MATERNITY AND PEDIATRIC
NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI;
TERRI KYLE; SUSAN CARMAN
TEST BANK
1) Historical development of maternal-newborn care
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — Historical Development
A labor nurse is teaching a group of students about changes in
maternal-newborn care over time. One student asks why
current practice emphasizes skilled intrapartum assessment
,rather than relying on the family alone. Which response best
reflects the historical shift in maternal-newborn care?
A. “Childbirth has always been managed primarily as a surgical
event.”
B. “Maternal-newborn care evolved from home-based family
support to more professional, evidence-based care.”
C. “The main change has been a decline in the need for
postpartum education.”
D. “Modern care focuses less on outcomes and more on
tradition.”
Correct Answer: B
Rationale:
B is correct. Maternal-newborn care historically shifted from
largely home-based, family-centered support to professional
nursing and medical care grounded in evidence, safety, and
maternal-fetal monitoring. This change improved recognition of
complications and supported better outcomes.
A is incorrect. Childbirth was not always primarily surgical;
normal birth was commonly managed outside hospitals for
much of history.
C is incorrect. Postpartum education remains essential and has
increased in importance, especially for safety and self-care.
D is incorrect. Contemporary care emphasizes measurable
outcomes, quality, and evidence, not tradition alone.
,Teaching Point:
Safe maternity care evolved through professional monitoring,
evidence, and early complication recognition.
Citation:
Maternity and Pediatric Nursing. (n.d.). 5th ed. Ch. 1.
2) History of child health care
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — History of Child Health and Child Health Care
A pediatric nurse is explaining why child health care now
includes immunizations, growth surveillance, and
developmental screening. Which statement best explains this
evolution?
A. Children were once considered small adults, so specialized
care was unnecessary.
B. Pediatric care developed to address children’s unique
physical, developmental, and preventive health needs.
C. Pediatric care focuses mainly on treating injuries after they
occur.
D. Child health care is primarily designed to reduce parental
involvement.
Correct Answer: B
Rationale:
B is correct. Pediatric nursing evolved because children have
, distinct growth patterns, developmental stages, disease risks,
and family needs that require specialized assessment and
prevention. Preventive care became a central goal.
A is incorrect. Historically, treating children as small adults was
a problem, not the solution.
C is incorrect. Pediatric care emphasizes prevention and early
intervention, not injury treatment alone.
D is incorrect. Family involvement is a core feature of pediatric
care.
Teaching Point:
Children require age-specific, preventive, and developmentally
appropriate nursing care.
Citation:
Maternity and Pediatric Nursing. (n.d.). 5th ed. Ch. 1.
3) Morbidity and mortality
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — Health Status of Women and Children: Mortality and
Morbidity
A public health nurse reviews local data showing increased
maternal complications among women with limited prenatal
care. Which interpretation is most appropriate?
A. Morbidity reflects the number of deaths in a population.
B. Mortality measures nonfatal illness and complications.
C. Morbidity reflects illness or complications, which may signal
NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI;
TERRI KYLE; SUSAN CARMAN
TEST BANK
1) Historical development of maternal-newborn care
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — Historical Development
A labor nurse is teaching a group of students about changes in
maternal-newborn care over time. One student asks why
current practice emphasizes skilled intrapartum assessment
,rather than relying on the family alone. Which response best
reflects the historical shift in maternal-newborn care?
A. “Childbirth has always been managed primarily as a surgical
event.”
B. “Maternal-newborn care evolved from home-based family
support to more professional, evidence-based care.”
C. “The main change has been a decline in the need for
postpartum education.”
D. “Modern care focuses less on outcomes and more on
tradition.”
Correct Answer: B
Rationale:
B is correct. Maternal-newborn care historically shifted from
largely home-based, family-centered support to professional
nursing and medical care grounded in evidence, safety, and
maternal-fetal monitoring. This change improved recognition of
complications and supported better outcomes.
A is incorrect. Childbirth was not always primarily surgical;
normal birth was commonly managed outside hospitals for
much of history.
C is incorrect. Postpartum education remains essential and has
increased in importance, especially for safety and self-care.
D is incorrect. Contemporary care emphasizes measurable
outcomes, quality, and evidence, not tradition alone.
,Teaching Point:
Safe maternity care evolved through professional monitoring,
evidence, and early complication recognition.
Citation:
Maternity and Pediatric Nursing. (n.d.). 5th ed. Ch. 1.
2) History of child health care
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — History of Child Health and Child Health Care
A pediatric nurse is explaining why child health care now
includes immunizations, growth surveillance, and
developmental screening. Which statement best explains this
evolution?
A. Children were once considered small adults, so specialized
care was unnecessary.
B. Pediatric care developed to address children’s unique
physical, developmental, and preventive health needs.
C. Pediatric care focuses mainly on treating injuries after they
occur.
D. Child health care is primarily designed to reduce parental
involvement.
Correct Answer: B
Rationale:
B is correct. Pediatric nursing evolved because children have
, distinct growth patterns, developmental stages, disease risks,
and family needs that require specialized assessment and
prevention. Preventive care became a central goal.
A is incorrect. Historically, treating children as small adults was
a problem, not the solution.
C is incorrect. Pediatric care emphasizes prevention and early
intervention, not injury treatment alone.
D is incorrect. Family involvement is a core feature of pediatric
care.
Teaching Point:
Children require age-specific, preventive, and developmentally
appropriate nursing care.
Citation:
Maternity and Pediatric Nursing. (n.d.). 5th ed. Ch. 1.
3) Morbidity and mortality
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — Health Status of Women and Children: Mortality and
Morbidity
A public health nurse reviews local data showing increased
maternal complications among women with limited prenatal
care. Which interpretation is most appropriate?
A. Morbidity reflects the number of deaths in a population.
B. Mortality measures nonfatal illness and complications.
C. Morbidity reflects illness or complications, which may signal
