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
A nursing student is preparing a presentation on the historical
factors that most significantly reduced infant mortality in the
early 20th century. Which factor should be identified as the most
impactful?
A. Development of antibiotic medications
B. Implementation of public health sanitation measures
C. Discovery of vaccines for childhood illnesses
D. Establishment of the Nurse Family Partnership
Correct Answer: B
• Rationale for B: Historical data shows that improvements
in public sanitation, such as clean water supplies and
sewage treatment, led to the most dramatic initial decline in
, infant mortality by reducing diarrheal and infectious
diseases before the widespread use of antibiotics or
vaccines.
• Rationale for A: Antibiotics were developed later and
further reduced mortality, but the initial steep decline was
due to sanitation.
• Rationale for C: Vaccines were also critical but came after
public health measures.
• Rationale for D: This is a specific, modern program, not
the primary historical factor.
Teaching Point: Public health measures are the foundation
for reducing population-level mortality.
Citation: Ricci, S., Kyle, T., & Carman, S.
(2024). Maternity and Pediatric Nursing (5th ed.). Wolters
Kluwer. Chapter 1, The History of Child Health and Child
Health Care.
2. Chapter 1, Health Status of Women and Children
Which health indicator is considered a primary measure of a
nation's overall health status and the quality of its prenatal care?
A. Infant mortality rate
B. Maternal mortality rate
C. Child morbidity rate from asthma
D. Adolescent vaccination rate
Correct Answer: A
• Rationale for A: The infant mortality rate is a sensitive,
benchmark indicator of a country's overall health, reflecting
, the quality of prenatal care, maternal health, and
socioeconomic conditions.
• Rationale for B: Maternal mortality is a critical indicator
but is more specific to obstetric care.
• Rationale for C: Morbidity rates for specific conditions
like asthma are important but not the primary benchmark.
• Rationale for D: Vaccination rates measure preventive care
effectiveness but not overall health status.
Teaching Point: Infant mortality rate is a key population
health benchmark.
Citation: Ricci et al. (2024). Chapter 1, Health Status of
Women and Children: Mortality.
3. Chapter 1, Legal and Ethical Issues
A 16-year-old adolescent is admitted for a serious infection. She
is deemed cognitively able to understand her condition and
treatment options. The nurse recognizes that obtaining "assent"
from this patient involves which action?
A. Obtaining formal consent from her legal guardian before
explaining the procedure to her.
B. Providing a simplified explanation of the treatment and
checking for her willingness to participate.
C. Having two physicians certify that the treatment is in her best
interest without guardian consent.
D. Ensuring all communication is directed solely to the parent to
maintain legal protocol.
Correct Answer: B
, • Rationale for B: Assent is the process of involving a minor
who is old enough to understand in the decision-making
process, by explaining in developmentally appropriate
terms and respecting their agreement or disagreement.
• Rationale for A: This describes the legal requirement of
consent, which is separate from assent.
• Rationale for C: This describes a legal bypass for
emergencies or specific situations, not assent.
• Rationale for D: This excludes the child from the process,
which is the opposite of seeking assent.
Teaching Point: Assent respects the developing autonomy
of the pediatric patient.
Citation: Ricci et al. (2024). Chapter 1, Legal and Ethical
Issues: Assent.
4. Chapter 1, Evolution of Nursing Roles
The nurse on a pediatric unit functions as a child's advocate by
performing which primary role?
A. Administering medications accurately and on time.
B. Documenting the child's vital signs every four hours.
C. Explaining the child's needs and concerns to the healthcare
team and parents.
D. Ensuring the child's room is safe and free from hazards.
Correct Answer: C
• Rationale for C: Advocacy is a fundamental nursing role
that involves speaking up for the patient's needs and best
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
A nursing student is preparing a presentation on the historical
factors that most significantly reduced infant mortality in the
early 20th century. Which factor should be identified as the most
impactful?
A. Development of antibiotic medications
B. Implementation of public health sanitation measures
C. Discovery of vaccines for childhood illnesses
D. Establishment of the Nurse Family Partnership
Correct Answer: B
• Rationale for B: Historical data shows that improvements
in public sanitation, such as clean water supplies and
sewage treatment, led to the most dramatic initial decline in
, infant mortality by reducing diarrheal and infectious
diseases before the widespread use of antibiotics or
vaccines.
• Rationale for A: Antibiotics were developed later and
further reduced mortality, but the initial steep decline was
due to sanitation.
• Rationale for C: Vaccines were also critical but came after
public health measures.
• Rationale for D: This is a specific, modern program, not
the primary historical factor.
Teaching Point: Public health measures are the foundation
for reducing population-level mortality.
Citation: Ricci, S., Kyle, T., & Carman, S.
(2024). Maternity and Pediatric Nursing (5th ed.). Wolters
Kluwer. Chapter 1, The History of Child Health and Child
Health Care.
2. Chapter 1, Health Status of Women and Children
Which health indicator is considered a primary measure of a
nation's overall health status and the quality of its prenatal care?
A. Infant mortality rate
B. Maternal mortality rate
C. Child morbidity rate from asthma
D. Adolescent vaccination rate
Correct Answer: A
• Rationale for A: The infant mortality rate is a sensitive,
benchmark indicator of a country's overall health, reflecting
, the quality of prenatal care, maternal health, and
socioeconomic conditions.
• Rationale for B: Maternal mortality is a critical indicator
but is more specific to obstetric care.
• Rationale for C: Morbidity rates for specific conditions
like asthma are important but not the primary benchmark.
• Rationale for D: Vaccination rates measure preventive care
effectiveness but not overall health status.
Teaching Point: Infant mortality rate is a key population
health benchmark.
Citation: Ricci et al. (2024). Chapter 1, Health Status of
Women and Children: Mortality.
3. Chapter 1, Legal and Ethical Issues
A 16-year-old adolescent is admitted for a serious infection. She
is deemed cognitively able to understand her condition and
treatment options. The nurse recognizes that obtaining "assent"
from this patient involves which action?
A. Obtaining formal consent from her legal guardian before
explaining the procedure to her.
B. Providing a simplified explanation of the treatment and
checking for her willingness to participate.
C. Having two physicians certify that the treatment is in her best
interest without guardian consent.
D. Ensuring all communication is directed solely to the parent to
maintain legal protocol.
Correct Answer: B
, • Rationale for B: Assent is the process of involving a minor
who is old enough to understand in the decision-making
process, by explaining in developmentally appropriate
terms and respecting their agreement or disagreement.
• Rationale for A: This describes the legal requirement of
consent, which is separate from assent.
• Rationale for C: This describes a legal bypass for
emergencies or specific situations, not assent.
• Rationale for D: This excludes the child from the process,
which is the opposite of seeking assent.
Teaching Point: Assent respects the developing autonomy
of the pediatric patient.
Citation: Ricci et al. (2024). Chapter 1, Legal and Ethical
Issues: Assent.
4. Chapter 1, Evolution of Nursing Roles
The nurse on a pediatric unit functions as a child's advocate by
performing which primary role?
A. Administering medications accurately and on time.
B. Documenting the child's vital signs every four hours.
C. Explaining the child's needs and concerns to the healthcare
team and parents.
D. Ensuring the child's room is safe and free from hazards.
Correct Answer: C
• Rationale for C: Advocacy is a fundamental nursing role
that involves speaking up for the patient's needs and best
