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, The History of Maternal and Newborn Health
and Health Care
2. A new mother expresses concern about her newborn's
health. The nurse explains that current maternal-child
healthcare focuses heavily on preventative measures and
community-based care, a philosophical shift primarily
influenced by which trend?
3. Options A. The 19th-century rise of specialized children's
hospitals. B. The shift from home births to hospital births in
the 1950s. C. The late 20th-century emphasis on family-
centered care and managed care. D. The introduction of
sterile techniques by early nursing pioneers.
4. Correct Answer: C
,5. Rationales:
o Correct answer: The emphasis on family-centered,
community-based care and the rise of managed care
systems in the latter half of the 20th century
fundamentally shifted the focus from solely illness
treatment to prevention, holistic care, and cost-
efficiency.
o Incorrect option A: Specialized hospitals were a move
toward medicalization, not necessarily the current
focus on community-based prevention.
o Incorrect option B: This shift increased medical
intervention and was less about community
prevention.
o Incorrect option D: Sterile techniques improved safety
but do not represent the philosophical shift toward
family-centered, preventative, and community-based
care.
6. Teaching Point: Modern maternal-child nursing is
characterized by family-centered, evidence-based,
community-focused, and culturally sensitive care.
7. Citation: Chapter 1, Historical Development / Evolution of
Maternal and Newborn Nursing
1. Chapter 1, Health Status of Women and Children
,2. The nurse is participating in a community health initiative
aimed at reducing the infant mortality rate (IMR). Which
of the following is the most effective way for the nurse to
measure the IMR's success as a health indicator?
3. Options A. The number of deaths per 1,000 live births in
the first year of life. B. The percentage of infants surviving
beyond the neonatal period. C. The number of stillbirths
per 1,000 births. D. The number of hospital admissions for
infants under one year old.
4. Correct Answer: A
5. Rationales:
o Correct answer: The Infant Mortality Rate (IMR) is
the universally accepted measure of the rate of death
for children under 1 year of age per 1,000 live births.
It is a critical indicator of the overall health and well-
being of a nation.
o Incorrect option B: This is a measure of survival, not
the mortality rate itself.
o Incorrect option C: This measures the fetal death rate
or stillbirth rate, which is different from the IMR.
o Incorrect option D: This measures morbidity
(illness/hospitalization), not mortality (death).
6. Teaching Point: Infant mortality is a key indicator of a
nation's overall health and the quality of maternal-child
health care.
, 7. Citation: Chapter 1, Health Status of Women and Children /
Mortality
1. Chapter 1, Legal and Ethical Issues in Maternal and Child
Health Care
2. A 16-year-old female is pregnant and is refusing a non-
emergent but recommended prenatal diagnostic test. Her
parents demand the test be performed. The nurse
understands that this situation involves which core ethical
and legal concept?
3. Options A. Maternal–Fetal Conflict B. Assent C.
Emancipated Minor Status D. Informed Consent
4. Correct Answer: D
5. Rationales:
o Correct answer: The patient's right to refuse or accept
treatment, even a diagnostic test, hinges on informed
consent. In most jurisdictions, a minor who is
pregnant or a parent can legally provide their own
consent for medical care related to the pregnancy,
overriding the parents' wishes for this specific
scenario.
o Incorrect option A: Maternal-fetal conflict involves the
mother's choice vs. the fetus's welfare (e.g., refusing a
life-saving fetal surgery), not a conflict over a
diagnostic test between the patient and her parents.
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, The History of Maternal and Newborn Health
and Health Care
2. A new mother expresses concern about her newborn's
health. The nurse explains that current maternal-child
healthcare focuses heavily on preventative measures and
community-based care, a philosophical shift primarily
influenced by which trend?
3. Options A. The 19th-century rise of specialized children's
hospitals. B. The shift from home births to hospital births in
the 1950s. C. The late 20th-century emphasis on family-
centered care and managed care. D. The introduction of
sterile techniques by early nursing pioneers.
4. Correct Answer: C
,5. Rationales:
o Correct answer: The emphasis on family-centered,
community-based care and the rise of managed care
systems in the latter half of the 20th century
fundamentally shifted the focus from solely illness
treatment to prevention, holistic care, and cost-
efficiency.
o Incorrect option A: Specialized hospitals were a move
toward medicalization, not necessarily the current
focus on community-based prevention.
o Incorrect option B: This shift increased medical
intervention and was less about community
prevention.
o Incorrect option D: Sterile techniques improved safety
but do not represent the philosophical shift toward
family-centered, preventative, and community-based
care.
6. Teaching Point: Modern maternal-child nursing is
characterized by family-centered, evidence-based,
community-focused, and culturally sensitive care.
7. Citation: Chapter 1, Historical Development / Evolution of
Maternal and Newborn Nursing
1. Chapter 1, Health Status of Women and Children
,2. The nurse is participating in a community health initiative
aimed at reducing the infant mortality rate (IMR). Which
of the following is the most effective way for the nurse to
measure the IMR's success as a health indicator?
3. Options A. The number of deaths per 1,000 live births in
the first year of life. B. The percentage of infants surviving
beyond the neonatal period. C. The number of stillbirths
per 1,000 births. D. The number of hospital admissions for
infants under one year old.
4. Correct Answer: A
5. Rationales:
o Correct answer: The Infant Mortality Rate (IMR) is
the universally accepted measure of the rate of death
for children under 1 year of age per 1,000 live births.
It is a critical indicator of the overall health and well-
being of a nation.
o Incorrect option B: This is a measure of survival, not
the mortality rate itself.
o Incorrect option C: This measures the fetal death rate
or stillbirth rate, which is different from the IMR.
o Incorrect option D: This measures morbidity
(illness/hospitalization), not mortality (death).
6. Teaching Point: Infant mortality is a key indicator of a
nation's overall health and the quality of maternal-child
health care.
, 7. Citation: Chapter 1, Health Status of Women and Children /
Mortality
1. Chapter 1, Legal and Ethical Issues in Maternal and Child
Health Care
2. A 16-year-old female is pregnant and is refusing a non-
emergent but recommended prenatal diagnostic test. Her
parents demand the test be performed. The nurse
understands that this situation involves which core ethical
and legal concept?
3. Options A. Maternal–Fetal Conflict B. Assent C.
Emancipated Minor Status D. Informed Consent
4. Correct Answer: D
5. Rationales:
o Correct answer: The patient's right to refuse or accept
treatment, even a diagnostic test, hinges on informed
consent. In most jurisdictions, a minor who is
pregnant or a parent can legally provide their own
consent for medical care related to the pregnancy,
overriding the parents' wishes for this specific
scenario.
o Incorrect option A: Maternal-fetal conflict involves the
mother's choice vs. the fetus's welfare (e.g., refusing a
life-saving fetal surgery), not a conflict over a
diagnostic test between the patient and her parents.
