MATERNITY AND PEDIATRIC
NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI;
TERRI KYLE; SUSAN CARMAN
TEST BANK
1. Reference: Maternal Mortality — Health Status of
Women
A postpartum client in a rural area presents to the
emergency department with severe headache, blurred vision,
and elevated blood pressure. The nurse notes delayed access
to prenatal care due to geographic barriers. Which nursing
action is the priority?
A. Provide discharge teaching on nutrition
B. Assess for signs of preeclampsia complications
C. Schedule follow-up prenatal visits
D. Educate about community resources
,Correct Answer: B
Rationale:
Early recognition of complications like preeclampsia is
critical to prevent maternal mortality. Immediate assessment
ensures timely intervention for life-threatening conditions.
A: Nutrition teaching is important but not priority in
acute symptoms.
C: Follow-up planning is secondary to current instability.
D: Resource education is not urgent during acute
presentation.
Teaching Point:
Maternal mortality reduction depends on early recognition
of obstetric emergencies.
Citation:
Ricci et al. (2026). Maternal mortality.
2. Reference: Pediatric Morbidity — Health Status of
Children
A school-age child with poorly controlled asthma is
frequently absent from school. The parent reports difficulty
affording medications. What is the nurse’s priority
intervention?
A. Teach proper inhaler technique
B. Refer the family to financial assistance programs
,C. Encourage increased physical activity
D. Discuss long-term complications
Correct Answer: B
Rationale:
Addressing financial barriers improves access to
treatment, reducing morbidity. Social determinants directly
affect health outcomes.
A: Important but ineffective if medications are
unavailable.
C: Activity may worsen symptoms without control.
D: Education alone does not resolve access issues.
Teaching Point:
Address social determinants to reduce pediatric morbidity.
Citation:
Ricci et al. (2026). Morbidity in children.
3. Reference: Informed Consent — Legal Issues
A 16-year-old adolescent requires surgery. The parent is
unavailable. The adolescent understands the procedure and
risks. What is the nurse’s best action?
A. Proceed with obtaining adolescent consent
B. Delay the procedure until parent arrives
C. Obtain assent and notify provider
D. Contact legal services immediately
, Correct Answer: C
Rationale:
Minors provide assent, not legal consent. The provider
must determine next steps, often involving legal exceptions.
A: Adolescents cannot legally consent in most cases.
B: Delay may not be appropriate in urgent cases.
D: Legal consult is not first step.
Teaching Point:
Minors give assent; legal consent typically requires a
guardian.
Citation:
Ricci et al. (2026). Informed consent and assent.
4. Reference: Confidentiality — Adolescent Care
An adolescent requests contraception and asks the nurse not
to inform the parents. What is the nurse’s best response?
A. Inform parents immediately
B. Refuse to provide care
C. Explain confidentiality policies and provide care
D. Report to child protective services
Correct Answer: C
NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI;
TERRI KYLE; SUSAN CARMAN
TEST BANK
1. Reference: Maternal Mortality — Health Status of
Women
A postpartum client in a rural area presents to the
emergency department with severe headache, blurred vision,
and elevated blood pressure. The nurse notes delayed access
to prenatal care due to geographic barriers. Which nursing
action is the priority?
A. Provide discharge teaching on nutrition
B. Assess for signs of preeclampsia complications
C. Schedule follow-up prenatal visits
D. Educate about community resources
,Correct Answer: B
Rationale:
Early recognition of complications like preeclampsia is
critical to prevent maternal mortality. Immediate assessment
ensures timely intervention for life-threatening conditions.
A: Nutrition teaching is important but not priority in
acute symptoms.
C: Follow-up planning is secondary to current instability.
D: Resource education is not urgent during acute
presentation.
Teaching Point:
Maternal mortality reduction depends on early recognition
of obstetric emergencies.
Citation:
Ricci et al. (2026). Maternal mortality.
2. Reference: Pediatric Morbidity — Health Status of
Children
A school-age child with poorly controlled asthma is
frequently absent from school. The parent reports difficulty
affording medications. What is the nurse’s priority
intervention?
A. Teach proper inhaler technique
B. Refer the family to financial assistance programs
,C. Encourage increased physical activity
D. Discuss long-term complications
Correct Answer: B
Rationale:
Addressing financial barriers improves access to
treatment, reducing morbidity. Social determinants directly
affect health outcomes.
A: Important but ineffective if medications are
unavailable.
C: Activity may worsen symptoms without control.
D: Education alone does not resolve access issues.
Teaching Point:
Address social determinants to reduce pediatric morbidity.
Citation:
Ricci et al. (2026). Morbidity in children.
3. Reference: Informed Consent — Legal Issues
A 16-year-old adolescent requires surgery. The parent is
unavailable. The adolescent understands the procedure and
risks. What is the nurse’s best action?
A. Proceed with obtaining adolescent consent
B. Delay the procedure until parent arrives
C. Obtain assent and notify provider
D. Contact legal services immediately
, Correct Answer: C
Rationale:
Minors provide assent, not legal consent. The provider
must determine next steps, often involving legal exceptions.
A: Adolescents cannot legally consent in most cases.
B: Delay may not be appropriate in urgent cases.
D: Legal consult is not first step.
Teaching Point:
Minors give assent; legal consent typically requires a
guardian.
Citation:
Ricci et al. (2026). Informed consent and assent.
4. Reference: Confidentiality — Adolescent Care
An adolescent requests contraception and asks the nurse not
to inform the parents. What is the nurse’s best response?
A. Inform parents immediately
B. Refuse to provide care
C. Explain confidentiality policies and provide care
D. Report to child protective services
Correct Answer: C
