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 public health nurse is designing a community
program to reduce neonatal mortality. Which long-
term strategy most directly addresses the social
determinants that influence neonatal outcomes?
A. Increasing number of neonatal intensive care beds
B. Ensuring universal prenatal care access and
nutrition programs
C. Purchasing more advanced neonatal ventilators
for the hospital
D. Offering annual neonatal resuscitation refresher
courses to staff
,Correct Answer: B
Rationales:
• Correct: Ensuring universal prenatal care and
nutrition addresses upstream social determinants
(access to care, maternal nutrition) that reduce risks
leading to neonatal mortality. These primary
prevention measures produce population-level
impact.
• A: More NICU beds improve tertiary care but do not
prevent the causes of neonatal mortality.
• C: Advanced ventilators help critically ill neonates
but don’t reduce incidence of conditions leading to
neonatal death.
• D: Staff training improves outcomes for emergencies
but is secondary/tertiary and less effective at
population-level prevention than prenatal access.
Teaching Point: Primary prevention (access + nutrition)
reduces neonatal mortality by addressing root
causes.
Citation: Ricci et al., Maternity & Pediatric Nursing,
5th Ed., Ch. 1, Introduction.
,2. Chapter 1, Historical Development
Stem: Which historical shift most enabled modern
family-centered maternity care?
A. Relocating births exclusively to physician-run
hospitals
B. The movement away from paternalistic care
toward shared decision-making
C. Standardizing cesarean delivery for most births
D. Limiting visitor policies during labor
Correct Answer: B
Rationales:
• Correct: The shift from paternalistic models to
shared decision-making (family-centered care)
allowed families to be partners in care, a hallmark of
modern maternity nursing.
• A: Institutionalization increased medical oversight
but initially reinforced paternalism rather than
family-centeredness.
• C: Cesarean standardization is a clinical practice
change, not a driver of family-centered philosophy.
, • D: Restrictive visitor policies reduce family
involvement; modern family-centered care supports
presence and participation.
Teaching Point: Family-centered care emphasizes
partnership and shared decisions.
Citation: Ricci et al., Ch. 1, Historical Development.
3. Chapter 1, The History of Maternal and Newborn
Health and Health Care
Stem: During the 20th century, which public health
intervention most decreased maternal mortality in
high-resource countries?
A. Increased use of home births without skilled
attendants
B. Broad implementation of antibiotics and improved
obstetric surgical care
C. Decreased access to prenatal screening
D. Elimination of routine prenatal visits
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 public health nurse is designing a community
program to reduce neonatal mortality. Which long-
term strategy most directly addresses the social
determinants that influence neonatal outcomes?
A. Increasing number of neonatal intensive care beds
B. Ensuring universal prenatal care access and
nutrition programs
C. Purchasing more advanced neonatal ventilators
for the hospital
D. Offering annual neonatal resuscitation refresher
courses to staff
,Correct Answer: B
Rationales:
• Correct: Ensuring universal prenatal care and
nutrition addresses upstream social determinants
(access to care, maternal nutrition) that reduce risks
leading to neonatal mortality. These primary
prevention measures produce population-level
impact.
• A: More NICU beds improve tertiary care but do not
prevent the causes of neonatal mortality.
• C: Advanced ventilators help critically ill neonates
but don’t reduce incidence of conditions leading to
neonatal death.
• D: Staff training improves outcomes for emergencies
but is secondary/tertiary and less effective at
population-level prevention than prenatal access.
Teaching Point: Primary prevention (access + nutrition)
reduces neonatal mortality by addressing root
causes.
Citation: Ricci et al., Maternity & Pediatric Nursing,
5th Ed., Ch. 1, Introduction.
,2. Chapter 1, Historical Development
Stem: Which historical shift most enabled modern
family-centered maternity care?
A. Relocating births exclusively to physician-run
hospitals
B. The movement away from paternalistic care
toward shared decision-making
C. Standardizing cesarean delivery for most births
D. Limiting visitor policies during labor
Correct Answer: B
Rationales:
• Correct: The shift from paternalistic models to
shared decision-making (family-centered care)
allowed families to be partners in care, a hallmark of
modern maternity nursing.
• A: Institutionalization increased medical oversight
but initially reinforced paternalism rather than
family-centeredness.
• C: Cesarean standardization is a clinical practice
change, not a driver of family-centered philosophy.
, • D: Restrictive visitor policies reduce family
involvement; modern family-centered care supports
presence and participation.
Teaching Point: Family-centered care emphasizes
partnership and shared decisions.
Citation: Ricci et al., Ch. 1, Historical Development.
3. Chapter 1, The History of Maternal and Newborn
Health and Health Care
Stem: During the 20th century, which public health
intervention most decreased maternal mortality in
high-resource countries?
A. Increased use of home births without skilled
attendants
B. Broad implementation of antibiotics and improved
obstetric surgical care
C. Decreased access to prenatal screening
D. Elimination of routine prenatal visits
Correct Answer: B
Rationales:
