MATERNITY AND PEDIATRIC NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1️⃣
Reference: Ch. 1 — Introduction
Question Stem: A community health nurse is preparing a
presentation on current maternal–child health priorities for
local policymakers. Which statistic should the nurse emphasize
to best illustrate population-level maternal health needs?
A. Number of maternity nurses employed in the county
B. Maternal mortality ratio per 100,000 live births
C. Number of prenatal education classes offered annually
D. Percentage of newborns receiving routine immunizations at
birth
Correct Answer: B
,Rationales:
• B (Correct): The maternal mortality ratio per 100,000 live
births is a key population-level indicator of maternal health
and reflects access to and quality of obstetric care and
public health conditions.
• A: Nurse workforce counts are workforce indicators but do
not directly quantify maternal health outcomes.
• C: Prenatal class availability is a program-level measure
and may not reflect overall maternal health status.
• D: Newborn immunization rates indicate neonatal
preventive care but do not directly measure maternal
health outcomes.
Teaching Point: Maternal mortality ratio is a core population
health indicator.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
2️⃣
Reference: Ch. 1 — Historical Development
Question Stem: When teaching peers about trends in maternal
and child health over the 20th century, which historical change
most directly explains the large decline in infant mortality?
A. Increased number of home births attended by midwives
B. Development and widespread use of antibiotics and vaccines
,C. Decrease in reporting of neonatal deaths
D. Rise in maternal age at first birth
Correct Answer: B
Rationales:
• B (Correct): The introduction and widespread use of
antibiotics and vaccines, along with improved sanitation
and public health measures, were major drivers of the
20th-century decline in infant mortality.
• A: While professionalization of birth attendance changed,
increased home births with midwives alone did not
account for the population-level decline.
• C: Improved reporting, if anything, increases recorded
mortality; it does not explain the decline.
• D: Rising maternal age is not associated with the large
historical declines in infant mortality.
Teaching Point: Public health advances (vaccines, antibiotics)
cut infant mortality dramatically.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
3️⃣
Reference: Ch. 1 — The History of Maternal and Newborn
Health and Health Care
, Question Stem: A nurse is asked to explain why hospital births
became the norm in the mid-1900s. Which rationale best
reflects historical drivers of this shift?
A. Hospital births were less costly than home births.
B. Hospitals offered access to surgical and obstetric
interventions and sterile techniques.
C. Insurance companies mandated hospital births for coverage.
D. Traditional midwifery ceased to exist by that time.
Correct Answer: B
Rationales:
• B (Correct): The availability of surgical interventions,
anesthesia, and sterile technique in hospitals made them
safer for complicated deliveries, driving a shift from home
to hospital births.
• A: Hospital births were often more expensive; cost was not
the primary reason for the shift.
• C: While third-party payers later influenced care settings,
the main historical driver was medical capability.
• D: Midwifery persisted in many communities; it did not
abruptly cease to exist.
Teaching Point: Access to medical interventions and sterile care
moved births to hospitals.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1️⃣
Reference: Ch. 1 — Introduction
Question Stem: A community health nurse is preparing a
presentation on current maternal–child health priorities for
local policymakers. Which statistic should the nurse emphasize
to best illustrate population-level maternal health needs?
A. Number of maternity nurses employed in the county
B. Maternal mortality ratio per 100,000 live births
C. Number of prenatal education classes offered annually
D. Percentage of newborns receiving routine immunizations at
birth
Correct Answer: B
,Rationales:
• B (Correct): The maternal mortality ratio per 100,000 live
births is a key population-level indicator of maternal health
and reflects access to and quality of obstetric care and
public health conditions.
• A: Nurse workforce counts are workforce indicators but do
not directly quantify maternal health outcomes.
• C: Prenatal class availability is a program-level measure
and may not reflect overall maternal health status.
• D: Newborn immunization rates indicate neonatal
preventive care but do not directly measure maternal
health outcomes.
Teaching Point: Maternal mortality ratio is a core population
health indicator.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
2️⃣
Reference: Ch. 1 — Historical Development
Question Stem: When teaching peers about trends in maternal
and child health over the 20th century, which historical change
most directly explains the large decline in infant mortality?
A. Increased number of home births attended by midwives
B. Development and widespread use of antibiotics and vaccines
,C. Decrease in reporting of neonatal deaths
D. Rise in maternal age at first birth
Correct Answer: B
Rationales:
• B (Correct): The introduction and widespread use of
antibiotics and vaccines, along with improved sanitation
and public health measures, were major drivers of the
20th-century decline in infant mortality.
• A: While professionalization of birth attendance changed,
increased home births with midwives alone did not
account for the population-level decline.
• C: Improved reporting, if anything, increases recorded
mortality; it does not explain the decline.
• D: Rising maternal age is not associated with the large
historical declines in infant mortality.
Teaching Point: Public health advances (vaccines, antibiotics)
cut infant mortality dramatically.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
3️⃣
Reference: Ch. 1 — The History of Maternal and Newborn
Health and Health Care
, Question Stem: A nurse is asked to explain why hospital births
became the norm in the mid-1900s. Which rationale best
reflects historical drivers of this shift?
A. Hospital births were less costly than home births.
B. Hospitals offered access to surgical and obstetric
interventions and sterile techniques.
C. Insurance companies mandated hospital births for coverage.
D. Traditional midwifery ceased to exist by that time.
Correct Answer: B
Rationales:
• B (Correct): The availability of surgical interventions,
anesthesia, and sterile technique in hospitals made them
safer for complicated deliveries, driving a shift from home
to hospital births.
• A: Hospital births were often more expensive; cost was not
the primary reason for the shift.
• C: While third-party payers later influenced care settings,
the main historical driver was medical capability.
• D: Midwifery persisted in many communities; it did not
abruptly cease to exist.
Teaching Point: Access to medical interventions and sterile care
moved births to hospitals.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
