A nurse is educating a group of nursing students about factors that influence maternal and women's health outcomes. Which of the following factors most significantly impact maternal health in the United States?

A. Occupation: While a woman’s job may influence exposure to stress or hazards, it is not the most significant factor affecting maternal health. Its impact varies greatly and is often tied to broader issues like income and healthcare access. B. Level of education: Education can affect health literacy and decision-making, but it is not the strongest determinant of maternal health outcomes. Its effects are indirect and often mediated through other factors like healthcare access and socioeconomic status. C. Access to prenatal care: Timely and consistent prenatal care enables early detection and management of pregnancy complications, improving both maternal and fetal outcomes. Lack of access contributes to higher rates of morbidity and mortality, making it a key determinant in the U.S. D. Marital status: Marital status may influence emotional and financial support, but it does not consistently predict maternal health outcomes. Access to care and quality of services play a more direct role in determining maternal well-being.