MATERNITY AND PEDIATRIC NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1
Reference — Ch. 1 — Introduction
Question Stem
A community health nurse reviewing local maternal–child
indicators finds increased rates of low-birth-weight infants and
rising postpartum readmissions. Which initial nursing action
most effectively links these outcomes to community health
planning?
Options
A. Prepare an educational pamphlet on postpartum self-care for
distribution at clinics.
B. Analyze population data to identify risk patterns by age,
,socioeconomic status, and access to care.
C. Provide individual discharge teaching during home visits to
recent mothers.
D. Recommend expanding neonatal intensive care unit (NICU)
capacity at the local hospital.
Correct Answer
B
Rationales
• Correct (B): Analyzing population data identifies
underlying risk patterns and determinants (age, SES,
access) so community interventions can be targeted and
effective.
• Incorrect (A): Pamphlets help education but do not
identify who is at greatest risk or why outcomes are
worsening.
• Incorrect (C): Home visits are important for affected
families but are not the first step for community-level
planning.
• Incorrect (D): Expanding NICU capacity treats downstream
problems rather than addressing root causes of low birth
weight and readmissions.
Teaching Point
Use population data to target community maternal–child
interventions.
,Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
2
Reference — Ch. 1 — Historical Development
Question Stem
A nurse educator is teaching students about how nursing roles
in maternal–child health evolved. Which historical change most
directly led to the development of specialized pediatric nursing
practice?
Options
A. The discovery of antisepsis techniques in obstetric care.
B. The shift from home births to hospital-based births and
increased child survival.
C. The introduction of midwifery apprenticeships in the 19th
century.
D. The development of prenatal genetic testing.
Correct Answer
B
Rationales
• Correct (B): Hospital births and improved child survival
created demand for specialized inpatient pediatric care
and nursing roles focused on infants and children.
, • Incorrect (A): Antisepsis affected obstetric outcomes
broadly but did not alone create pediatric specialization.
• Incorrect (C): Midwifery apprenticeships influenced
obstetric support but were not the main driver of pediatric
nursing specialization.
• Incorrect (D): Prenatal genetic testing is more modern and
influenced perinatal care, not the historical emergence of
pediatric nursing.
Teaching Point
Hospitalization and improved survival shaped pediatric nursing
specialization.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
3
Reference — Ch. 1 — The History of Maternal and Newborn
Health and Health Care
Question Stem
A nursing student asks why maternal mortality historically
declined in the 20th century. Which explanation best integrates
historical public health and clinical advances?
Options
A. Increased use of home remedies and traditional birth
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1
Reference — Ch. 1 — Introduction
Question Stem
A community health nurse reviewing local maternal–child
indicators finds increased rates of low-birth-weight infants and
rising postpartum readmissions. Which initial nursing action
most effectively links these outcomes to community health
planning?
Options
A. Prepare an educational pamphlet on postpartum self-care for
distribution at clinics.
B. Analyze population data to identify risk patterns by age,
,socioeconomic status, and access to care.
C. Provide individual discharge teaching during home visits to
recent mothers.
D. Recommend expanding neonatal intensive care unit (NICU)
capacity at the local hospital.
Correct Answer
B
Rationales
• Correct (B): Analyzing population data identifies
underlying risk patterns and determinants (age, SES,
access) so community interventions can be targeted and
effective.
• Incorrect (A): Pamphlets help education but do not
identify who is at greatest risk or why outcomes are
worsening.
• Incorrect (C): Home visits are important for affected
families but are not the first step for community-level
planning.
• Incorrect (D): Expanding NICU capacity treats downstream
problems rather than addressing root causes of low birth
weight and readmissions.
Teaching Point
Use population data to target community maternal–child
interventions.
,Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
2
Reference — Ch. 1 — Historical Development
Question Stem
A nurse educator is teaching students about how nursing roles
in maternal–child health evolved. Which historical change most
directly led to the development of specialized pediatric nursing
practice?
Options
A. The discovery of antisepsis techniques in obstetric care.
B. The shift from home births to hospital-based births and
increased child survival.
C. The introduction of midwifery apprenticeships in the 19th
century.
D. The development of prenatal genetic testing.
Correct Answer
B
Rationales
• Correct (B): Hospital births and improved child survival
created demand for specialized inpatient pediatric care
and nursing roles focused on infants and children.
, • Incorrect (A): Antisepsis affected obstetric outcomes
broadly but did not alone create pediatric specialization.
• Incorrect (C): Midwifery apprenticeships influenced
obstetric support but were not the main driver of pediatric
nursing specialization.
• Incorrect (D): Prenatal genetic testing is more modern and
influenced perinatal care, not the historical emergence of
pediatric nursing.
Teaching Point
Hospitalization and improved survival shaped pediatric nursing
specialization.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
3
Reference — Ch. 1 — The History of Maternal and Newborn
Health and Health Care
Question Stem
A nursing student asks why maternal mortality historically
declined in the 20th century. Which explanation best integrates
historical public health and clinical advances?
Options
A. Increased use of home remedies and traditional birth
