Maternity and Pediatric Nursing
5th Edition
• Author(s)Susan Scott Ricci; Terri Kyle; Susan Carman
• PublisherPublished by Wolters Kluwer Health Copyright©
2025
• Print ISBN: 9781975220419
TEST BANK
1. Chapter 1, Introduction / Historical Development
2. Stem: A nurse preparing a presentation about the 20th-
century evolution of maternal care wants to highlight the
single most influential change that reduced maternal
mortality. Which development should the nurse
emphasize?
3. A. Introduction of prenatal vitamins
B. Development of antibiotics and antiseptic techniques
C. Wider availability of home births
D. Increased maternal age at first birth
4. Correct Answer: B
, 5. Rationales:
o Correct (B): The development of antibiotics and
antiseptic techniques dramatically decreased
infectious complications (e.g., puerperal sepsis), a
major cause of maternal mortality historically. This is
emphasized in historical overviews of maternal care.
o A: Prenatal vitamins improved fetal outcomes but did
not have the same immediate large-scale effect on
reducing maternal deaths from infection.
o C: Home births did not reduce maternal mortality
historically and, before modern prenatal care, often
increased risk.
o D: Increased maternal age is associated with higher
obstetric risk and did not drive mortality reductions.
6. Teaching Point: Advances in infection control greatly
reduced maternal deaths.
7. Citation: Ricci, Kyle & Carman — Chapter 1, The History of
Maternal and Newborn Health and Health Care.
2.
1. Chapter 1, History of Child Health and Child Health Care
2. Stem: A public health student asks why child mortality fell
substantially in the early-to-mid 1900s. Which public
health measure most directly contributed to that decline?
,3. A. Expanded access to pediatric specialty clinics
B. Improvements in sanitation and vaccination programs
C. Increased elective cesarean sections
D. Higher rates of breastfeeding in hospitals
4. Correct Answer: B
5. Rationales:
o Correct (B): Public sanitation improvements and
widespread vaccination programs addressed major
infectious causes of childhood death, producing
significant declines in child mortality.
o A: Pediatric specialty clinics help chronic conditions
but had less population-level impact on early 20th-
century mortality.
o C: Elective cesarean sections are unrelated to
historical reductions in child mortality and were not
widely performed then.
o D: Breastfeeding rates vary by era and place; while
beneficial, breastfeeding expansion alone does not
explain the large mortality drop.
6. Teaching Point: Sanitation and vaccines transformed child
survival.
7. Citation: Ricci, Kyle & Carman — Chapter 1, The History of
Child Health and Child Health Care.
, 3.
1. Chapter 1, Evolution of Maternal and Newborn Nursing
2. Stem: A new graduate nurse notes that maternal–newborn
nursing now includes family-centered care. Which practice
best exemplifies that evolution?
3. A. Strict visiting hours to limit family presence
B. Separating newborns from mothers for observation by
physicians only
C. Encouraging rooming-in and parental participation in
infant care
D. Requiring physician consent for all routine newborn care
activities
4. Correct Answer: C
5. Rationales:
o Correct (C): Encouraging rooming-in and parental
participation reflects the shift to family-centered
maternal–newborn care.
o A: Strict visiting hours are contrary to family-centered
approaches.
o B: Routine separation undermines bonding and family
involvement, which modern nursing minimizes unless
medically necessary.
5th Edition
• Author(s)Susan Scott Ricci; Terri Kyle; Susan Carman
• PublisherPublished by Wolters Kluwer Health Copyright©
2025
• Print ISBN: 9781975220419
TEST BANK
1. Chapter 1, Introduction / Historical Development
2. Stem: A nurse preparing a presentation about the 20th-
century evolution of maternal care wants to highlight the
single most influential change that reduced maternal
mortality. Which development should the nurse
emphasize?
3. A. Introduction of prenatal vitamins
B. Development of antibiotics and antiseptic techniques
C. Wider availability of home births
D. Increased maternal age at first birth
4. Correct Answer: B
, 5. Rationales:
o Correct (B): The development of antibiotics and
antiseptic techniques dramatically decreased
infectious complications (e.g., puerperal sepsis), a
major cause of maternal mortality historically. This is
emphasized in historical overviews of maternal care.
o A: Prenatal vitamins improved fetal outcomes but did
not have the same immediate large-scale effect on
reducing maternal deaths from infection.
o C: Home births did not reduce maternal mortality
historically and, before modern prenatal care, often
increased risk.
o D: Increased maternal age is associated with higher
obstetric risk and did not drive mortality reductions.
6. Teaching Point: Advances in infection control greatly
reduced maternal deaths.
7. Citation: Ricci, Kyle & Carman — Chapter 1, The History of
Maternal and Newborn Health and Health Care.
2.
1. Chapter 1, History of Child Health and Child Health Care
2. Stem: A public health student asks why child mortality fell
substantially in the early-to-mid 1900s. Which public
health measure most directly contributed to that decline?
,3. A. Expanded access to pediatric specialty clinics
B. Improvements in sanitation and vaccination programs
C. Increased elective cesarean sections
D. Higher rates of breastfeeding in hospitals
4. Correct Answer: B
5. Rationales:
o Correct (B): Public sanitation improvements and
widespread vaccination programs addressed major
infectious causes of childhood death, producing
significant declines in child mortality.
o A: Pediatric specialty clinics help chronic conditions
but had less population-level impact on early 20th-
century mortality.
o C: Elective cesarean sections are unrelated to
historical reductions in child mortality and were not
widely performed then.
o D: Breastfeeding rates vary by era and place; while
beneficial, breastfeeding expansion alone does not
explain the large mortality drop.
6. Teaching Point: Sanitation and vaccines transformed child
survival.
7. Citation: Ricci, Kyle & Carman — Chapter 1, The History of
Child Health and Child Health Care.
, 3.
1. Chapter 1, Evolution of Maternal and Newborn Nursing
2. Stem: A new graduate nurse notes that maternal–newborn
nursing now includes family-centered care. Which practice
best exemplifies that evolution?
3. A. Strict visiting hours to limit family presence
B. Separating newborns from mothers for observation by
physicians only
C. Encouraging rooming-in and parental participation in
infant care
D. Requiring physician consent for all routine newborn care
activities
4. Correct Answer: C
5. Rationales:
o Correct (C): Encouraging rooming-in and parental
participation reflects the shift to family-centered
maternal–newborn care.
o A: Strict visiting hours are contrary to family-centered
approaches.
o B: Routine separation undermines bonding and family
involvement, which modern nursing minimizes unless
medically necessary.
