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 maternal–child unit
asks which concept best explains why maternal and
child health services require specialized nursing
knowledge. Which response is most accurate?
A. Maternal and child health care is identical to adult
acute care, so general nursing knowledge is
sufficient.
B. Maternal and child health care emphasizes family-
centered, developmental, and preventive
approaches unique to women and children.
C. Maternal and child health focuses only on
childbirth, so expertise is limited to labor and
,delivery.
D. Maternal and child care primarily involves
technical procedures rather than communication or
education.
Correct Answer: B
Rationale (correct): Maternal and child health
nursing emphasizes family-centered care, growth
and development across the lifespan, and preventive
strategies—dimensions that differ from general adult
acute care and require specialized knowledge and
skills. This holistic focus includes health promotion,
anticipatory guidance, and family dynamics.
Why A is incorrect: It wrongly equates maternal–
child care with adult acute care and ignores
developmental and family-centered differences.
Why C is incorrect: It narrows the field to childbirth
only; maternal–child nursing also covers prenatal,
postpartum, newborn, and child health.
Why D is incorrect: It undervalues communication,
education, and psychosocial care that are central to
this specialty.
Teaching Point: Maternal–child nursing integrates
family-centered, developmental, and preventive
care.
, Citation: Maternity and Pediatric Nursing, 5th Ed. —
Chapter 1: Introduction.
Chapter 1, Historical Development
Stem: During a unit orientation, an RN explains why
maternal and infant mortality declined dramatically
in the 20th century. Which factor best accounts for
the decline?
A. Decreased use of hospital births.
B. Advances in sanitation, antibiotics, and obstetric
care.
C. A global decrease in fertility rates alone.
D. Elimination of all pregnancy-related complications.
Correct Answer: B
Rationale (correct): The decline in maternal and
infant mortality is largely attributed to public-health
advances (sanitation, immunizations), medical
advances (antibiotics, safer surgical techniques), and
improved obstetric and neonatal care. These system-
level improvements reduced infectious and obstetric
causes of death.
Why A is incorrect: Hospital births generally
increased and often contributed to improved survival
through access to emergency care.
, Why C is incorrect: Fertility changes influence
population metrics but do not fully account for the
mortality decline driven by medical/public-health
advances.
Why D is incorrect: Pregnancy-related complications
were not eliminated; they became better managed
through medical advances.
Teaching Point: Public-health and medical advances
reduced maternal and infant mortality.
Citation: Chapter 1: Historical Development; The
History of Maternal and Newborn Health and Health
Care.
Chapter 1, The History of Maternal and Newborn
Health and Health Care
Stem: A student asks why home births were
common historically but declined in the mid-1900s.
The best historical explanation is:
A. Home births were outlawed worldwide.
B. Hospital technology and trained providers made
hospital births safer and more accessible.
C. Women lost interest in traditional midwifery.
D. Neonatal medicine made hospitals unnecessary.
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
Chapter 1, Introduction
Stem: A newly hired RN on the maternal–child unit
asks which concept best explains why maternal and
child health services require specialized nursing
knowledge. Which response is most accurate?
A. Maternal and child health care is identical to adult
acute care, so general nursing knowledge is
sufficient.
B. Maternal and child health care emphasizes family-
centered, developmental, and preventive
approaches unique to women and children.
C. Maternal and child health focuses only on
childbirth, so expertise is limited to labor and
,delivery.
D. Maternal and child care primarily involves
technical procedures rather than communication or
education.
Correct Answer: B
Rationale (correct): Maternal and child health
nursing emphasizes family-centered care, growth
and development across the lifespan, and preventive
strategies—dimensions that differ from general adult
acute care and require specialized knowledge and
skills. This holistic focus includes health promotion,
anticipatory guidance, and family dynamics.
Why A is incorrect: It wrongly equates maternal–
child care with adult acute care and ignores
developmental and family-centered differences.
Why C is incorrect: It narrows the field to childbirth
only; maternal–child nursing also covers prenatal,
postpartum, newborn, and child health.
Why D is incorrect: It undervalues communication,
education, and psychosocial care that are central to
this specialty.
Teaching Point: Maternal–child nursing integrates
family-centered, developmental, and preventive
care.
, Citation: Maternity and Pediatric Nursing, 5th Ed. —
Chapter 1: Introduction.
Chapter 1, Historical Development
Stem: During a unit orientation, an RN explains why
maternal and infant mortality declined dramatically
in the 20th century. Which factor best accounts for
the decline?
A. Decreased use of hospital births.
B. Advances in sanitation, antibiotics, and obstetric
care.
C. A global decrease in fertility rates alone.
D. Elimination of all pregnancy-related complications.
Correct Answer: B
Rationale (correct): The decline in maternal and
infant mortality is largely attributed to public-health
advances (sanitation, immunizations), medical
advances (antibiotics, safer surgical techniques), and
improved obstetric and neonatal care. These system-
level improvements reduced infectious and obstetric
causes of death.
Why A is incorrect: Hospital births generally
increased and often contributed to improved survival
through access to emergency care.
, Why C is incorrect: Fertility changes influence
population metrics but do not fully account for the
mortality decline driven by medical/public-health
advances.
Why D is incorrect: Pregnancy-related complications
were not eliminated; they became better managed
through medical advances.
Teaching Point: Public-health and medical advances
reduced maternal and infant mortality.
Citation: Chapter 1: Historical Development; The
History of Maternal and Newborn Health and Health
Care.
Chapter 1, The History of Maternal and Newborn
Health and Health Care
Stem: A student asks why home births were
common historically but declined in the mid-1900s.
The best historical explanation is:
A. Home births were outlawed worldwide.
B. Hospital technology and trained providers made
hospital births safer and more accessible.
C. Women lost interest in traditional midwifery.
D. Neonatal medicine made hospitals unnecessary.
Correct Answer: B
