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, Introduction
Stem: A newly hired RN on the mother–baby unit
asks why maternal–child nursing often emphasizes
family-centered care. Which rationale best explains
this emphasis?
A. Family-centered care reduces hospital costs more
than individual-focused care.
B. Family-centered care recognizes the family as the
constant in a child’s life and supports family roles.
C. Family-centered care shortens length of stay for all
newborns.
D. Family-centered care shifts responsibility for
clinical decisions entirely to family members.
, Correct Answer: B
Rationales:
Correct: Family-centered care is grounded in
recognizing the family as the constant in a child’s life
and supports family strengths, roles, and decision-
making—core to maternal–child practice.
A: Cost reduction may occur but is not the foundational
rationale for family-centered care.
C: Length of stay is influenced by clinical needs and not
universally shortened by family-centered
approaches.
D: Family-centered care supports family involvement
but does not transfer clinical decision-making
entirely away from professionals.
Teaching Point: Family-centered care prioritizes
family roles and participation in child health.
Citation: Chapter 1 — Introduction.
Chapter 1, Historical Development
Stem: A student asks which historical factor most
influenced the professionalization of pediatric
nursing in the early 20th century. Which factor is
, best supported by the historical record?
A. The invention of antibiotics in World War I.
B. The establishment of specialized training programs
and child-focused hospitals.
C. Universal mandatory vaccination laws enacted in
the 1800s.
D. A sudden decrease in infant mortality prior to
1900.
Correct Answer: B
Rationales:
Correct: Professionalization of pediatric nursing
accelerated with specialized training programs and
the creation of children’s hospitals that required
nurses with child-focused knowledge and skills.
A: Antibiotics emerged later and influenced care but
were not the initial driver of pediatric nursing
specialization.
C: While vaccination policy influenced public health,
mandatory laws in the 1800s were not the key
professionalizing event for nursing.
D: Infant mortality decreased gradually and not
suddenly before 1900; this option misstates
historical trends.
, Teaching Point: Specialized training and institutions
drove pediatric nursing professionalization.
Citation: Chapter 1 — Historical Development.
Chapter 1, The History of Maternal and Newborn
Health and Health Care
Stem: A nurse educator describes why urbanization
in the 19th century affected maternal and newborn
health. Which explanation is most accurate?
A. Urbanization improved access to traditional birth
attendants.
B. Urbanization created overcrowding and sanitation
issues that increased maternal and infant morbidity
and mortality.
C. Urbanization rendered hospital births obsolete.
D. Urbanization immediately eliminated
socioeconomic disparities in maternal health.
Correct Answer: B
Rationales:
Correct: Rapid urbanization led to overcrowded living
conditions and poor sanitation, contributing to
higher rates of maternal and infant morbidity and
mortality.
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, Introduction
Stem: A newly hired RN on the mother–baby unit
asks why maternal–child nursing often emphasizes
family-centered care. Which rationale best explains
this emphasis?
A. Family-centered care reduces hospital costs more
than individual-focused care.
B. Family-centered care recognizes the family as the
constant in a child’s life and supports family roles.
C. Family-centered care shortens length of stay for all
newborns.
D. Family-centered care shifts responsibility for
clinical decisions entirely to family members.
, Correct Answer: B
Rationales:
Correct: Family-centered care is grounded in
recognizing the family as the constant in a child’s life
and supports family strengths, roles, and decision-
making—core to maternal–child practice.
A: Cost reduction may occur but is not the foundational
rationale for family-centered care.
C: Length of stay is influenced by clinical needs and not
universally shortened by family-centered
approaches.
D: Family-centered care supports family involvement
but does not transfer clinical decision-making
entirely away from professionals.
Teaching Point: Family-centered care prioritizes
family roles and participation in child health.
Citation: Chapter 1 — Introduction.
Chapter 1, Historical Development
Stem: A student asks which historical factor most
influenced the professionalization of pediatric
nursing in the early 20th century. Which factor is
, best supported by the historical record?
A. The invention of antibiotics in World War I.
B. The establishment of specialized training programs
and child-focused hospitals.
C. Universal mandatory vaccination laws enacted in
the 1800s.
D. A sudden decrease in infant mortality prior to
1900.
Correct Answer: B
Rationales:
Correct: Professionalization of pediatric nursing
accelerated with specialized training programs and
the creation of children’s hospitals that required
nurses with child-focused knowledge and skills.
A: Antibiotics emerged later and influenced care but
were not the initial driver of pediatric nursing
specialization.
C: While vaccination policy influenced public health,
mandatory laws in the 1800s were not the key
professionalizing event for nursing.
D: Infant mortality decreased gradually and not
suddenly before 1900; this option misstates
historical trends.
, Teaching Point: Specialized training and institutions
drove pediatric nursing professionalization.
Citation: Chapter 1 — Historical Development.
Chapter 1, The History of Maternal and Newborn
Health and Health Care
Stem: A nurse educator describes why urbanization
in the 19th century affected maternal and newborn
health. Which explanation is most accurate?
A. Urbanization improved access to traditional birth
attendants.
B. Urbanization created overcrowding and sanitation
issues that increased maternal and infant morbidity
and mortality.
C. Urbanization rendered hospital births obsolete.
D. Urbanization immediately eliminated
socioeconomic disparities in maternal health.
Correct Answer: B
Rationales:
Correct: Rapid urbanization led to overcrowded living
conditions and poor sanitation, contributing to
higher rates of maternal and infant morbidity and
mortality.
