MATERNITY AND PEDIATRIC NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
Thought for 4s
1. Reference: Ch. 1 — Perspectives on Maternal and Child
Health Care — Historical Development
Question Stem: A nursing instructor asks a student to
identify a major reason maternal and child health outcomes
improved over time. The student is reviewing historical
trends in care and notes that more births now occur in
health care facilities rather than at home. Which
development most directly contributed to safer outcomes for
mothers and newborns?
Options:
A. Reduced need for family participation in childbirth
B. Increased availability of skilled obstetric and neonatal care
, C. Elimination of all pregnancy-related complications
D. Replacement of nursing care with self-care teaching
Correct Answer: B
Rationale:
Correct Answer: Skilled obstetric and neonatal care
reduced mortality by allowing earlier recognition and
treatment of complications during labor, delivery, and the
immediate newborn period. Access to monitoring, sterile
technique, and emergency intervention is a core reason
outcomes improved.
A: Family participation is beneficial, but it did not drive
the major reduction in maternal-newborn mortality.
C: Complications still occur; safer care reduces risk but
does not eliminate it.
D: Nursing care remains essential; it was not replaced
by self-care teaching.
Teaching Point: Access to skilled perinatal care lowers
maternal and newborn mortality.
Citation: Maternity and Pediatric Nursing. (5th ed.). Ch. 1
— Historical Development.
2. Reference: Ch. 1 — Perspectives on Maternal and Child
Health Care — Health Status of Women and Children
Question Stem: A community health nurse reviews data
showing a rise in infant deaths in a rural county. The nurse
plans an intervention targeting the most common
preventable contributors to poor maternal-child outcomes.
Which action is the priority?
Options:
A. Increase access to prenatal and well-child care
B. Recommend that families delay childbearing until age 35
, C. Focus only on treatment after the infant becomes ill
D. Limit care to hospital-based services after delivery
Correct Answer: A
Rationale:
Correct Answer: Prenatal and well-child care identify
risk factors early, support healthy pregnancy, and improve
infant outcomes through vaccination, feeding support, and
developmental surveillance. Prevention is the most effective
population-level strategy.
B: Age counseling alone will not address access,
transportation, nutrition, or chronic disease risk.
C: Waiting until illness occurs increases complications
and mortality.
D: Maternal-child health depends on continuity across
pregnancy, birth, and infancy, not only hospital care.
Teaching Point: Early prenatal and pediatric care improves
population health outcomes.
Citation: Maternity and Pediatric Nursing. (5th ed.). Ch. 1
— Health Status of Women and Children.
3. Reference: Ch. 1 — Legal and Ethical Issues — Informed
Consent
Question Stem: A pregnant client is scheduled for an
urgent external cephalic version. Before the procedure, the
client says, “I signed the paper already, so the nurse can
explain the rest.” Which response by the nurse is most
appropriate?
Options:
A. “Signing the form means the procedure is fully explained.”
B. “The provider must explain the procedure, risks, and
alternatives.”
, C. “The nurse can explain everything except possible
complications.”
D. “Consent is not needed if the procedure is urgent.”
Correct Answer: B
Rationale:
Correct Answer: Informed consent requires that the
provider explain the nature of the procedure, risks, benefits,
alternatives, and consequences of refusal. The nurse verifies
understanding and witnesses the signature, but does not
replace the provider’s legal obligation.
A: A signature alone does not establish informed
consent.
C: The nurse can reinforce teaching, but the provider
must give the full procedural explanation.
D: Urgency does not automatically remove the need for
informed consent unless a true emergency and legal criteria
apply.
Teaching Point: Nurses verify consent; providers explain
procedures and alternatives.
Citation: Maternity and Pediatric Nursing. (5th ed.). Ch. 1
— Informed Consent.
4. Reference: Ch. 1 — Legal and Ethical Issues — Assent
Question Stem: A 13-year-old with severe anemia is
scheduled for a blood transfusion. The parent has signed the
consent form, and the child says, “I do not want this.” Which
action should the nurse take first?
Options:
A. Proceed because the parent already consented
B. Document the child’s refusal and notify the provider
C. Tell the child that minors cannot participate in decisions
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
Thought for 4s
1. Reference: Ch. 1 — Perspectives on Maternal and Child
Health Care — Historical Development
Question Stem: A nursing instructor asks a student to
identify a major reason maternal and child health outcomes
improved over time. The student is reviewing historical
trends in care and notes that more births now occur in
health care facilities rather than at home. Which
development most directly contributed to safer outcomes for
mothers and newborns?
Options:
A. Reduced need for family participation in childbirth
B. Increased availability of skilled obstetric and neonatal care
, C. Elimination of all pregnancy-related complications
D. Replacement of nursing care with self-care teaching
Correct Answer: B
Rationale:
Correct Answer: Skilled obstetric and neonatal care
reduced mortality by allowing earlier recognition and
treatment of complications during labor, delivery, and the
immediate newborn period. Access to monitoring, sterile
technique, and emergency intervention is a core reason
outcomes improved.
A: Family participation is beneficial, but it did not drive
the major reduction in maternal-newborn mortality.
C: Complications still occur; safer care reduces risk but
does not eliminate it.
D: Nursing care remains essential; it was not replaced
by self-care teaching.
Teaching Point: Access to skilled perinatal care lowers
maternal and newborn mortality.
Citation: Maternity and Pediatric Nursing. (5th ed.). Ch. 1
— Historical Development.
2. Reference: Ch. 1 — Perspectives on Maternal and Child
Health Care — Health Status of Women and Children
Question Stem: A community health nurse reviews data
showing a rise in infant deaths in a rural county. The nurse
plans an intervention targeting the most common
preventable contributors to poor maternal-child outcomes.
Which action is the priority?
Options:
A. Increase access to prenatal and well-child care
B. Recommend that families delay childbearing until age 35
, C. Focus only on treatment after the infant becomes ill
D. Limit care to hospital-based services after delivery
Correct Answer: A
Rationale:
Correct Answer: Prenatal and well-child care identify
risk factors early, support healthy pregnancy, and improve
infant outcomes through vaccination, feeding support, and
developmental surveillance. Prevention is the most effective
population-level strategy.
B: Age counseling alone will not address access,
transportation, nutrition, or chronic disease risk.
C: Waiting until illness occurs increases complications
and mortality.
D: Maternal-child health depends on continuity across
pregnancy, birth, and infancy, not only hospital care.
Teaching Point: Early prenatal and pediatric care improves
population health outcomes.
Citation: Maternity and Pediatric Nursing. (5th ed.). Ch. 1
— Health Status of Women and Children.
3. Reference: Ch. 1 — Legal and Ethical Issues — Informed
Consent
Question Stem: A pregnant client is scheduled for an
urgent external cephalic version. Before the procedure, the
client says, “I signed the paper already, so the nurse can
explain the rest.” Which response by the nurse is most
appropriate?
Options:
A. “Signing the form means the procedure is fully explained.”
B. “The provider must explain the procedure, risks, and
alternatives.”
, C. “The nurse can explain everything except possible
complications.”
D. “Consent is not needed if the procedure is urgent.”
Correct Answer: B
Rationale:
Correct Answer: Informed consent requires that the
provider explain the nature of the procedure, risks, benefits,
alternatives, and consequences of refusal. The nurse verifies
understanding and witnesses the signature, but does not
replace the provider’s legal obligation.
A: A signature alone does not establish informed
consent.
C: The nurse can reinforce teaching, but the provider
must give the full procedural explanation.
D: Urgency does not automatically remove the need for
informed consent unless a true emergency and legal criteria
apply.
Teaching Point: Nurses verify consent; providers explain
procedures and alternatives.
Citation: Maternity and Pediatric Nursing. (5th ed.). Ch. 1
— Informed Consent.
4. Reference: Ch. 1 — Legal and Ethical Issues — Assent
Question Stem: A 13-year-old with severe anemia is
scheduled for a blood transfusion. The parent has signed the
consent form, and the child says, “I do not want this.” Which
action should the nurse take first?
Options:
A. Proceed because the parent already consented
B. Document the child’s refusal and notify the provider
C. Tell the child that minors cannot participate in decisions
