Test Bank for Maternity and Pediatric
Nursing, 5th Edition by Ricci, Kyle &
Carman (2025/2026 Updated)
Section I: Introduction to Maternity & Pediatric Nursing
1. A nurse is orienting to a maternal-child unit. Which principle best describes
family-centered care?
A. The infant's physiologic needs supersede all family preferences
B. The family is the constant in a child's life and should be partnered with in
decision-making
C. Healthcare providers should make decisions on behalf of the family to ensure
safety
D. Family presence should be limited to visiting hours to protect privacy
Correct Answer: B
Rationale: Family-centered care recognizes the family as the constant in a
child's life and engages them as partners in care. This philosophy promotes
collaboration, respect, and shared decision-making rather than paternalistic or
restrictive approaches.
2. Which factor is the leading cause of maternal mortality in the United
States?
A. Hemorrhage
B. Hypertensive disorders
C. Cardiovascular conditions
D. Infection
Correct Answer: C
Rationale: Cardiovascular conditions are the leading cause of maternal
mortality in the U.S., followed by other medical conditions, hemorrhage, and
,hypertensive disorders. This is a key public health priority in maternal-child
nursing.
3. A nurse is reviewing informed consent with a 15-year-old pregnant client.
Which statement is accurate?
A. The client can provide consent independently because pregnancy emancipates a
minor
B. Parental consent is required in most states for minors
C. Consent is unnecessary for routine prenatal care
D. The client's partner can sign consent on her behalf
Correct Answer: B
Rationale: In most states, only clients over age 18 can legally provide consent
for healthcare. Pregnancy does not automatically emancipate a minor. Parental or
guardian consent is generally required, though exceptions exist for emancipated
minors or specific services.
4. The nurse is teaching a community group about infant mortality. Which
factor would have the greatest impact on reducing infant mortality rates?
A. Increasing access to language interpretation services
B. Ensuring early and adequate prenatal care
C. Expanding women's shelter capacity
D. Promoting balanced nutrition education
Correct Answer: B
Rationale: Early and adequate prenatal care is the most significant modifiable
factor in reducing infant mortality. Prenatal care identifies and manages risk
factors, promotes healthy behaviors, and improves birth outcomes.
5. Which historical event most transformed maternal-newborn nursing
practice in the 20th century?
,A. Development of the x-ray for pelvic assessment
B. Performance of the first cesarean birth
C. Movement of births from home to hospital
D. Creation of free-standing birth centers
Correct Answer: C
Rationale: The shift of childbirth from home to hospital required nurses to
develop institutional competencies, manage technology, and function in
interprofessional teams. This fundamentally changed the scope and nature of
maternal-newborn nursing.
6. A nurse is advocating for policies to improve maternal health. Which
population faces the highest maternal mortality risk?
A. White, college-educated women
B. Black women regardless of education or income
C. Asian-American women
D. Women in rural areas only
Correct Answer: B
Rationale: Black women in the United States experience maternal mortality at
rates significantly higher than white women, even when controlling for education
and socioeconomic status. Structural racism and inequities in healthcare access
and quality contribute to this disparity.
7. Which statement reflects the concept of atraumatic care in pediatrics?
A. Minimizing physical and psychological distress for the child and family
B. Performing all procedures quickly regardless of pain
C. Restricting family involvement to reduce anxiety
D. Using restraint for all invasive procedures
Correct Answer: A
, Rationale: Atraumatic care is the provision of therapeutic care that minimizes
or eliminates the psychological and physical distress experienced by children and
families in the healthcare system. It emphasizes pain management, family presence,
and minimizing separation.
8. A nurse is reviewing the historical development of pediatric nursing. Which
individual is credited with establishing the first pediatric nurse practitioner
program?
A. Florence Nightingale
B. Loretta Ford
C. Lillian Wald
D. Clara Barton
Correct Answer: B
Rationale: Loretta Ford, in collaboration with Henry Silver, established the
first pediatric nurse practitioner program in 1965 at the University of Colorado.
This expanded nursing roles into advanced practice.
9. Which is a core component of the medical home model in pediatric care?
A. Episodic care only during illness
B. Care coordination across settings and providers
C. Limited family involvement in care planning
D. Restriction of services to primary care only
Correct Answer: B
Rationale: The medical home model emphasizes accessible, continuous,
comprehensive, family-centered, coordinated, compassionate, and culturally
effective care. Care coordination across settings and providers is essential.
Nursing, 5th Edition by Ricci, Kyle &
Carman (2025/2026 Updated)
Section I: Introduction to Maternity & Pediatric Nursing
1. A nurse is orienting to a maternal-child unit. Which principle best describes
family-centered care?
A. The infant's physiologic needs supersede all family preferences
B. The family is the constant in a child's life and should be partnered with in
decision-making
C. Healthcare providers should make decisions on behalf of the family to ensure
safety
D. Family presence should be limited to visiting hours to protect privacy
Correct Answer: B
Rationale: Family-centered care recognizes the family as the constant in a
child's life and engages them as partners in care. This philosophy promotes
collaboration, respect, and shared decision-making rather than paternalistic or
restrictive approaches.
2. Which factor is the leading cause of maternal mortality in the United
States?
A. Hemorrhage
B. Hypertensive disorders
C. Cardiovascular conditions
D. Infection
Correct Answer: C
Rationale: Cardiovascular conditions are the leading cause of maternal
mortality in the U.S., followed by other medical conditions, hemorrhage, and
,hypertensive disorders. This is a key public health priority in maternal-child
nursing.
3. A nurse is reviewing informed consent with a 15-year-old pregnant client.
Which statement is accurate?
A. The client can provide consent independently because pregnancy emancipates a
minor
B. Parental consent is required in most states for minors
C. Consent is unnecessary for routine prenatal care
D. The client's partner can sign consent on her behalf
Correct Answer: B
Rationale: In most states, only clients over age 18 can legally provide consent
for healthcare. Pregnancy does not automatically emancipate a minor. Parental or
guardian consent is generally required, though exceptions exist for emancipated
minors or specific services.
4. The nurse is teaching a community group about infant mortality. Which
factor would have the greatest impact on reducing infant mortality rates?
A. Increasing access to language interpretation services
B. Ensuring early and adequate prenatal care
C. Expanding women's shelter capacity
D. Promoting balanced nutrition education
Correct Answer: B
Rationale: Early and adequate prenatal care is the most significant modifiable
factor in reducing infant mortality. Prenatal care identifies and manages risk
factors, promotes healthy behaviors, and improves birth outcomes.
5. Which historical event most transformed maternal-newborn nursing
practice in the 20th century?
,A. Development of the x-ray for pelvic assessment
B. Performance of the first cesarean birth
C. Movement of births from home to hospital
D. Creation of free-standing birth centers
Correct Answer: C
Rationale: The shift of childbirth from home to hospital required nurses to
develop institutional competencies, manage technology, and function in
interprofessional teams. This fundamentally changed the scope and nature of
maternal-newborn nursing.
6. A nurse is advocating for policies to improve maternal health. Which
population faces the highest maternal mortality risk?
A. White, college-educated women
B. Black women regardless of education or income
C. Asian-American women
D. Women in rural areas only
Correct Answer: B
Rationale: Black women in the United States experience maternal mortality at
rates significantly higher than white women, even when controlling for education
and socioeconomic status. Structural racism and inequities in healthcare access
and quality contribute to this disparity.
7. Which statement reflects the concept of atraumatic care in pediatrics?
A. Minimizing physical and psychological distress for the child and family
B. Performing all procedures quickly regardless of pain
C. Restricting family involvement to reduce anxiety
D. Using restraint for all invasive procedures
Correct Answer: A
, Rationale: Atraumatic care is the provision of therapeutic care that minimizes
or eliminates the psychological and physical distress experienced by children and
families in the healthcare system. It emphasizes pain management, family presence,
and minimizing separation.
8. A nurse is reviewing the historical development of pediatric nursing. Which
individual is credited with establishing the first pediatric nurse practitioner
program?
A. Florence Nightingale
B. Loretta Ford
C. Lillian Wald
D. Clara Barton
Correct Answer: B
Rationale: Loretta Ford, in collaboration with Henry Silver, established the
first pediatric nurse practitioner program in 1965 at the University of Colorado.
This expanded nursing roles into advanced practice.
9. Which is a core component of the medical home model in pediatric care?
A. Episodic care only during illness
B. Care coordination across settings and providers
C. Limited family involvement in care planning
D. Restriction of services to primary care only
Correct Answer: B
Rationale: The medical home model emphasizes accessible, continuous,
comprehensive, family-centered, coordinated, compassionate, and culturally
effective care. Care coordination across settings and providers is essential.
