Maternity and Pediatric Nursing
5th Edition
• Author(s)Susan Scott Ricci; Terri Kyle; Susan Carman
• PublisherPublished by Wolters Kluwer Health Copyright©
2025
• Print ISBN: 9781975220419
TEST BANK
Chapter 1: The History of Maternal and
Newborn Health and Health Care
Chapter 1, Section: The History of Maternal and Newborn
Health and Health Care
A nursing student is preparing a presentation on the historical
impact of the Sheppard-Towner Act of 1921. Which outcome
should the student highlight as the most significant direct result
of this legislation?
A. Establishment of the first intensive care nurseries for
premature infants.
B. Mandatory licensure and formal education for all midwives.
C. A significant reduction in maternal mortality rates through
federal funding for prenatal and child health centers.
D. Creation of the Title V program, which provided grants for
states to develop maternal and child health services.
,Correct Answer: C
Rationales:
• Correct Answer C: The Sheppard-Towner Act (1921-
1929) was the first major federal investment in the health of
women and children. It provided matching funds to states
to establish prenatal and child health centers, leading
directly to a documented decline in maternal and infant
mortality by providing education and access to care.
• Incorrect Answer A: Neonatal intensive care units
developed much later, in the 1960s, with advances in
technology.
• Incorrect Answer B: The act focused on providing
services, not on the licensure of midwives.
• Incorrect Answer D: The Title V program was created
under the Social Security Act of 1935, which was
influenced by the success of Sheppard-Towner but was a
separate, later piece of legislation.
Teaching Point: Sheppard-Towner was the pioneering
federal program that proved preventive care reduces
maternal/infant mortality.
Citation: Ricci, S., Kyle, T., & Carman, S.
(2021). Maternity and Pediatric Nursing (5th ed.). Wolters
Kluwer. Chapter 1, The History of Maternal and Newborn
Health and Health Care.
Question 2
Chapter 1, Section: Evolution of Pediatric Nursing
A pediatric nurse is mentoring a new graduate. The nurse
,emphasizes that a core concept distinguishing modern pediatric
nursing from earlier practices is:
A. The primary focus on curing acute infectious diseases in a
hospital setting.
B. The application of family-centered care, viewing the child
within the context of their family and community.
C. The specialization of nurses to care only for specific age
groups, such as neonates or adolescents.
D. The delegation of most direct patient care to licensed
practical nurses and nursing assistants.
Correct Answer: B
Rationales:
• Correct Answer B: The evolution of pediatric nursing has
shifted from a disease-centered model to a holistic, family-
centered approach. This philosophy recognizes that the
health and well-being of the child are inextricably linked to
the family system.
• Incorrect Answer A: This describes a historical, hospital-
centric model from the early 20th century, not the modern
comprehensive approach.
• Incorrect Answer C: While specialization exists, it is not
the defining core concept of the entire field.
• Incorrect Answer D: Delegation is a skill, but it does not
define the philosophical basis of pediatric nursing.
Teaching Point: Modern pediatric nursing is defined by
family-centered care, not just treating illness.
Citation: Ricci, Kyle, Carman (2021). Chapter 1,
Evolution of Pediatric Nursing.
, Question 3
Chapter 1, Section: Mortality
A public health nurse is analyzing community data to prioritize
interventions. According to current national health goals, which
measure is the most sensitive indicator of a community's overall
health status?
A. Maternal mortality ratio
B. Infant mortality rate
C. Childhood obesity prevalence
D. Adolescent suicide rate
Correct Answer: B
Rationales:
• Correct Answer B: The infant mortality rate (number of
deaths in the first year of life per 1,000 live births) is a
widely accepted key indicator of a nation's or community's
overall health because it reflects the quality of prenatal
care, maternal health, socioeconomic conditions, and public
health initiatives.
• Incorrect Answer A: While critically important, maternal
mortality is a rarer event and thus a less common overall
population health indicator than infant mortality.
• Incorrect Answer C & D: These are important morbidity
indicators for specific age groups but are not the primary
overall population health indicator.
Teaching Point: Infant mortality rate is the most sensitive
barometer of a population's health.
Citation: Ricci, Kyle, Carman (2021). Chapter 1,
Mortality.
5th Edition
• Author(s)Susan Scott Ricci; Terri Kyle; Susan Carman
• PublisherPublished by Wolters Kluwer Health Copyright©
2025
• Print ISBN: 9781975220419
TEST BANK
Chapter 1: The History of Maternal and
Newborn Health and Health Care
Chapter 1, Section: The History of Maternal and Newborn
Health and Health Care
A nursing student is preparing a presentation on the historical
impact of the Sheppard-Towner Act of 1921. Which outcome
should the student highlight as the most significant direct result
of this legislation?
A. Establishment of the first intensive care nurseries for
premature infants.
B. Mandatory licensure and formal education for all midwives.
C. A significant reduction in maternal mortality rates through
federal funding for prenatal and child health centers.
D. Creation of the Title V program, which provided grants for
states to develop maternal and child health services.
,Correct Answer: C
Rationales:
• Correct Answer C: The Sheppard-Towner Act (1921-
1929) was the first major federal investment in the health of
women and children. It provided matching funds to states
to establish prenatal and child health centers, leading
directly to a documented decline in maternal and infant
mortality by providing education and access to care.
• Incorrect Answer A: Neonatal intensive care units
developed much later, in the 1960s, with advances in
technology.
• Incorrect Answer B: The act focused on providing
services, not on the licensure of midwives.
• Incorrect Answer D: The Title V program was created
under the Social Security Act of 1935, which was
influenced by the success of Sheppard-Towner but was a
separate, later piece of legislation.
Teaching Point: Sheppard-Towner was the pioneering
federal program that proved preventive care reduces
maternal/infant mortality.
Citation: Ricci, S., Kyle, T., & Carman, S.
(2021). Maternity and Pediatric Nursing (5th ed.). Wolters
Kluwer. Chapter 1, The History of Maternal and Newborn
Health and Health Care.
Question 2
Chapter 1, Section: Evolution of Pediatric Nursing
A pediatric nurse is mentoring a new graduate. The nurse
,emphasizes that a core concept distinguishing modern pediatric
nursing from earlier practices is:
A. The primary focus on curing acute infectious diseases in a
hospital setting.
B. The application of family-centered care, viewing the child
within the context of their family and community.
C. The specialization of nurses to care only for specific age
groups, such as neonates or adolescents.
D. The delegation of most direct patient care to licensed
practical nurses and nursing assistants.
Correct Answer: B
Rationales:
• Correct Answer B: The evolution of pediatric nursing has
shifted from a disease-centered model to a holistic, family-
centered approach. This philosophy recognizes that the
health and well-being of the child are inextricably linked to
the family system.
• Incorrect Answer A: This describes a historical, hospital-
centric model from the early 20th century, not the modern
comprehensive approach.
• Incorrect Answer C: While specialization exists, it is not
the defining core concept of the entire field.
• Incorrect Answer D: Delegation is a skill, but it does not
define the philosophical basis of pediatric nursing.
Teaching Point: Modern pediatric nursing is defined by
family-centered care, not just treating illness.
Citation: Ricci, Kyle, Carman (2021). Chapter 1,
Evolution of Pediatric Nursing.
, Question 3
Chapter 1, Section: Mortality
A public health nurse is analyzing community data to prioritize
interventions. According to current national health goals, which
measure is the most sensitive indicator of a community's overall
health status?
A. Maternal mortality ratio
B. Infant mortality rate
C. Childhood obesity prevalence
D. Adolescent suicide rate
Correct Answer: B
Rationales:
• Correct Answer B: The infant mortality rate (number of
deaths in the first year of life per 1,000 live births) is a
widely accepted key indicator of a nation's or community's
overall health because it reflects the quality of prenatal
care, maternal health, socioeconomic conditions, and public
health initiatives.
• Incorrect Answer A: While critically important, maternal
mortality is a rarer event and thus a less common overall
population health indicator than infant mortality.
• Incorrect Answer C & D: These are important morbidity
indicators for specific age groups but are not the primary
overall population health indicator.
Teaching Point: Infant mortality rate is the most sensitive
barometer of a population's health.
Citation: Ricci, Kyle, Carman (2021). Chapter 1,
Mortality.
