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:
A nursing student asks why maternal and newborn
outcomes improved dramatically over time. The instructor
explains that early changes in care had the greatest effect
when they targeted the most common causes of
preventable death. Which development most directly
contributed to safer childbirth outcomes?
,A. Routine use of home births without skilled attendants
B. Infection control practices and access to trained
maternity care
C. Limiting prenatal visits to reduce maternal fatigue
D. Avoiding newborn assessment to prevent unnecessary
handling
Correct Answer: B
Rationale:
Correct: Infection control and skilled maternity care
reduced maternal and newborn infection, hemorrhage
complications, and birth-related mortality. These changes
reflect the shift toward evidence-based, safer obstetric
care.
A: Home births without skilled attendants increased
risk when complications occurred and did not improve
safety by themselves.
C: Prenatal care is protective, not harmful; limiting
visits can delay identification of complications.
D: Newborn assessment is essential for early detection
of respiratory, metabolic, and temperature problems.
Teaching Point: Infection control and skilled birth
attendance are major drivers of safer maternal-newborn
outcomes.
Citation: Maternity and Pediatric Nursing. (n.d.). 5th ed.
Ch. 1.
,2. Historical Development: Child Health Care
Reference: Ch. 1 — Historical Development — The
History of Child Health and Child Health Care
Question:
A community health nurse is teaching parents about
improvements in child survival over the last century.
Which public health measure had the greatest impact on
reducing childhood illness and death?
A. Restricting childhood play to prevent injuries
B. Clean water, immunization, and improved nutrition
C. Delaying treatment until symptoms become severe
D. Reducing parental involvement in child care decisions
Correct Answer: B
Rationale:
Correct: Safe water, vaccines, and adequate nutrition
are foundational public health measures that reduced
infectious disease, dehydration-related complications, and
malnutrition.
A: Play is developmentally important and should be
supervised, not restricted broadly.
C: Delayed treatment increases risk of complications
and poor outcomes.
D: Family-centered care improves child outcomes and
adherence.
, Teaching Point: Public health measures save more
children than treatment after severe illness develops.
Citation: Maternity and Pediatric Nursing. (n.d.). 5th ed.
Ch. 1.
3. Evolution of Maternal and Newborn Nursing
Reference: Ch. 1 — Historical Development — Evolution
of Maternal and Newborn Nursing
Question:
A nurse in a labor unit compares older maternity care with
current practice. Which action best reflects modern
maternal-newborn nursing?
A. Separating mother and newborn for prolonged periods
after birth
B. Using family-centered care and supporting early parent-
infant bonding
C. Limiting the mother’s participation in decisions to
reduce stress
D. Delaying breastfeeding until the newborn is discharged
Correct Answer: B
Rationale:
Correct: Modern maternal-newborn nursing
emphasizes family-centered care, bonding, support, and
parent involvement. These practices improve attachment
and breastfeeding success.
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:
A nursing student asks why maternal and newborn
outcomes improved dramatically over time. The instructor
explains that early changes in care had the greatest effect
when they targeted the most common causes of
preventable death. Which development most directly
contributed to safer childbirth outcomes?
,A. Routine use of home births without skilled attendants
B. Infection control practices and access to trained
maternity care
C. Limiting prenatal visits to reduce maternal fatigue
D. Avoiding newborn assessment to prevent unnecessary
handling
Correct Answer: B
Rationale:
Correct: Infection control and skilled maternity care
reduced maternal and newborn infection, hemorrhage
complications, and birth-related mortality. These changes
reflect the shift toward evidence-based, safer obstetric
care.
A: Home births without skilled attendants increased
risk when complications occurred and did not improve
safety by themselves.
C: Prenatal care is protective, not harmful; limiting
visits can delay identification of complications.
D: Newborn assessment is essential for early detection
of respiratory, metabolic, and temperature problems.
Teaching Point: Infection control and skilled birth
attendance are major drivers of safer maternal-newborn
outcomes.
Citation: Maternity and Pediatric Nursing. (n.d.). 5th ed.
Ch. 1.
,2. Historical Development: Child Health Care
Reference: Ch. 1 — Historical Development — The
History of Child Health and Child Health Care
Question:
A community health nurse is teaching parents about
improvements in child survival over the last century.
Which public health measure had the greatest impact on
reducing childhood illness and death?
A. Restricting childhood play to prevent injuries
B. Clean water, immunization, and improved nutrition
C. Delaying treatment until symptoms become severe
D. Reducing parental involvement in child care decisions
Correct Answer: B
Rationale:
Correct: Safe water, vaccines, and adequate nutrition
are foundational public health measures that reduced
infectious disease, dehydration-related complications, and
malnutrition.
A: Play is developmentally important and should be
supervised, not restricted broadly.
C: Delayed treatment increases risk of complications
and poor outcomes.
D: Family-centered care improves child outcomes and
adherence.
, Teaching Point: Public health measures save more
children than treatment after severe illness develops.
Citation: Maternity and Pediatric Nursing. (n.d.). 5th ed.
Ch. 1.
3. Evolution of Maternal and Newborn Nursing
Reference: Ch. 1 — Historical Development — Evolution
of Maternal and Newborn Nursing
Question:
A nurse in a labor unit compares older maternity care with
current practice. Which action best reflects modern
maternal-newborn nursing?
A. Separating mother and newborn for prolonged periods
after birth
B. Using family-centered care and supporting early parent-
infant bonding
C. Limiting the mother’s participation in decisions to
reduce stress
D. Delaying breastfeeding until the newborn is discharged
Correct Answer: B
Rationale:
Correct: Modern maternal-newborn nursing
emphasizes family-centered care, bonding, support, and
parent involvement. These practices improve attachment
and breastfeeding success.
