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 public health nurse designing community
prenatal outreach wants to prioritize interventions
that historically reduced maternal mortality. Which
intervention has the strongest historical evidence for
reducing maternal mortality?
A. Routine home birth without skilled attendants
B. Increased access to skilled birth attendants and
emergency obstetric care
C. Exclusive reliance on traditional birth attendants
, with no referral system
D. Routine use of unregulated herbal remedies for
labor pain
Correct Answer: B
Rationale:
• Correct: Increasing access to skilled birth attendants
and timely emergency obstetric care (e.g., cesarean
delivery for obstructed labor and treatment for
postpartum hemorrhage) is well-supported
historically as a major driver of reduced maternal
mortality.
• A: Home births without skilled attendants historically
correlate with higher mortality due to inability to
manage complications.
• C: Traditional attendants without referral systems
cannot manage severe complications; integration
with formal care is important.
• D: Unregulated herbal remedies lack evidence and
can delay effective treatment.
Teaching Point: Skilled attendance and emergency
obstetric care are key to reducing maternal deaths.
Citation: Chapter 1, Perspectives on Maternal and
, Child Health Care — Maternity and Pediatric Nursing,
5th Ed. LWW Official Store
2) Chapter 1, Historical Development — The History of
Maternal and Newborn Health and Health Care
Stem: During a classroom discussion, a student states
that one of the major 20th-century advances that
lowered neonatal mortality was improved infection
control in hospitals. Which historical change best
supports this statement?
A. Decreased use of antiseptic technique in delivery
rooms
B. Adoption of hand hygiene, antibiotics, and
neonatal intensive care
C. Removal of all routine newborn vaccinations
D. Exclusive reliance on home remedies for newborn
infections
Correct Answer: B
Rationale:
• Correct: Adoption of hand hygiene, antibiotics, and
development of neonatal intensive care units
, substantially reduced neonatal infections and
mortality.
• A: Decreasing antiseptic technique would increase
infection risk, not decrease it.
• C: Vaccinations for specific neonatal/infant infections
(when indicated) reduce morbidity; removing them
would worsen outcomes.
• D: Exclusive reliance on unproven home remedies
increases risk of untreated infection.
Teaching Point: Infection control, antibiotics, and
NICUs transformed neonatal survival.
Citation: Chapter 1, Historical Development —
Maternity and Pediatric Nursing, 5th Ed. Google
Books
3) Chapter 1, Evolution of Maternal and Newborn
Nursing — Evolution of Maternal and Newborn
Nursing
Stem: A nurse educator explains how the role of nurses
in childbirth shifted during the 20th century. Which
statement best captures that evolution?
A. Nursing roles narrowed to only nonclinical tasks
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 public health nurse designing community
prenatal outreach wants to prioritize interventions
that historically reduced maternal mortality. Which
intervention has the strongest historical evidence for
reducing maternal mortality?
A. Routine home birth without skilled attendants
B. Increased access to skilled birth attendants and
emergency obstetric care
C. Exclusive reliance on traditional birth attendants
, with no referral system
D. Routine use of unregulated herbal remedies for
labor pain
Correct Answer: B
Rationale:
• Correct: Increasing access to skilled birth attendants
and timely emergency obstetric care (e.g., cesarean
delivery for obstructed labor and treatment for
postpartum hemorrhage) is well-supported
historically as a major driver of reduced maternal
mortality.
• A: Home births without skilled attendants historically
correlate with higher mortality due to inability to
manage complications.
• C: Traditional attendants without referral systems
cannot manage severe complications; integration
with formal care is important.
• D: Unregulated herbal remedies lack evidence and
can delay effective treatment.
Teaching Point: Skilled attendance and emergency
obstetric care are key to reducing maternal deaths.
Citation: Chapter 1, Perspectives on Maternal and
, Child Health Care — Maternity and Pediatric Nursing,
5th Ed. LWW Official Store
2) Chapter 1, Historical Development — The History of
Maternal and Newborn Health and Health Care
Stem: During a classroom discussion, a student states
that one of the major 20th-century advances that
lowered neonatal mortality was improved infection
control in hospitals. Which historical change best
supports this statement?
A. Decreased use of antiseptic technique in delivery
rooms
B. Adoption of hand hygiene, antibiotics, and
neonatal intensive care
C. Removal of all routine newborn vaccinations
D. Exclusive reliance on home remedies for newborn
infections
Correct Answer: B
Rationale:
• Correct: Adoption of hand hygiene, antibiotics, and
development of neonatal intensive care units
, substantially reduced neonatal infections and
mortality.
• A: Decreasing antiseptic technique would increase
infection risk, not decrease it.
• C: Vaccinations for specific neonatal/infant infections
(when indicated) reduce morbidity; removing them
would worsen outcomes.
• D: Exclusive reliance on unproven home remedies
increases risk of untreated infection.
Teaching Point: Infection control, antibiotics, and
NICUs transformed neonatal survival.
Citation: Chapter 1, Historical Development —
Maternity and Pediatric Nursing, 5th Ed. Google
Books
3) Chapter 1, Evolution of Maternal and Newborn
Nursing — Evolution of Maternal and Newborn
Nursing
Stem: A nurse educator explains how the role of nurses
in childbirth shifted during the 20th century. Which
statement best captures that evolution?
A. Nursing roles narrowed to only nonclinical tasks
