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 clinic nurse is designing a health-promotion
program for women of childbearing age. Which approach best
reflects the historical shift in maternal–child health priorities
described in modern maternal and child health?
Options
A. Focus primarily on hospital-based childbirth safety
improvements.
B. Emphasize population-level prevention and community-
,based care.
C. Limit services to prenatal care for women with high-risk
pregnancies.
D. Prioritize pediatric acute care services over maternal
services.
Correct Answer
B
Rationales
• Correct (B): Modern maternal–child health emphasizes
prevention and community-based interventions to improve
outcomes across populations, aligning with the field’s shift
from solely hospital-focused care to broader public-health
approaches.
• Incorrect (A): Hospital-based safety is important
historically but is narrower than the contemporary
population-health approach.
• Incorrect (C): Limiting services to high-risk prenatal care
misses primary prevention and health promotion for all
women.
• Incorrect (D): Prioritizing one population over the other
ignores integrated maternal–child strategies that improve
outcomes for both.
Teaching Point
Maternal–child health today emphasizes prevention and
community-based population 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 preparing a presentation on the evolution of maternity
care wants to illustrate a key historical driver of change. Which
example best demonstrates how historical events shaped
maternal health services?
Options
A. Consumer demand for home births in past decades.
B. Technological advances and social reform leading to
expanded public health services.
C. A stable maternal mortality rate throughout the 20th century.
D. Persisting absence of governmental involvement in childbirth
services.
Correct Answer
B
Rationales
• Correct (B): Technological advances (e.g., antibiotics,
anesthesia) and social reform prompted expansion of
, public health services and transformed maternity care
historically.
• Incorrect (A): While home birth trends exist, they are not
the main historical driver compared to broad technological
and social changes.
• Incorrect (C): Maternal mortality did not remain stable; it
declined significantly with medical advances and public
health measures.
• Incorrect (D): Governmental involvement has increased
historically through public health programs and policy, not
remained absent.
Teaching Point
Technology and social reform historically expanded maternal
and public health services.
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
During a staff education session, a nurse emphasizes lessons
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1
Reference
Ch. 1 — Introduction
Question Stem
A community clinic nurse is designing a health-promotion
program for women of childbearing age. Which approach best
reflects the historical shift in maternal–child health priorities
described in modern maternal and child health?
Options
A. Focus primarily on hospital-based childbirth safety
improvements.
B. Emphasize population-level prevention and community-
,based care.
C. Limit services to prenatal care for women with high-risk
pregnancies.
D. Prioritize pediatric acute care services over maternal
services.
Correct Answer
B
Rationales
• Correct (B): Modern maternal–child health emphasizes
prevention and community-based interventions to improve
outcomes across populations, aligning with the field’s shift
from solely hospital-focused care to broader public-health
approaches.
• Incorrect (A): Hospital-based safety is important
historically but is narrower than the contemporary
population-health approach.
• Incorrect (C): Limiting services to high-risk prenatal care
misses primary prevention and health promotion for all
women.
• Incorrect (D): Prioritizing one population over the other
ignores integrated maternal–child strategies that improve
outcomes for both.
Teaching Point
Maternal–child health today emphasizes prevention and
community-based population 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 preparing a presentation on the evolution of maternity
care wants to illustrate a key historical driver of change. Which
example best demonstrates how historical events shaped
maternal health services?
Options
A. Consumer demand for home births in past decades.
B. Technological advances and social reform leading to
expanded public health services.
C. A stable maternal mortality rate throughout the 20th century.
D. Persisting absence of governmental involvement in childbirth
services.
Correct Answer
B
Rationales
• Correct (B): Technological advances (e.g., antibiotics,
anesthesia) and social reform prompted expansion of
, public health services and transformed maternity care
historically.
• Incorrect (A): While home birth trends exist, they are not
the main historical driver compared to broad technological
and social changes.
• Incorrect (C): Maternal mortality did not remain stable; it
declined significantly with medical advances and public
health measures.
• Incorrect (D): Governmental involvement has increased
historically through public health programs and policy, not
remained absent.
Teaching Point
Technology and social reform historically expanded maternal
and public health services.
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
During a staff education session, a nurse emphasizes lessons
