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
Multiple-Choice Questions: Perspectives on Maternal and
Child Health Care
Question 1
1. Chapter 1, The History of Maternal and Newborn Health
and Health Care
2. A nurse is reviewing the historical developments that
significantly improved maternal and newborn mortality
rates in the United States. Which intervention, implemented
in the early 20th century, is credited with the most dramatic
reduction in infant and maternal deaths?
3. Options: A. Establishment of women's health clinics and
prenatal vitamin supplementation. B. Adoption of antiseptic
techniques during childbirth by medical providers. C. Shift
, from home births attended by lay midwives to hospital
births. D. Introduction of specialized neonatal intensive
care units (NICUs).
4. Correct Answer: B
5. Rationales:
o Correct answer: The adoption of antiseptic
techniques and the understanding of germ theory by
healthcare providers (physicians and nurses) led to a
significant decrease in puerperal fever (sepsis), which
was a major cause of maternal mortality, and newborn
infections, dramatically improving outcomes.
o Incorrect A: Prenatal vitamins and women's health
clinics were important, but the impact of antiseptic
practices on infectious mortality was more immediate
and dramatic during that era.
o Incorrect C: While hospital births increased, the move
itself didn't inherently improve outcomes; the
implementation of safer practices within the hospital
(like antisepsis) was the key factor.
o Incorrect D: NICUs were a later development in the
latter half of the 20th century, following the initial
dramatic decline in mortality.
6. Teaching Point: Antiseptic techniques were the critical
early factor in reducing maternal and newborn infectious
mortality.
, 7. Citation: Chapter 1, The History of Maternal and Newborn
Health and Health Care
Question 2
1. Chapter 1, The History of Child Health and Child Health
Care
2. Historically, care for sick children was often provided in
adult wards with little understanding of their unique
physical and psychological needs. The development of
dedicated children's hospitals in the mid-19th century
primarily addressed which critical need?
3. Options: A. Facilitating advanced surgical procedures for
pediatric congenital defects. B. Centralizing research
efforts on childhood infectious diseases. C. Providing a
supportive environment with specialized care and personnel
for children. D. Mandating vaccinations for major
childhood illnesses.
4. Correct Answer: C
5. Rationales:
o Correct answer: The creation of dedicated children's
hospitals allowed for a focus on the unique
developmental, psychological, and physical needs of
children, moving beyond the fragmented and adult-
centric care previously provided.
, o Incorrect A: While surgery improved, the initial
primary focus was on specialized care and protection
from the adult illnesses prevalent in general hospitals.
o Incorrect B: Research was a later benefit; the
immediate need was for appropriate, specialized care
delivery.
o Incorrect D: Vaccination mandates are a public health
policy, not the primary driver for creating specialized
children's facilities.
6. Teaching Point: Children's hospitals were founded to meet
the unique needs of children in a specialized, appropriate
environment.
7. Citation: Chapter 1, The History of Child Health and Child
Health Care
Question 3
1. Chapter 1, Evolution of Pediatric Nursing
2. A new nurse on a pediatric unit asks about the philosophy
of care. The preceptor explains that current practice is
largely based on the concept of Family-Centered Care
(FCC). Which principle best demonstrates the practical
application of FCC on the unit?
3. Options: A. Strict scheduling of medical procedures to
optimize unit efficiency. B. Encouraging parental presence
and participation in care planning and delivery. C.
5th Edition
• Author(s)Susan Scott Ricci; Terri Kyle; Susan Carman
• PublisherPublished by Wolters Kluwer Health Copyright©
2025
• Print ISBN: 9781975220419
TEST BANK
Multiple-Choice Questions: Perspectives on Maternal and
Child Health Care
Question 1
1. Chapter 1, The History of Maternal and Newborn Health
and Health Care
2. A nurse is reviewing the historical developments that
significantly improved maternal and newborn mortality
rates in the United States. Which intervention, implemented
in the early 20th century, is credited with the most dramatic
reduction in infant and maternal deaths?
3. Options: A. Establishment of women's health clinics and
prenatal vitamin supplementation. B. Adoption of antiseptic
techniques during childbirth by medical providers. C. Shift
, from home births attended by lay midwives to hospital
births. D. Introduction of specialized neonatal intensive
care units (NICUs).
4. Correct Answer: B
5. Rationales:
o Correct answer: The adoption of antiseptic
techniques and the understanding of germ theory by
healthcare providers (physicians and nurses) led to a
significant decrease in puerperal fever (sepsis), which
was a major cause of maternal mortality, and newborn
infections, dramatically improving outcomes.
o Incorrect A: Prenatal vitamins and women's health
clinics were important, but the impact of antiseptic
practices on infectious mortality was more immediate
and dramatic during that era.
o Incorrect C: While hospital births increased, the move
itself didn't inherently improve outcomes; the
implementation of safer practices within the hospital
(like antisepsis) was the key factor.
o Incorrect D: NICUs were a later development in the
latter half of the 20th century, following the initial
dramatic decline in mortality.
6. Teaching Point: Antiseptic techniques were the critical
early factor in reducing maternal and newborn infectious
mortality.
, 7. Citation: Chapter 1, The History of Maternal and Newborn
Health and Health Care
Question 2
1. Chapter 1, The History of Child Health and Child Health
Care
2. Historically, care for sick children was often provided in
adult wards with little understanding of their unique
physical and psychological needs. The development of
dedicated children's hospitals in the mid-19th century
primarily addressed which critical need?
3. Options: A. Facilitating advanced surgical procedures for
pediatric congenital defects. B. Centralizing research
efforts on childhood infectious diseases. C. Providing a
supportive environment with specialized care and personnel
for children. D. Mandating vaccinations for major
childhood illnesses.
4. Correct Answer: C
5. Rationales:
o Correct answer: The creation of dedicated children's
hospitals allowed for a focus on the unique
developmental, psychological, and physical needs of
children, moving beyond the fragmented and adult-
centric care previously provided.
, o Incorrect A: While surgery improved, the initial
primary focus was on specialized care and protection
from the adult illnesses prevalent in general hospitals.
o Incorrect B: Research was a later benefit; the
immediate need was for appropriate, specialized care
delivery.
o Incorrect D: Vaccination mandates are a public health
policy, not the primary driver for creating specialized
children's facilities.
6. Teaching Point: Children's hospitals were founded to meet
the unique needs of children in a specialized, appropriate
environment.
7. Citation: Chapter 1, The History of Child Health and Child
Health Care
Question 3
1. Chapter 1, Evolution of Pediatric Nursing
2. A new nurse on a pediatric unit asks about the philosophy
of care. The preceptor explains that current practice is
largely based on the concept of Family-Centered Care
(FCC). Which principle best demonstrates the practical
application of FCC on the unit?
3. Options: A. Strict scheduling of medical procedures to
optimize unit efficiency. B. Encouraging parental presence
and participation in care planning and delivery. C.
