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 federal
legislation on maternal-infant health. Which 1921 legislation,
which provided funding for prenatal and child health centers,
represented a significant shift toward federal support for
maternal/child health?
A. The Social Security Act of 1935
B. The Sheppard-Towner Act
C. The Medicaid/Medicare Act
D. The Title V Amendment
Correct Answer: B
Rationales:
, • Correct: The Sheppard-Towner Act of 1921 was the first
major federal legislation to provide funds to states to
establish prenatal and child health centers, marking a
pivotal shift in government involvement.
• Incorrect A: The Social Security Act of 1935 was broader
and included provisions for maternal and child welfare, but
it was not the first major act of its kind.
• Incorrect C: The Medicaid/Medicare Act of 1965
provided health insurance but came decades later.
• Incorrect D: Title V is a component of the Social Security
Act, not the pioneering 1921 legislation.
Teaching Point: Sheppard-Towner was the first federal
program to directly fund maternal-infant health services.
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, Evolution of Pediatric Nursing
The role of the pediatric nurse has expanded significantly.
Which action by a pediatric nurse best demonstrates the modern
role of patient advocate?
A. Administering prescribed intravenous antibiotics to a child
with pneumonia.
B. Explaining a new asthma action plan to a 10-year-old and
their parents in language they can understand.
C. Coordinating a meeting between the family, a speech
therapist, and a social worker for a child with special needs.
,D. Documenting a child's pain score before and after analgesic
administration.
Correct Answer: C
Rationales:
• Correct: Advocacy involves ensuring the client's needs are
met by the healthcare system. Coordinating
interdisciplinary care is a key advocacy function.
• Incorrect A: This is a direct care/caregiving role, not
specifically advocacy.
• Incorrect B: This demonstrates the role of educator.
• Incorrect D: This is an important nursing action related to
assessment and evaluation, but not primarily advocacy.
Teaching Point: Advocacy involves acting on behalf of
clients to coordinate care and ensure their voice is heard.
Citation: Ricci, S., Kyle, T., & Carman, S.
(2021). Maternity and Pediatric Nursing (5th ed.). Wolters
Kluwer. Chapter 1, Evolution of Pediatric Nursing.
3. Chapter 1, Mortality
A community health nurse is reviewing health statistics to
identify priorities for a new child health initiative. Which
measure is the most sensitive indicator of a nation's overall
health status for children under one year of age?
A. Maternal mortality rate
B. Infant mortality rate
C. Child mortality rate (ages 1-14)
D. Neonatal mortality rate
, Correct Answer: B
Rationales:
• Correct: The infant mortality rate (number of deaths in the
first year of life per 1,000 live births) is a globally
recognized, sensitive indicator of a population's health
status and the effectiveness of its healthcare systems.
• Incorrect A: The maternal mortality rate reflects the health
of mothers and obstetric care, not specifically children.
• Incorrect C: The child mortality rate is important but does
not capture the high-risk first year of life.
• Incorrect D: The neonatal mortality rate (first 28 days) is a
component of the infant mortality rate, which provides a
more comprehensive picture.
Teaching Point: Infant mortality rate is a key benchmark
for the health of a nation's children and its healthcare
system.
Citation: Ricci, S., Kyle, T., & Carman, S.
(2021). Maternity and Pediatric Nursing (5th ed.). Wolters
Kluwer. Chapter 1, Mortality.
4. Chapter 1, Morbidity
When planning health promotion programs for children, the
nurse recognizes that the leading causes of morbidity (illness) in
the pediatric population are primarily related to which of the
following?
A. Acute infectious diseases
B. Chronic conditions such as asthma and diabetes
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 federal
legislation on maternal-infant health. Which 1921 legislation,
which provided funding for prenatal and child health centers,
represented a significant shift toward federal support for
maternal/child health?
A. The Social Security Act of 1935
B. The Sheppard-Towner Act
C. The Medicaid/Medicare Act
D. The Title V Amendment
Correct Answer: B
Rationales:
, • Correct: The Sheppard-Towner Act of 1921 was the first
major federal legislation to provide funds to states to
establish prenatal and child health centers, marking a
pivotal shift in government involvement.
• Incorrect A: The Social Security Act of 1935 was broader
and included provisions for maternal and child welfare, but
it was not the first major act of its kind.
• Incorrect C: The Medicaid/Medicare Act of 1965
provided health insurance but came decades later.
• Incorrect D: Title V is a component of the Social Security
Act, not the pioneering 1921 legislation.
Teaching Point: Sheppard-Towner was the first federal
program to directly fund maternal-infant health services.
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, Evolution of Pediatric Nursing
The role of the pediatric nurse has expanded significantly.
Which action by a pediatric nurse best demonstrates the modern
role of patient advocate?
A. Administering prescribed intravenous antibiotics to a child
with pneumonia.
B. Explaining a new asthma action plan to a 10-year-old and
their parents in language they can understand.
C. Coordinating a meeting between the family, a speech
therapist, and a social worker for a child with special needs.
,D. Documenting a child's pain score before and after analgesic
administration.
Correct Answer: C
Rationales:
• Correct: Advocacy involves ensuring the client's needs are
met by the healthcare system. Coordinating
interdisciplinary care is a key advocacy function.
• Incorrect A: This is a direct care/caregiving role, not
specifically advocacy.
• Incorrect B: This demonstrates the role of educator.
• Incorrect D: This is an important nursing action related to
assessment and evaluation, but not primarily advocacy.
Teaching Point: Advocacy involves acting on behalf of
clients to coordinate care and ensure their voice is heard.
Citation: Ricci, S., Kyle, T., & Carman, S.
(2021). Maternity and Pediatric Nursing (5th ed.). Wolters
Kluwer. Chapter 1, Evolution of Pediatric Nursing.
3. Chapter 1, Mortality
A community health nurse is reviewing health statistics to
identify priorities for a new child health initiative. Which
measure is the most sensitive indicator of a nation's overall
health status for children under one year of age?
A. Maternal mortality rate
B. Infant mortality rate
C. Child mortality rate (ages 1-14)
D. Neonatal mortality rate
, Correct Answer: B
Rationales:
• Correct: The infant mortality rate (number of deaths in the
first year of life per 1,000 live births) is a globally
recognized, sensitive indicator of a population's health
status and the effectiveness of its healthcare systems.
• Incorrect A: The maternal mortality rate reflects the health
of mothers and obstetric care, not specifically children.
• Incorrect C: The child mortality rate is important but does
not capture the high-risk first year of life.
• Incorrect D: The neonatal mortality rate (first 28 days) is a
component of the infant mortality rate, which provides a
more comprehensive picture.
Teaching Point: Infant mortality rate is a key benchmark
for the health of a nation's children and its healthcare
system.
Citation: Ricci, S., Kyle, T., & Carman, S.
(2021). Maternity and Pediatric Nursing (5th ed.). Wolters
Kluwer. Chapter 1, Mortality.
4. Chapter 1, Morbidity
When planning health promotion programs for children, the
nurse recognizes that the leading causes of morbidity (illness) in
the pediatric population are primarily related to which of the
following?
A. Acute infectious diseases
B. Chronic conditions such as asthma and diabetes
