MATERNITY AND PEDIATRIC
NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI;
TERRI KYLE; SUSAN CARMAN
TEST BANK
1. Reference: Ch. 1 — Perspectives on Maternal and Child
Health Care — Historical Development
A nurse educator is teaching a community group about
why maternal and child health care changed over time. A
parent says, “Modern care is mostly about treating illness
after it happens.” Which response by the nurse best
reflects current maternal-child health priorities?
, A. “The focus is on acute treatment after symptoms
become severe.”
B. “The focus is on preventing problems and promoting
health across the family.”
C. “The focus is mainly on hospital-based care for mothers
and children.”
D. “The focus is primarily on technology rather than family
needs.”
Correct Answer: B
Rationale:
B is correct. Maternal and child health care emphasizes
prevention, health promotion, early detection, and family-
centered support. Modern nursing care integrates education,
screening, and culturally sensitive care to improve outcomes for
women and children.
A is incorrect. This describes a reactive model, not the
preventive emphasis of current care.
C is incorrect. Care extends beyond hospitals into clinics,
schools, homes, and communities.
D is incorrect. Technology may support care, but family
needs and health promotion remain central.
Teaching Point: Prevention and family-centered care are core
goals of maternal-child nursing.
Citation: Maternity and Pediatric Nursing. (n.d.). 5th ed. Ch. 1
— Historical Development.
, 2. Reference: Ch. 1 — Perspectives on Maternal and Child
Health Care — Health Status of Women and Children
A public health nurse reviews mortality data in a low-
income community and notices that infant deaths are
more common than expected. Which nursing action best
addresses a major contributor to poor maternal-child
outcomes?
A. Focus only on treatment after delivery complications
occur
B. Promote prenatal care and early risk screening
C. Delay health teaching until the newborn is discharged
D. Refer all families directly to emergency services
Correct Answer: B
Rationale:
B is correct. Prenatal care and early screening help identify
risks such as hypertension, diabetes, infection, and poor
nutrition before they harm mother or infant. Early intervention
is a key strategy to reduce morbidity and mortality.
A is incorrect. Waiting until complications occur misses
opportunities for prevention.
C is incorrect. Health teaching should begin during
pregnancy and continue postpartum.
D is incorrect. Emergency referral alone does not provide
the ongoing preventive care needed.
, Teaching Point: Early prenatal screening lowers maternal and
infant complications.
Citation: Maternity and Pediatric Nursing. (n.d.). 5th ed. Ch. 1
— Health Status of Women and Children.
3. Reference: Ch. 1 — Perspectives on Maternal and Child
Health Care — Morbidity
A clinic nurse is planning care for a pregnant client with
limited access to transportation and inconsistent prenatal
visits. Which outcome is the nurse most concerned about
preventing?
A. Increased family bonding
B. Maternal and infant morbidity
C. Early fetal movement awareness
D. Improved labor pain tolerance
Correct Answer: B
Rationale:
B is correct. Inconsistent prenatal care can increase the risk
of undetected complications, which raises morbidity for both
mother and infant. Nursing priorities include improving access,
education, and follow-up.
A is incorrect. Family bonding is important but not the
immediate risk in this situation.
C is incorrect. Fetal movement awareness is useful but does
not address the broader risk of complications.
NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI;
TERRI KYLE; SUSAN CARMAN
TEST BANK
1. Reference: Ch. 1 — Perspectives on Maternal and Child
Health Care — Historical Development
A nurse educator is teaching a community group about
why maternal and child health care changed over time. A
parent says, “Modern care is mostly about treating illness
after it happens.” Which response by the nurse best
reflects current maternal-child health priorities?
, A. “The focus is on acute treatment after symptoms
become severe.”
B. “The focus is on preventing problems and promoting
health across the family.”
C. “The focus is mainly on hospital-based care for mothers
and children.”
D. “The focus is primarily on technology rather than family
needs.”
Correct Answer: B
Rationale:
B is correct. Maternal and child health care emphasizes
prevention, health promotion, early detection, and family-
centered support. Modern nursing care integrates education,
screening, and culturally sensitive care to improve outcomes for
women and children.
A is incorrect. This describes a reactive model, not the
preventive emphasis of current care.
C is incorrect. Care extends beyond hospitals into clinics,
schools, homes, and communities.
D is incorrect. Technology may support care, but family
needs and health promotion remain central.
Teaching Point: Prevention and family-centered care are core
goals of maternal-child nursing.
Citation: Maternity and Pediatric Nursing. (n.d.). 5th ed. Ch. 1
— Historical Development.
, 2. Reference: Ch. 1 — Perspectives on Maternal and Child
Health Care — Health Status of Women and Children
A public health nurse reviews mortality data in a low-
income community and notices that infant deaths are
more common than expected. Which nursing action best
addresses a major contributor to poor maternal-child
outcomes?
A. Focus only on treatment after delivery complications
occur
B. Promote prenatal care and early risk screening
C. Delay health teaching until the newborn is discharged
D. Refer all families directly to emergency services
Correct Answer: B
Rationale:
B is correct. Prenatal care and early screening help identify
risks such as hypertension, diabetes, infection, and poor
nutrition before they harm mother or infant. Early intervention
is a key strategy to reduce morbidity and mortality.
A is incorrect. Waiting until complications occur misses
opportunities for prevention.
C is incorrect. Health teaching should begin during
pregnancy and continue postpartum.
D is incorrect. Emergency referral alone does not provide
the ongoing preventive care needed.
, Teaching Point: Early prenatal screening lowers maternal and
infant complications.
Citation: Maternity and Pediatric Nursing. (n.d.). 5th ed. Ch. 1
— Health Status of Women and Children.
3. Reference: Ch. 1 — Perspectives on Maternal and Child
Health Care — Morbidity
A clinic nurse is planning care for a pregnant client with
limited access to transportation and inconsistent prenatal
visits. Which outcome is the nurse most concerned about
preventing?
A. Increased family bonding
B. Maternal and infant morbidity
C. Early fetal movement awareness
D. Improved labor pain tolerance
Correct Answer: B
Rationale:
B is correct. Inconsistent prenatal care can increase the risk
of undetected complications, which raises morbidity for both
mother and infant. Nursing priorities include improving access,
education, and follow-up.
A is incorrect. Family bonding is important but not the
immediate risk in this situation.
C is incorrect. Fetal movement awareness is useful but does
not address the broader risk of complications.
