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 — Health Status of Women
and Children
Stem: A community health nurse reviews recent data
showing a rise in maternal mortality in a region.
Which intervention at the population level is most
likely to reduce maternal mortality?
A. Increase specialty prenatal clinics in tertiary
hospitals.
B. Expand access to skilled birth attendants and
emergency obstetric care.
C. Provide online childbirth education classes only.
D. Encourage elective home births without skilled
attendants.
,Correct Answer: B
Rationales
Correct: Expanding access to skilled birth attendants
and emergency obstetric services directly addresses
leading causes of maternal death (hemorrhage,
hypertensive disorders) and is evidence-based for
reducing maternal mortality.
A: Specialty prenatal clinics help some high-risk women
but do not address access to skilled intrapartum care
for all pregnant women.
C: Online education is useful but insufficient alone to
impact access to lifesaving obstetric interventions.
D: Elective home births without skilled attendants
increase risk and would likely worsen mortality.
Teaching Point: Skilled labor attendance and
emergency obstetric care reduce maternal deaths.
Citation: Chapter 1 — Health Status of Women and
Children. LWW Official Store
2. Chapter 1, Mortality — Infant and Maternal
Mortality Trends
,Stem: A nurse educator explains national rankings of
maternal and infant mortality to students. Which
statement best reflects how the U.S. compares to
other industrialized countries?
A. The U.S. has one of the lowest maternal mortality
rates globally.
B. The U.S. ranks poorly among industrialized nations
for maternal and infant outcomes.
C. The U.S. maternal mortality rate is negligible and
decreasing uniformly across all groups.
D. Maternal mortality in the U.S. only affects women
over 40.
Correct Answer: B
Rationales
Correct: Compared with many industrialized countries,
the U.S. has relatively high maternal and infant
mortality rates and persistent disparities.
A: Incorrect — the U.S. does not have one of the
lowest rates among peer nations.
C: Incorrect — although some overall trends change,
disparities and nonuniform patterns persist.
, D: Incorrect — maternal mortality affects women
across reproductive ages, with disparities by race
and socioeconomic status.
Teaching Point: The U.S. has relatively poor
maternal/infant outcomes among developed
countries.
Citation: Chapter 1 — Mortality. LWW Official Store
3. Chapter 1, Morbidity — Patterns of Illness in
Women and Children
Stem: A pediatric nurse reviews morbidity statistics
showing rising asthma-related hospital visits among
young children. Which public-health strategy best
addresses pediatric morbidity?
A. Prescribing more short-acting bronchodilators for
every child.
B. Implementing community-level environmental
controls and education.
C. Restricting children with asthma from school
activities permanently.
D. Advising families to avoid all physical activity.
Correct Answer: B