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, Introduction
Stem: A public health nurse is describing the goals of
maternal and child health (MCH) programs to a
community group. Which statement best reflects the
primary focus of contemporary MCH initiatives?
A. Reducing costs of childbirth by promoting home
births.
B. Improving health outcomes for mothers and
children through prevention and access to care.
C. Restricting reproductive services to minimize
population growth.
, D. Prioritizing specialty hospital services over
community-based programs.
Correct Answer: B
Rationales:
Correct (B): Contemporary MCH emphasizes
prevention, health promotion, and access to services
to improve maternal and child outcomes. This focus
is central to public health strategies in MCH.
A: Promoting home births may be appropriate in some
contexts but is not the central objective of MCH
programs.
C: Restricting reproductive services is inconsistent with
public-health-based MCH goals of access and choice.
D: While specialty services are important, MCH
prioritizes community-based prevention and access
alongside higher-level care.
Teaching Point: MCH programs emphasize prevention
and access to improve outcomes.
Citation: Chapter 1, Introduction — Perspectives on
Maternal and Child Health Care.
,Chapter 1, Historical Development
Stem: When teaching students about the historical
development of maternal-child health care, which
milestone is most responsible for the modern
specialization of obstetric and pediatric nursing?
A. The advent of antiseptic techniques in the 19th
century.
B. The discovery of penicillin in the 20th century.
C. The establishment of formal training programs
and specialized hospital units.
D. The widespread use of herbal remedies in
community care.
Correct Answer: C
Rationales:
Correct (C): Formal training programs and specialized
hospital units established obstetric and pediatric
nursing as distinct specialties.
A: Antiseptic techniques improved outcomes but did
not by themselves create specialty nursing
education.
B: Antibiotics improved treatment but were not the
primary driver of specialty formation.
, D: Herbal remedies did not formalize specialty nursing
practice.
Teaching Point: Specialization followed formal training
and dedicated hospital units.
Citation: Chapter 1, Historical Development.
Chapter 1, The History of Maternal and Newborn
Health and Health Care
Stem: A student asks why maternal mortality
dramatically declined in the early 20th century.
Which historical factor best explains this change?
A. Increased popularity of home births.
B. Improved sanitation, prenatal care, and trained
birth attendants.
C. Elimination of obstetric hemorrhage as a cause of
death.
D. Greater use of traditional midwifery only.
Correct Answer: B
Rationales:
Correct (B): Declines in maternal mortality were driven
by improved sanitation, prenatal care, and the
availability of trained birth attendants.
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, Introduction
Stem: A public health nurse is describing the goals of
maternal and child health (MCH) programs to a
community group. Which statement best reflects the
primary focus of contemporary MCH initiatives?
A. Reducing costs of childbirth by promoting home
births.
B. Improving health outcomes for mothers and
children through prevention and access to care.
C. Restricting reproductive services to minimize
population growth.
, D. Prioritizing specialty hospital services over
community-based programs.
Correct Answer: B
Rationales:
Correct (B): Contemporary MCH emphasizes
prevention, health promotion, and access to services
to improve maternal and child outcomes. This focus
is central to public health strategies in MCH.
A: Promoting home births may be appropriate in some
contexts but is not the central objective of MCH
programs.
C: Restricting reproductive services is inconsistent with
public-health-based MCH goals of access and choice.
D: While specialty services are important, MCH
prioritizes community-based prevention and access
alongside higher-level care.
Teaching Point: MCH programs emphasize prevention
and access to improve outcomes.
Citation: Chapter 1, Introduction — Perspectives on
Maternal and Child Health Care.
,Chapter 1, Historical Development
Stem: When teaching students about the historical
development of maternal-child health care, which
milestone is most responsible for the modern
specialization of obstetric and pediatric nursing?
A. The advent of antiseptic techniques in the 19th
century.
B. The discovery of penicillin in the 20th century.
C. The establishment of formal training programs
and specialized hospital units.
D. The widespread use of herbal remedies in
community care.
Correct Answer: C
Rationales:
Correct (C): Formal training programs and specialized
hospital units established obstetric and pediatric
nursing as distinct specialties.
A: Antiseptic techniques improved outcomes but did
not by themselves create specialty nursing
education.
B: Antibiotics improved treatment but were not the
primary driver of specialty formation.
, D: Herbal remedies did not formalize specialty nursing
practice.
Teaching Point: Specialization followed formal training
and dedicated hospital units.
Citation: Chapter 1, Historical Development.
Chapter 1, The History of Maternal and Newborn
Health and Health Care
Stem: A student asks why maternal mortality
dramatically declined in the early 20th century.
Which historical factor best explains this change?
A. Increased popularity of home births.
B. Improved sanitation, prenatal care, and trained
birth attendants.
C. Elimination of obstetric hemorrhage as a cause of
death.
D. Greater use of traditional midwifery only.
Correct Answer: B
Rationales:
Correct (B): Declines in maternal mortality were driven
by improved sanitation, prenatal care, and the
availability of trained birth attendants.
