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, Section: Introduction
Stem: A public health nurse is designing community
programs to improve maternal-child outcomes.
Which approach best reflects the population-based
focus of maternal-child public health nursing?
A. Providing one-on-one prenatal teaching to a high-
risk patient.
B. Implementing a community-wide prenatal
nutrition class and measuring birthweight trends.
C. Offering postpartum home visits to a single family
after discharge.
, D. Leading a hospital-based breastfeeding support
group for employees only.
Correct Answer: B
Rationales:
• Correct (B): Community-based programs that target
populations and include measurable outcomes
(birthweight trends) reflect population-based public
health nursing. Ricci et al. emphasize population-
level interventions and outcome monitoring.
• A: One-on-one teaching is important but is
individual-level care rather than a population
approach.
• C: Home visits to a single family are individualized,
not population-focused.
• D: A hospital employee group is limited in scope and
does not address community-wide outcomes.
Teaching Point: Population-based maternal-child
nursing targets communities and measurable
outcomes.
Citation: Ricci, Kyle, & Carman — Chapter 1,
Introduction.
,2
Chapter 1, Section: Historical Development
Stem: When teaching students about the historical
roots of maternal-child nursing, which statement
best explains why formal nursing care for women
and children expanded in the late 19th and early
20th centuries?
A. Scientific advances reduced the need for trained
nurses.
B. Infant and maternal mortality rates fell
dramatically without intervention.
C. Urbanization, infectious disease, and recognition
of high maternal/infant mortality created demand
for specialized care.
D. Legal restrictions prevented midwives from
practicing, eliminating the need for nurses.
Correct Answer: C
Rationales:
• Correct (C): Urbanization, infectious disease
outbreaks, and high mortality rates prompted public
health responses and the evolution of specialized
maternal-child nursing. Ricci et al. link these social
determinants to the profession's expansion.
, • A: Scientific advances increased the need for trained
nurses to implement new knowledge, not reduce it.
• B: Mortality rates were high and required
interventions; they did not fall dramatically on their
own.
• D: While midwifery roles changed, it is inaccurate to
say legal restrictions alone eliminated midwifery and
thus created nursing demand.
Teaching Point: Social change and high mortality drove
the formalization of maternal-child nursing.
Citation: Ricci, Kyle, & Carman — Chapter 1,
Historical Development.
3
Chapter 1, Section: The History of Maternal and
Newborn Health and Health Care
Stem: A student asks why neonatal care units
developed in hospitals. The best answer is:
A. Families preferred hospitals for delivery for
convenience only.
B. Advances in technology and awareness of
neonatal vulnerability required specialized, hospital-
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, Section: Introduction
Stem: A public health nurse is designing community
programs to improve maternal-child outcomes.
Which approach best reflects the population-based
focus of maternal-child public health nursing?
A. Providing one-on-one prenatal teaching to a high-
risk patient.
B. Implementing a community-wide prenatal
nutrition class and measuring birthweight trends.
C. Offering postpartum home visits to a single family
after discharge.
, D. Leading a hospital-based breastfeeding support
group for employees only.
Correct Answer: B
Rationales:
• Correct (B): Community-based programs that target
populations and include measurable outcomes
(birthweight trends) reflect population-based public
health nursing. Ricci et al. emphasize population-
level interventions and outcome monitoring.
• A: One-on-one teaching is important but is
individual-level care rather than a population
approach.
• C: Home visits to a single family are individualized,
not population-focused.
• D: A hospital employee group is limited in scope and
does not address community-wide outcomes.
Teaching Point: Population-based maternal-child
nursing targets communities and measurable
outcomes.
Citation: Ricci, Kyle, & Carman — Chapter 1,
Introduction.
,2
Chapter 1, Section: Historical Development
Stem: When teaching students about the historical
roots of maternal-child nursing, which statement
best explains why formal nursing care for women
and children expanded in the late 19th and early
20th centuries?
A. Scientific advances reduced the need for trained
nurses.
B. Infant and maternal mortality rates fell
dramatically without intervention.
C. Urbanization, infectious disease, and recognition
of high maternal/infant mortality created demand
for specialized care.
D. Legal restrictions prevented midwives from
practicing, eliminating the need for nurses.
Correct Answer: C
Rationales:
• Correct (C): Urbanization, infectious disease
outbreaks, and high mortality rates prompted public
health responses and the evolution of specialized
maternal-child nursing. Ricci et al. link these social
determinants to the profession's expansion.
, • A: Scientific advances increased the need for trained
nurses to implement new knowledge, not reduce it.
• B: Mortality rates were high and required
interventions; they did not fall dramatically on their
own.
• D: While midwifery roles changed, it is inaccurate to
say legal restrictions alone eliminated midwifery and
thus created nursing demand.
Teaching Point: Social change and high mortality drove
the formalization of maternal-child nursing.
Citation: Ricci, Kyle, & Carman — Chapter 1,
Historical Development.
3
Chapter 1, Section: The History of Maternal and
Newborn Health and Health Care
Stem: A student asks why neonatal care units
developed in hospitals. The best answer is:
A. Families preferred hospitals for delivery for
convenience only.
B. Advances in technology and awareness of
neonatal vulnerability required specialized, hospital-
