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
1. Chapter 1, Introduction
Stem: A new graduate nurse preparing for a maternal–
child unit orientation asks which principle best
explains why maternal and child health care
emphasizes family-centered care. Which statement
most accurately reflects that principle?
A. Care focuses primarily on the infant’s physiological
needs, with family involvement optional.
B. Family-centered care recognizes the family as the
constant and partners with them in decision making.
C. Providers make decisions for the family to ensure
safety and efficiency.
, D. Family-centered care limits family presence to
protect patient privacy.
Correct Answer: B
Rationales:
• Correct answer: Family-centered care is built on the
concept that the family is the constant in a child’s life
and should be engaged as partners in care,
promoting collaboration, respect, and shared
decision making. (2 sentences)
• A: Incorrect — while infant physiology is crucial,
family-centered care intentionally integrates family
needs and roles rather than treating family
involvement as optional.
• C: Incorrect — paternalistic decision making
contradicts family-centered philosophy and can
undermine trust and outcomes.
• D: Incorrect — family presence is generally
supported, not restricted, except when necessary for
safety or privacy concerns.
Teaching Point: Family-centered care partners with
families as constant supports in care.
Citation: Ricci, Kyle, & Carman. Maternity & Pediatric
, Nursing, 5th ed., Chapter 1: Introduction / Family-
centered care section.
2. Chapter 1, Historical Development
Stem: A clinical instructor asks students why the
historical shift from home births to hospital births in
the early 20th century affected maternal–newborn
nursing practice. Which statement best describes
that effect?
A. It decreased the need for trained nurses because
physicians handled all births.
B. It transformed nursing roles toward institutional
skills, technology use, and collaborative care.
C. It eliminated cultural influences on childbirth
practices.
D. It reduced maternal mortality immediately and
uniformly across all populations.
Correct Answer: B
Rationales:
• Correct answer: The movement of births into
hospitals required nurses to develop institutional
competencies, manage technology, and function in
, interprofessional teams, shifting practice from home-
based care to acute care settings.
• A: Incorrect — the need for trained nurses increased
as hospitals required skilled nursing to manage more
complex, technology-driven care.
• C: Incorrect — cultural influences persisted though
they were sometimes marginalized in institutional
settings.
• D: Incorrect — while hospital births contributed to
improvements, reductions in maternal mortality
were gradual and unequal across populations.
Teaching Point: Hospitalization of childbirth expanded
nurses’ institutional and technological roles.
Citation: Ricci, Kyle, & Carman. Maternity & Pediatric
Nursing, 5th ed., Chapter 1: Historical Development.
3. Chapter 1, The History of Maternal and Newborn
Health and Health Care
Stem: A public health nurse prepares a community talk
on historical drivers of maternal mortality reduction.
Which factor should be emphasized as most
influential across the 20th century?
5th Edition
• Author(s)Susan Scott Ricci; Terri Kyle; Susan Carman
• PublisherPublished by Wolters Kluwer Health Copyright©
2025
• Print ISBN: 9781975220419
TEST BANK
1. Chapter 1, Introduction
Stem: A new graduate nurse preparing for a maternal–
child unit orientation asks which principle best
explains why maternal and child health care
emphasizes family-centered care. Which statement
most accurately reflects that principle?
A. Care focuses primarily on the infant’s physiological
needs, with family involvement optional.
B. Family-centered care recognizes the family as the
constant and partners with them in decision making.
C. Providers make decisions for the family to ensure
safety and efficiency.
, D. Family-centered care limits family presence to
protect patient privacy.
Correct Answer: B
Rationales:
• Correct answer: Family-centered care is built on the
concept that the family is the constant in a child’s life
and should be engaged as partners in care,
promoting collaboration, respect, and shared
decision making. (2 sentences)
• A: Incorrect — while infant physiology is crucial,
family-centered care intentionally integrates family
needs and roles rather than treating family
involvement as optional.
• C: Incorrect — paternalistic decision making
contradicts family-centered philosophy and can
undermine trust and outcomes.
• D: Incorrect — family presence is generally
supported, not restricted, except when necessary for
safety or privacy concerns.
Teaching Point: Family-centered care partners with
families as constant supports in care.
Citation: Ricci, Kyle, & Carman. Maternity & Pediatric
, Nursing, 5th ed., Chapter 1: Introduction / Family-
centered care section.
2. Chapter 1, Historical Development
Stem: A clinical instructor asks students why the
historical shift from home births to hospital births in
the early 20th century affected maternal–newborn
nursing practice. Which statement best describes
that effect?
A. It decreased the need for trained nurses because
physicians handled all births.
B. It transformed nursing roles toward institutional
skills, technology use, and collaborative care.
C. It eliminated cultural influences on childbirth
practices.
D. It reduced maternal mortality immediately and
uniformly across all populations.
Correct Answer: B
Rationales:
• Correct answer: The movement of births into
hospitals required nurses to develop institutional
competencies, manage technology, and function in
, interprofessional teams, shifting practice from home-
based care to acute care settings.
• A: Incorrect — the need for trained nurses increased
as hospitals required skilled nursing to manage more
complex, technology-driven care.
• C: Incorrect — cultural influences persisted though
they were sometimes marginalized in institutional
settings.
• D: Incorrect — while hospital births contributed to
improvements, reductions in maternal mortality
were gradual and unequal across populations.
Teaching Point: Hospitalization of childbirth expanded
nurses’ institutional and technological roles.
Citation: Ricci, Kyle, & Carman. Maternity & Pediatric
Nursing, 5th ed., Chapter 1: Historical Development.
3. Chapter 1, The History of Maternal and Newborn
Health and Health Care
Stem: A public health nurse prepares a community talk
on historical drivers of maternal mortality reduction.
Which factor should be emphasized as most
influential across the 20th century?
