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 — Perspectives on
Maternal and Child Health Care
Stem: A nurse preparing a community-based program
must prioritize interventions that most effectively
reduce maternal and child mortality. Which
approach best follows a population health
perspective?
A. Focus resources on high-risk individual prenatal
patients only.
B. Implement community-wide prenatal education,
immunization drives, and access to family planning.
, C. Build a tertiary care neonatal intensive care unit
(NICU) within the community.
D. Provide one-time screenings at a local clinic
without follow-up.
Correct Answer: B
Rationales:
• Correct (B): Community-level interventions
(education, immunization, family planning, access to
care) target population determinants of health and
reduce mortality more broadly than isolated
services.
• A: Focusing only on high-risk individuals misses
upstream social determinants and population
prevention opportunities.
• C: A NICU addresses tertiary needs but does not
prevent mortality at the population level and is
resource-intensive.
• D: One-time screenings without follow-up have
limited long-term impact on maternal/child
outcomes.
Teaching Point: Population health strategies prevent
more morbidity and mortality than isolated
, individual services.
Citation: Chapter 1, Introduction / Perspectives on
Maternal and Child Health Care.
2. Chapter 1, Historical Development — The History of
Maternal and Newborn Health and Health Care
Stem: A student asks why hospital births became the
norm in the early 20th century. Which historical
factor most directly contributed to this shift?
A. Widespread home availability of antibiotics.
B. Advances in obstetric surgery and anesthesia and
public perception of safety in hospitals.
C. Universal midwifery training in rural areas.
D. Decreased infant mortality before hospital
expansion.
Correct Answer: B
Rationales:
• Correct (B): Advances in surgical techniques,
anesthesia, and the perception of hospitals as safer
environments were key drivers of the move to
hospital births.
, • A: Antibiotics were not widely available in the early
20th century and therefore did not drive hospital
birth adoption.
• C: Midwifery professionalization did not universally
replace hospital care; in many places, midwifery
declined as hospitals expanded.
• D: Infant mortality decreased largely because of
hospital care and medical advances, not the reverse.
Teaching Point: Medical advances and perceived safety
prompted the shift from home to hospital births.
Citation: Chapter 1, Historical Development — The
History of Maternal and Newborn Health and Health
Care.
3. Chapter 1, Historical Development — The History of
Child Health and Child Health Care
Stem: When educating peers about the evolution of
pediatric care, which statement best explains why
pediatric nursing emerged as a distinct specialty?
A. Children’s physiology and psychosocial needs
differ from adults, requiring specialized care and
advocacy.
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 — Perspectives on
Maternal and Child Health Care
Stem: A nurse preparing a community-based program
must prioritize interventions that most effectively
reduce maternal and child mortality. Which
approach best follows a population health
perspective?
A. Focus resources on high-risk individual prenatal
patients only.
B. Implement community-wide prenatal education,
immunization drives, and access to family planning.
, C. Build a tertiary care neonatal intensive care unit
(NICU) within the community.
D. Provide one-time screenings at a local clinic
without follow-up.
Correct Answer: B
Rationales:
• Correct (B): Community-level interventions
(education, immunization, family planning, access to
care) target population determinants of health and
reduce mortality more broadly than isolated
services.
• A: Focusing only on high-risk individuals misses
upstream social determinants and population
prevention opportunities.
• C: A NICU addresses tertiary needs but does not
prevent mortality at the population level and is
resource-intensive.
• D: One-time screenings without follow-up have
limited long-term impact on maternal/child
outcomes.
Teaching Point: Population health strategies prevent
more morbidity and mortality than isolated
, individual services.
Citation: Chapter 1, Introduction / Perspectives on
Maternal and Child Health Care.
2. Chapter 1, Historical Development — The History of
Maternal and Newborn Health and Health Care
Stem: A student asks why hospital births became the
norm in the early 20th century. Which historical
factor most directly contributed to this shift?
A. Widespread home availability of antibiotics.
B. Advances in obstetric surgery and anesthesia and
public perception of safety in hospitals.
C. Universal midwifery training in rural areas.
D. Decreased infant mortality before hospital
expansion.
Correct Answer: B
Rationales:
• Correct (B): Advances in surgical techniques,
anesthesia, and the perception of hospitals as safer
environments were key drivers of the move to
hospital births.
, • A: Antibiotics were not widely available in the early
20th century and therefore did not drive hospital
birth adoption.
• C: Midwifery professionalization did not universally
replace hospital care; in many places, midwifery
declined as hospitals expanded.
• D: Infant mortality decreased largely because of
hospital care and medical advances, not the reverse.
Teaching Point: Medical advances and perceived safety
prompted the shift from home to hospital births.
Citation: Chapter 1, Historical Development — The
History of Maternal and Newborn Health and Health
Care.
3. Chapter 1, Historical Development — The History of
Child Health and Child Health Care
Stem: When educating peers about the evolution of
pediatric care, which statement best explains why
pediatric nursing emerged as a distinct specialty?
A. Children’s physiology and psychosocial needs
differ from adults, requiring specialized care and
advocacy.
