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 nurse reviewing prenatal clinic
outcomes notes an increase in low-birthweight infants. Which
nursing action best addresses this population-level problem?
A. Provide individual breastfeeding education at postpartum
visits.
B. Advocate for expanded access to early prenatal care and
nutritional support programs.
C. Recommend a higher number of routine ultrasounds during
pregnancy.
D. Suggest individual genetic counseling for every pregnant
client.
,Correct Answer: B
Rationales:
• Correct (B): Expanding early prenatal care and nutrition
addresses upstream determinants (maternal nutrition,
access) that reduce low birthweight at the population
level. This is an evidence-based public health approach
consistent with nursing advocacy.
• A: Breastfeeding education is important postpartum but
does not prevent low birthweight before delivery.
• C: Increasing routine ultrasounds without indication does
not reduce low birthweight and may divert resources.
• D: Genetic counseling is appropriate for specific risk factors
but is not the primary population-level intervention for
increased low birthweight.
Teaching Point: Promote early prenatal access and
nutrition to prevent low birthweight.
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: During a class discussion a student claims that
modern maternal-child nursing developed primarily through
hospital birth standardization. Which analytical response best
reflects the historical development of the specialty?
,A. Agree; hospital births were the only driver of change.
B. Disagree; improvements also resulted from public health
measures, legislation, and nursing professionalization.
C. Agree; home birth practices were entirely replaced
immediately.
D. Disagree; historical changes were due solely to technological
advances.
Correct Answer: B
Rationales:
• Correct (B): The evolution of maternal-child health care
resulted from multiple forces—public health initiatives,
legal reforms, nursing education/professionalization—not
just hospital standardization.
• A: Oversimplifies history and ignores other important
contributors.
• C: Incorrect; home birth practices declined over time but
were not immediately replaced in all settings.
• D: Technological advances were influential but not the sole
cause.
Teaching Point: Maternal-child nursing evolved from
combined public health, legal, educational, and clinical
forces.
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 nurse educator is designing a lecture on
maternal mortality trends. Which teaching strategy best helps
students analyze causes of historical declines in maternal
mortality?
A. Present a timeline of medical interventions only.
B. Compare timelines of public health policies, sanitary
improvements, and obstetric interventions.
C. Read aloud historic maternal mortality rates without context.
D. Focus exclusively on the role of antibiotics.
Correct Answer: B
Rationales:
• Correct (B): Comparing multiple timelines enables
students to analyze how public health policy, sanitation,
and clinical interventions together reduced maternal
mortality.
• A: Medical interventions alone do not provide the full
picture.
• C: Numbers without context limit understanding of
causation.
• D: Antibiotics were important but focusing solely on them
misses broader determinants.
Teaching Point: Teach historical declines using multi-factor
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1
Reference: Ch. 1 — Introduction
Question Stem: A community nurse reviewing prenatal clinic
outcomes notes an increase in low-birthweight infants. Which
nursing action best addresses this population-level problem?
A. Provide individual breastfeeding education at postpartum
visits.
B. Advocate for expanded access to early prenatal care and
nutritional support programs.
C. Recommend a higher number of routine ultrasounds during
pregnancy.
D. Suggest individual genetic counseling for every pregnant
client.
,Correct Answer: B
Rationales:
• Correct (B): Expanding early prenatal care and nutrition
addresses upstream determinants (maternal nutrition,
access) that reduce low birthweight at the population
level. This is an evidence-based public health approach
consistent with nursing advocacy.
• A: Breastfeeding education is important postpartum but
does not prevent low birthweight before delivery.
• C: Increasing routine ultrasounds without indication does
not reduce low birthweight and may divert resources.
• D: Genetic counseling is appropriate for specific risk factors
but is not the primary population-level intervention for
increased low birthweight.
Teaching Point: Promote early prenatal access and
nutrition to prevent low birthweight.
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: During a class discussion a student claims that
modern maternal-child nursing developed primarily through
hospital birth standardization. Which analytical response best
reflects the historical development of the specialty?
,A. Agree; hospital births were the only driver of change.
B. Disagree; improvements also resulted from public health
measures, legislation, and nursing professionalization.
C. Agree; home birth practices were entirely replaced
immediately.
D. Disagree; historical changes were due solely to technological
advances.
Correct Answer: B
Rationales:
• Correct (B): The evolution of maternal-child health care
resulted from multiple forces—public health initiatives,
legal reforms, nursing education/professionalization—not
just hospital standardization.
• A: Oversimplifies history and ignores other important
contributors.
• C: Incorrect; home birth practices declined over time but
were not immediately replaced in all settings.
• D: Technological advances were influential but not the sole
cause.
Teaching Point: Maternal-child nursing evolved from
combined public health, legal, educational, and clinical
forces.
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 nurse educator is designing a lecture on
maternal mortality trends. Which teaching strategy best helps
students analyze causes of historical declines in maternal
mortality?
A. Present a timeline of medical interventions only.
B. Compare timelines of public health policies, sanitary
improvements, and obstetric interventions.
C. Read aloud historic maternal mortality rates without context.
D. Focus exclusively on the role of antibiotics.
Correct Answer: B
Rationales:
• Correct (B): Comparing multiple timelines enables
students to analyze how public health policy, sanitation,
and clinical interventions together reduced maternal
mortality.
• A: Medical interventions alone do not provide the full
picture.
• C: Numbers without context limit understanding of
causation.
• D: Antibiotics were important but focusing solely on them
misses broader determinants.
Teaching Point: Teach historical declines using multi-factor
