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
Stem: A community health nurse is designing a
prenatal education program aimed at reducing
preventable perinatal complications. Which primary
focus best reflects the overarching goal of maternal–
newborn nursing?
A. Ensuring that all births occur in hospital settings.
B. Promoting and maintaining optimal health of the
woman and family across the childbearing cycle.
C. Minimizing the role of family members during
labor to prevent interference.
D. Emphasizing physician-led decision making for all
obstetric care.
,Correct Answer: B
Rationales:
• Correct (B): Maternal–newborn nursing aims to
promote and maintain optimal health for the woman
and family before, during, and after pregnancy,
emphasizing health promotion, prevention, and
family involvement.
• A: Incorrect — while hospitals provide certain
services, safe birth settings vary and the goal is
health optimization rather than setting-specific care.
• C: Incorrect — family involvement is central to
family-centered maternity care and usually improves
outcomes.
• D: Incorrect — nursing practice supports
interdisciplinary, client-centered care rather than
only physician-led decisions.
Teaching Point: Maternal–newborn nursing centers on
promoting health for woman, newborn, and family
across the childbearing cycle.
Citation: Chapter 1, Introduction. Wolters Kluwer+1
,2. Chapter 1, Historical Development
Stem: A student asks why midwifery declined in the
early 20th century in many countries. Which
historical factor best explains this shift?
A. A universal cultural preference for home births
remained unchanged.
B. Medicalization of childbirth and the rise of
physician-attended hospital births.
C. Complete elimination of childbirth complications
by the 1900s.
D. Midwives refused to attend births after the 19th
century.
Correct Answer: B
Rationales:
• Correct (B): The early 20th-century shift toward
medicalization, increased hospital births, and
physician involvement led to a decline in traditional
midwifery.
• A: Incorrect — cultural preferences shifted in many
areas toward hospitals, not staying the same.
• C: Incorrect — childbirth complications persisted;
mortality decreased later with medical advances.
, • D: Incorrect — midwives did not universally refuse
attendance; systemic and professional changes
reduced their prominence.
Teaching Point: Medicalization and hospital-based
obstetrics decreased the prominence of traditional
midwifery.
Citation: Chapter 1, Historical Development. Wolters
Kluwer+1
3. Chapter 1, The History of Maternal and Newborn
Health and Health Care
Stem: During a seminar, a nurse educator describes
major contributors to the 20th-century decline in
maternal mortality. Which factor is most responsible
for that decline?
A. Decreased use of prenatal care.
B. Advances such as antibiotics, better surgical
techniques, and improved prenatal care.
C. Elimination of socioeconomic disparities.
D. Increased maternal bed rest without medical
intervention.
Correct Answer: B
Rationales:
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
Stem: A community health nurse is designing a
prenatal education program aimed at reducing
preventable perinatal complications. Which primary
focus best reflects the overarching goal of maternal–
newborn nursing?
A. Ensuring that all births occur in hospital settings.
B. Promoting and maintaining optimal health of the
woman and family across the childbearing cycle.
C. Minimizing the role of family members during
labor to prevent interference.
D. Emphasizing physician-led decision making for all
obstetric care.
,Correct Answer: B
Rationales:
• Correct (B): Maternal–newborn nursing aims to
promote and maintain optimal health for the woman
and family before, during, and after pregnancy,
emphasizing health promotion, prevention, and
family involvement.
• A: Incorrect — while hospitals provide certain
services, safe birth settings vary and the goal is
health optimization rather than setting-specific care.
• C: Incorrect — family involvement is central to
family-centered maternity care and usually improves
outcomes.
• D: Incorrect — nursing practice supports
interdisciplinary, client-centered care rather than
only physician-led decisions.
Teaching Point: Maternal–newborn nursing centers on
promoting health for woman, newborn, and family
across the childbearing cycle.
Citation: Chapter 1, Introduction. Wolters Kluwer+1
,2. Chapter 1, Historical Development
Stem: A student asks why midwifery declined in the
early 20th century in many countries. Which
historical factor best explains this shift?
A. A universal cultural preference for home births
remained unchanged.
B. Medicalization of childbirth and the rise of
physician-attended hospital births.
C. Complete elimination of childbirth complications
by the 1900s.
D. Midwives refused to attend births after the 19th
century.
Correct Answer: B
Rationales:
• Correct (B): The early 20th-century shift toward
medicalization, increased hospital births, and
physician involvement led to a decline in traditional
midwifery.
• A: Incorrect — cultural preferences shifted in many
areas toward hospitals, not staying the same.
• C: Incorrect — childbirth complications persisted;
mortality decreased later with medical advances.
, • D: Incorrect — midwives did not universally refuse
attendance; systemic and professional changes
reduced their prominence.
Teaching Point: Medicalization and hospital-based
obstetrics decreased the prominence of traditional
midwifery.
Citation: Chapter 1, Historical Development. Wolters
Kluwer+1
3. Chapter 1, The History of Maternal and Newborn
Health and Health Care
Stem: During a seminar, a nurse educator describes
major contributors to the 20th-century decline in
maternal mortality. Which factor is most responsible
for that decline?
A. Decreased use of prenatal care.
B. Advances such as antibiotics, better surgical
techniques, and improved prenatal care.
C. Elimination of socioeconomic disparities.
D. Increased maternal bed rest without medical
intervention.
Correct Answer: B
Rationales:
