NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI;
TERRI KYLE; SUSAN CARMAN
TEST BANK
1) Evolution of Maternal and Newborn Nursing
Reference: Ch. 1 — Evolution of Maternal and Newborn Nursing
Question:
A community health nurse is teaching a group of nursing
students about why maternal-newborn nursing developed as a
,distinct specialty. A student asks what major health trend most
contributed to this change. Which response by the nurse is
best?
A. Maternal and newborn care became less complex as hospital
births increased
B. Women and newborns required specialized care to reduce
preventable complications
C. Childbirth moved entirely into the home, requiring more
family education
D. The focus shifted away from prevention and toward acute
surgical care
Correct Answer: B
Rationale:
Correct: Maternal and newborn nursing developed as a
specialty because women and infants have unique physiologic
needs and are vulnerable to preventable complications.
Specialized nursing care improved safety, surveillance, and
outcomes.
A: Incorrect. Hospital births did not make care less complex;
they increased the need for skilled assessment and
intervention.
C: Incorrect. Care moved more into hospitals, not the home.
D: Incorrect. Prevention remained a major focus in maternal-
child care.
Teaching Point: Specialized maternal-newborn care improves
outcomes for two vulnerable patients: mother and infant.
,Citation: Maternity and Pediatric Nursing. (n.d.). 5th ed. Ch. 1.
2) History of Child Health Care
Reference: Ch. 1 — The History of Child Health and Child Health
Care
Question:
A pediatric clinic nurse is discussing the history of child health
care with new staff. Which statement best reflects the reason
pediatric nursing became more specialized over time?
A. Children respond to illness in the same way adults do
B. Pediatric care focuses mainly on administering medications
C. Growth, development, and family involvement require age-
specific care
D. Children rarely need preventive care after infancy
Correct Answer: C
Rationale:
Correct: Pediatric care is specialized because children’s needs
change rapidly with growth and development, and family
involvement is essential for safe care.
A: Incorrect. Children are not small adults; their responses to
illness differ by age and developmental stage.
B: Incorrect. Pediatric nursing includes much more than
medication administration.
D: Incorrect. Children need ongoing preventive care throughout
childhood.
, Teaching Point: Pediatric nursing must match the child’s
developmental stage and family context.
Citation: Maternity and Pediatric Nursing. (n.d.). 5th ed. Ch. 1.
3) Maternal and Child Mortality
Reference: Ch. 1 — Mortality
Question:
A public health nurse reviews mortality data for women and
children in a low-income community. Which interpretation is
most appropriate?
A. Mortality rates are useful for identifying populations at risk
and guiding prevention
B. Mortality data only reflect the quality of hospital nursing care
C. Mortality rates are unrelated to access to prenatal or
pediatric services
D. Mortality is not useful in evaluating maternal-child outcomes
Correct Answer: A
Rationale:
Correct: Mortality data help identify disparities, high-risk
populations, and areas where preventive interventions are
needed.
B: Incorrect. Mortality reflects many factors beyond hospital
nursing care, including access, education, and social
determinants.