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 newly licensed RN is designing a community
education session about maternal–child health
trends. Which statement best describes the current
focus of maternal and child health care?
A. Emphasis on acute inpatient care only.
B. Emphasis on prevention, family-centered care, and
community-based services.
C. Emphasis on curative medicine delivered primarily
by physicians.
D. Emphasis on isolated specialty clinics with little
community involvement.
,Correct Answer: B
Rationale:
Correct: Maternal and child health today emphasizes
prevention, family-centered approaches, and
community-based services to improve long-term
outcomes. This reflects the shift from solely hospital-
based care to holistic, preventive strategies.
A: Inpatient acute care remains important but is not
the sole or primary focus of modern maternal–child
health.
C: Curative services are necessary, but contemporary
practice integrates prevention and interprofessional
teams, not physician-only models.
D: Specialty clinics contribute, but care is increasingly
integrated with community resources and family
support.
Teaching Point: Modern maternal–child care prioritizes
prevention and family/community-centered services.
Citation: Chapter 1 — Introduction / Perspectives on
Maternal and Child Health Care
2. Chapter 1, Historical Development
,Stem: A student asks why the 20th century marked
rapid change in maternal and newborn mortality
rates. Which is the best explanation?
A. Decreased use of antisepsis in childbirth.
B. Improvements in sanitation, antibiotics, and
prenatal care.
C. Wider acceptance of home births without skilled
attendants.
D. Universal elimination of all pregnancy
complications.
Correct Answer: B
Rationale:
Correct: Major declines in maternal and newborn
mortality were driven by public-health
improvements (sanitation), medical advances
(antibiotics), and expanded prenatal care.
A: Decreased antisepsis would increase, not decrease,
mortality.
C: Home births without skilled attendants generally
increased risk and do not explain mortality declines.
, D: Not all complications were eliminated;
improvements reduced incidence and severity but
did not eradicate complications.
Teaching Point: Sanitation, medical advances, and
prenatal care reduced maternal and newborn
mortality.
Citation: Chapter 1 — The History of Maternal and
Newborn Health and Health Care
3. Chapter 1, The History of Child Health and Child
Health Care
Stem: Which historical trend most influenced the
development of pediatric nursing as a distinct
specialty?
A. The decline in childhood illnesses due to no
interventions.
B. The recognition that children have unique
developmental and health needs.
C. The substitution of pediatricians by general
surgeons.
D. The belief that adult nursing skills transfer
unchanged to children.
Correct Answer: B
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 newly licensed RN is designing a community
education session about maternal–child health
trends. Which statement best describes the current
focus of maternal and child health care?
A. Emphasis on acute inpatient care only.
B. Emphasis on prevention, family-centered care, and
community-based services.
C. Emphasis on curative medicine delivered primarily
by physicians.
D. Emphasis on isolated specialty clinics with little
community involvement.
,Correct Answer: B
Rationale:
Correct: Maternal and child health today emphasizes
prevention, family-centered approaches, and
community-based services to improve long-term
outcomes. This reflects the shift from solely hospital-
based care to holistic, preventive strategies.
A: Inpatient acute care remains important but is not
the sole or primary focus of modern maternal–child
health.
C: Curative services are necessary, but contemporary
practice integrates prevention and interprofessional
teams, not physician-only models.
D: Specialty clinics contribute, but care is increasingly
integrated with community resources and family
support.
Teaching Point: Modern maternal–child care prioritizes
prevention and family/community-centered services.
Citation: Chapter 1 — Introduction / Perspectives on
Maternal and Child Health Care
2. Chapter 1, Historical Development
,Stem: A student asks why the 20th century marked
rapid change in maternal and newborn mortality
rates. Which is the best explanation?
A. Decreased use of antisepsis in childbirth.
B. Improvements in sanitation, antibiotics, and
prenatal care.
C. Wider acceptance of home births without skilled
attendants.
D. Universal elimination of all pregnancy
complications.
Correct Answer: B
Rationale:
Correct: Major declines in maternal and newborn
mortality were driven by public-health
improvements (sanitation), medical advances
(antibiotics), and expanded prenatal care.
A: Decreased antisepsis would increase, not decrease,
mortality.
C: Home births without skilled attendants generally
increased risk and do not explain mortality declines.
, D: Not all complications were eliminated;
improvements reduced incidence and severity but
did not eradicate complications.
Teaching Point: Sanitation, medical advances, and
prenatal care reduced maternal and newborn
mortality.
Citation: Chapter 1 — The History of Maternal and
Newborn Health and Health Care
3. Chapter 1, The History of Child Health and Child
Health Care
Stem: Which historical trend most influenced the
development of pediatric nursing as a distinct
specialty?
A. The decline in childhood illnesses due to no
interventions.
B. The recognition that children have unique
developmental and health needs.
C. The substitution of pediatricians by general
surgeons.
D. The belief that adult nursing skills transfer
unchanged to children.
Correct Answer: B
