomes.
