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
Chapter 1: The History of Maternal and
Newborn Health and Health Care
A nursing student is researching the historical impact of family-
centered care. Which 20th-century development was most
instrumental in shifting maternity care from a disease-oriented
model to one that focuses on the emotional and physical needs
of the entire family?
A. The opening of the first lying-in hospitals in the American
colonies.
B. The publication of guidelines for well-baby care by the
American Academy of Pediatrics.
C. The establishment of the Sheppard-Towner Act of 1921 to
reduce infant mortality.
D. The work of Gregory Pincus and John Rock in developing
the first oral contraceptive pill.
,Correct Answer: C
Rationales:
• C: The Sheppard-Towner Act of 1921 was a landmark
piece of federal legislation that provided funds for states to
establish prenatal and child health centers. This represented
a major shift toward preventive, family-centered care rather
than just treating disease, laying the groundwork for
modern maternal-child health nursing.
• A: Lying-in hospitals focused on providing a place for
delivery but were initially associated with high rates of
puerperal fever and were not focused on family-centered
care.
• B: While important for child health, this focused
specifically on infants, not the broader family unit during
the childbirth experience.
• D: The development of the birth control pill was crucial for
women's reproductive rights but did not directly drive the
shift to family-centered maternity care models.
Teaching Point: The Sheppard-Towner Act marked the
federal government's first major involvement in preventive
family health.
Citation: Ricci, S., Kyle, T., & Carman, S.
(2021). Maternity and Pediatric Nursing (5th ed.). Wolters
Kluwer. Chapter 1, The History of Maternal and Newborn
Health and Health Care.
2. Chapter 1, The History of Child Health and Child Health
Care
A pediatric nurse is explaining the evolution of their role to a
new graduate. Which statement accurately describes a key
,development in the history of pediatric nursing?
A. Lillian Wald's establishment of the Henry Street Settlement
was pivotal in moving care from hospitals into the community.
B. The primary focus of early pediatric nurses was the surgical
repair of congenital heart defects.
C. The first pediatric nurses worked exclusively in foundling
homes for orphaned children.
D. The specialty was formally recognized with the opening of
the first children's hospital in Philadelphia.
Correct Answer: A
Rationales:
• A: Lillian Wald, founder of the Henry Street Settlement in
1893, is considered the founder of public health nursing.
She provided care to poor immigrant families in their
homes, demonstrating the critical role of community-based
nursing for children.
• B: Advanced surgical techniques for congenital heart
defects came much later in the 20th century and were not
the focus of early pediatric nursing.
• C: While nurses did work in foundling homes, this was not
the defining development for the profession.
• D: The opening of children's hospitals was important, but
Wald's community work was more transformative for the
nursing role itself.
Teaching Point: Lillian Wald revolutionized pediatric care
by bringing it directly to families in their communities.
Citation: Ricci, S., Kyle, T., & Carman, S.
(2021). Maternity and Pediatric Nursing (5th ed.). Wolters
Kluwer. Chapter 1, The History of Child Health and Child
Health Care.
, 3. Chapter 1, Mortality
A public health nurse is analyzing community data to prioritize
interventions for a maternal-child health program. Which
statistic is the most sensitive indicator of a nation's overall
health status, according to maternal-child health experts?
A. Maternal mortality rate
B. Infant mortality rate
C. Child mortality rate (ages 1-14)
D. Adolescent pregnancy rate
Correct Answer: B
Rationales:
• B: The infant mortality rate (number of deaths in the first
year of life per 1,000 live births) is widely considered the
most sensitive indicator of a nation's health because it
reflects the overall status of prenatal care, maternal health,
socioeconomic conditions, and the availability of primary
care.
• A: Maternal mortality is a critical indicator but applies to a
smaller segment of the population.
• C: Child mortality is important but is less sensitive than
infant mortality to factors like prenatal care and birth
outcomes.
• D: The adolescent pregnancy rate is a measure of specific
social and educational challenges but is not the broadest
indicator of a population's health.
Teaching Point: Infant mortality rate reflects the
effectiveness of a country's entire health system.
Citation: Ricci, S., Kyle, T., & Carman, S.
(2021). Maternity and Pediatric Nursing (5th ed.). Wolters
Kluwer. Chapter 1, Mortality.
5th Edition
• Author(s)Susan Scott Ricci; Terri Kyle; Susan Carman
• PublisherPublished by Wolters Kluwer Health Copyright©
2025
• Print ISBN: 9781975220419
TEST BANK
Chapter 1: The History of Maternal and
Newborn Health and Health Care
A nursing student is researching the historical impact of family-
centered care. Which 20th-century development was most
instrumental in shifting maternity care from a disease-oriented
model to one that focuses on the emotional and physical needs
of the entire family?
A. The opening of the first lying-in hospitals in the American
colonies.
B. The publication of guidelines for well-baby care by the
American Academy of Pediatrics.
C. The establishment of the Sheppard-Towner Act of 1921 to
reduce infant mortality.
D. The work of Gregory Pincus and John Rock in developing
the first oral contraceptive pill.
,Correct Answer: C
Rationales:
• C: The Sheppard-Towner Act of 1921 was a landmark
piece of federal legislation that provided funds for states to
establish prenatal and child health centers. This represented
a major shift toward preventive, family-centered care rather
than just treating disease, laying the groundwork for
modern maternal-child health nursing.
• A: Lying-in hospitals focused on providing a place for
delivery but were initially associated with high rates of
puerperal fever and were not focused on family-centered
care.
• B: While important for child health, this focused
specifically on infants, not the broader family unit during
the childbirth experience.
• D: The development of the birth control pill was crucial for
women's reproductive rights but did not directly drive the
shift to family-centered maternity care models.
Teaching Point: The Sheppard-Towner Act marked the
federal government's first major involvement in preventive
family health.
Citation: Ricci, S., Kyle, T., & Carman, S.
(2021). Maternity and Pediatric Nursing (5th ed.). Wolters
Kluwer. Chapter 1, The History of Maternal and Newborn
Health and Health Care.
2. Chapter 1, The History of Child Health and Child Health
Care
A pediatric nurse is explaining the evolution of their role to a
new graduate. Which statement accurately describes a key
,development in the history of pediatric nursing?
A. Lillian Wald's establishment of the Henry Street Settlement
was pivotal in moving care from hospitals into the community.
B. The primary focus of early pediatric nurses was the surgical
repair of congenital heart defects.
C. The first pediatric nurses worked exclusively in foundling
homes for orphaned children.
D. The specialty was formally recognized with the opening of
the first children's hospital in Philadelphia.
Correct Answer: A
Rationales:
• A: Lillian Wald, founder of the Henry Street Settlement in
1893, is considered the founder of public health nursing.
She provided care to poor immigrant families in their
homes, demonstrating the critical role of community-based
nursing for children.
• B: Advanced surgical techniques for congenital heart
defects came much later in the 20th century and were not
the focus of early pediatric nursing.
• C: While nurses did work in foundling homes, this was not
the defining development for the profession.
• D: The opening of children's hospitals was important, but
Wald's community work was more transformative for the
nursing role itself.
Teaching Point: Lillian Wald revolutionized pediatric care
by bringing it directly to families in their communities.
Citation: Ricci, S., Kyle, T., & Carman, S.
(2021). Maternity and Pediatric Nursing (5th ed.). Wolters
Kluwer. Chapter 1, The History of Child Health and Child
Health Care.
, 3. Chapter 1, Mortality
A public health nurse is analyzing community data to prioritize
interventions for a maternal-child health program. Which
statistic is the most sensitive indicator of a nation's overall
health status, according to maternal-child health experts?
A. Maternal mortality rate
B. Infant mortality rate
C. Child mortality rate (ages 1-14)
D. Adolescent pregnancy rate
Correct Answer: B
Rationales:
• B: The infant mortality rate (number of deaths in the first
year of life per 1,000 live births) is widely considered the
most sensitive indicator of a nation's health because it
reflects the overall status of prenatal care, maternal health,
socioeconomic conditions, and the availability of primary
care.
• A: Maternal mortality is a critical indicator but applies to a
smaller segment of the population.
• C: Child mortality is important but is less sensitive than
infant mortality to factors like prenatal care and birth
outcomes.
• D: The adolescent pregnancy rate is a measure of specific
social and educational challenges but is not the broadest
indicator of a population's health.
Teaching Point: Infant mortality rate reflects the
effectiveness of a country's entire health system.
Citation: Ricci, S., Kyle, T., & Carman, S.
(2021). Maternity and Pediatric Nursing (5th ed.). Wolters
Kluwer. Chapter 1, Mortality.
