MATERNITY AND PEDIATRIC
NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI;
TERRI KYLE; SUSAN CARMAN
TEST BANK
1) Historical Development — Maternal and Newborn Care
Reference: Ch. 1 — Historical Development — The History of
Maternal and Newborn Health and Health Care
Question Stem:
A nurse is teaching a group of students about why maternal and
newborn outcomes improved over time. One student asks
,which change most directly reduced deaths from childbirth-
related infection in hospitals. The instructor wants the best
example of a major public health advance. What should the
nurse identify?
A. Routine use of herbal labor teas
B. Hand hygiene and antiseptic technique
C. Avoiding all labor support from family members
D. Delaying newborn feeding for 24 hours
Correct Answer: B
Rationales:
B. Correct. Hand hygiene and antiseptic technique significantly
reduced puerperal and neonatal infections. This is a major
historical advance in maternal-newborn care and a key patient-
safety measure.
A. Incorrect. Herbal teas do not reduce infectious risk and may
introduce safety concerns. This does not reflect a proven
advance in maternal-newborn outcomes.
C. Incorrect. Family support does not cause infection and is not
the key historical change described. This option reflects a
misunderstanding of patient-centered care.
D. Incorrect. Delaying feeding does not reduce childbirth
infection. Early feeding is often important for newborn care and
bonding.
,Teaching Point:
Hand hygiene is a landmark safety measure in maternal-
newborn care.
Citation:
Maternity and Pediatric Nursing. (n.d.). Ch. 1: Perspectives on
Maternal and Child Health Care.
2) Historical Development — Child Health Care
Reference: Ch. 1 — Historical Development — The History of
Child Health and Child Health Care
Question Stem:
A pediatric nurse is reviewing child health trends with parents
in a community class. The nurse explains that child survival
improved most when care shifted from treating illness only
after it became severe to preventing disease early. Which
intervention best reflects this shift?
A. Waiting until fever is high before seeking care
B. Immunizations and well-child visits
C. Restricting all play to prevent injury
D. Using antibiotics for every childhood cough
Correct Answer: B
Rationales:
B. Correct. Immunizations and well-child visits reflect
prevention-focused child health care. They reduce disease
, burden and support early detection of developmental or health
problems.
A. Incorrect. Delaying care increases risk and is not preventive.
It can allow illness to worsen before treatment.
C. Incorrect. Preventing all play is unrealistic and harmful to
development. Safe play is part of healthy growth.
D. Incorrect. Antibiotics are not indicated for every cough and
overuse contributes to resistance. This is not prevention-based
care.
Teaching Point:
Prevention and early screening improve child health outcomes.
Citation:
Maternity and Pediatric Nursing. (n.d.). Ch. 1: Perspectives on
Maternal and Child Health Care.
3) Evolution of Maternal-Newborn Nursing
Reference: Ch. 1 — Evolution of Maternal and Newborn Nursing
Question Stem:
A labor unit has adopted family-centered care practices. A new
nurse asks why this change is important if the patient’s vital
signs are stable. Which response best reflects the evolution of
maternal-newborn nursing?
A. It reduces the need for any nursing assessments
B. It supports bonding, education, and shared decision-making
NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI;
TERRI KYLE; SUSAN CARMAN
TEST BANK
1) Historical Development — Maternal and Newborn Care
Reference: Ch. 1 — Historical Development — The History of
Maternal and Newborn Health and Health Care
Question Stem:
A nurse is teaching a group of students about why maternal and
newborn outcomes improved over time. One student asks
,which change most directly reduced deaths from childbirth-
related infection in hospitals. The instructor wants the best
example of a major public health advance. What should the
nurse identify?
A. Routine use of herbal labor teas
B. Hand hygiene and antiseptic technique
C. Avoiding all labor support from family members
D. Delaying newborn feeding for 24 hours
Correct Answer: B
Rationales:
B. Correct. Hand hygiene and antiseptic technique significantly
reduced puerperal and neonatal infections. This is a major
historical advance in maternal-newborn care and a key patient-
safety measure.
A. Incorrect. Herbal teas do not reduce infectious risk and may
introduce safety concerns. This does not reflect a proven
advance in maternal-newborn outcomes.
C. Incorrect. Family support does not cause infection and is not
the key historical change described. This option reflects a
misunderstanding of patient-centered care.
D. Incorrect. Delaying feeding does not reduce childbirth
infection. Early feeding is often important for newborn care and
bonding.
,Teaching Point:
Hand hygiene is a landmark safety measure in maternal-
newborn care.
Citation:
Maternity and Pediatric Nursing. (n.d.). Ch. 1: Perspectives on
Maternal and Child Health Care.
2) Historical Development — Child Health Care
Reference: Ch. 1 — Historical Development — The History of
Child Health and Child Health Care
Question Stem:
A pediatric nurse is reviewing child health trends with parents
in a community class. The nurse explains that child survival
improved most when care shifted from treating illness only
after it became severe to preventing disease early. Which
intervention best reflects this shift?
A. Waiting until fever is high before seeking care
B. Immunizations and well-child visits
C. Restricting all play to prevent injury
D. Using antibiotics for every childhood cough
Correct Answer: B
Rationales:
B. Correct. Immunizations and well-child visits reflect
prevention-focused child health care. They reduce disease
, burden and support early detection of developmental or health
problems.
A. Incorrect. Delaying care increases risk and is not preventive.
It can allow illness to worsen before treatment.
C. Incorrect. Preventing all play is unrealistic and harmful to
development. Safe play is part of healthy growth.
D. Incorrect. Antibiotics are not indicated for every cough and
overuse contributes to resistance. This is not prevention-based
care.
Teaching Point:
Prevention and early screening improve child health outcomes.
Citation:
Maternity and Pediatric Nursing. (n.d.). Ch. 1: Perspectives on
Maternal and Child Health Care.
3) Evolution of Maternal-Newborn Nursing
Reference: Ch. 1 — Evolution of Maternal and Newborn Nursing
Question Stem:
A labor unit has adopted family-centered care practices. A new
nurse asks why this change is important if the patient’s vital
signs are stable. Which response best reflects the evolution of
maternal-newborn nursing?
A. It reduces the need for any nursing assessments
B. It supports bonding, education, and shared decision-making
