Maternity and Pediatric Nursing
5th Edition
Author(s)Susan Scott Ricci; Terri Kyle; Susan
Carman
TEST BANK
Reference
Ch. 1 — Introduction
Question Stem
A public-health nurse is designing a community outreach
program to improve maternal–child outcomes in a low-resource
neighborhood. Which planning priority best reflects a
population-based, evidence-informed approach?
Options
A. Provide individualized home visits only after adverse
outcomes occur.
,B. Improve access to prenatal care and integrate social
supports.
C. Focus solely on hospital-based delivery improvements.
D. Distribute printed education pamphlets to new mothers.
Correct Answer
B
Rationales
Correct (B): Improving prenatal access and integrating social
supports addresses upstream determinants and prevents poor
outcomes across the population. It reflects population health
strategies emphasized in maternal–child care.
Incorrect (A): Reactive home visits after adverse outcomes miss
opportunities for prevention and early intervention.
Incorrect (C): Hospital improvements are important but
insufficient alone; community access and prevention are
essential.
Incorrect (D): Pamphlets alone rarely change outcomes without
access and supportive services.
Teaching Point
Prioritize access to prenatal care and social supports for
population-level maternal–child health gains.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
,2️⃣
Reference
Ch. 1 — Historical Development
Question Stem
While teaching students about trends in maternal mortality
over the 20th century, which historical factor should the
instructor identify as a major contributor to reductions in
maternal deaths?
Options
A. Increased home births attended only by lay midwives.
B. Expanded access to prenatal care and sanitary obstetric
practices.
C. Elimination of all infectious disease threats.
D. Exclusive reliance on traditional herbal remedies.
Correct Answer
B
Rationales
Correct (B): Expanded prenatal services and antiseptic/obstetric
advances historically reduced complications such as sepsis and
hemorrhage.
Incorrect (A): While midwifery contributes in many contexts,
unregulated home births alone did not drive mortality declines.
Incorrect (C): Infectious diseases were reduced but not entirely
eliminated; public health measures were key.
, Incorrect (D): Reliance on unverified remedies did not account
for the documented mortality decreases.
Teaching Point
Prenatal access and sanitary obstetric care drove historic
declines in maternal mortality.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
3️⃣
Reference
Ch. 1 — The History of Maternal and Newborn Health and
Health Care
Question Stem
A newly hired maternity nurse is asked how the shift from home
to hospital births changed nursing practice. Which statement
best captures that evolution for bedside nurses?
Options
A. Nurses moved from technical roles to purely administrative
tasks.
B. Nurses increasingly integrated medical technologies and
interdisciplinary care.
C. Nurses stopped providing family education because
physicians assumed that role.
5th Edition
Author(s)Susan Scott Ricci; Terri Kyle; Susan
Carman
TEST BANK
Reference
Ch. 1 — Introduction
Question Stem
A public-health nurse is designing a community outreach
program to improve maternal–child outcomes in a low-resource
neighborhood. Which planning priority best reflects a
population-based, evidence-informed approach?
Options
A. Provide individualized home visits only after adverse
outcomes occur.
,B. Improve access to prenatal care and integrate social
supports.
C. Focus solely on hospital-based delivery improvements.
D. Distribute printed education pamphlets to new mothers.
Correct Answer
B
Rationales
Correct (B): Improving prenatal access and integrating social
supports addresses upstream determinants and prevents poor
outcomes across the population. It reflects population health
strategies emphasized in maternal–child care.
Incorrect (A): Reactive home visits after adverse outcomes miss
opportunities for prevention and early intervention.
Incorrect (C): Hospital improvements are important but
insufficient alone; community access and prevention are
essential.
Incorrect (D): Pamphlets alone rarely change outcomes without
access and supportive services.
Teaching Point
Prioritize access to prenatal care and social supports for
population-level maternal–child health gains.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
,2️⃣
Reference
Ch. 1 — Historical Development
Question Stem
While teaching students about trends in maternal mortality
over the 20th century, which historical factor should the
instructor identify as a major contributor to reductions in
maternal deaths?
Options
A. Increased home births attended only by lay midwives.
B. Expanded access to prenatal care and sanitary obstetric
practices.
C. Elimination of all infectious disease threats.
D. Exclusive reliance on traditional herbal remedies.
Correct Answer
B
Rationales
Correct (B): Expanded prenatal services and antiseptic/obstetric
advances historically reduced complications such as sepsis and
hemorrhage.
Incorrect (A): While midwifery contributes in many contexts,
unregulated home births alone did not drive mortality declines.
Incorrect (C): Infectious diseases were reduced but not entirely
eliminated; public health measures were key.
, Incorrect (D): Reliance on unverified remedies did not account
for the documented mortality decreases.
Teaching Point
Prenatal access and sanitary obstetric care drove historic
declines in maternal mortality.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
3️⃣
Reference
Ch. 1 — The History of Maternal and Newborn Health and
Health Care
Question Stem
A newly hired maternity nurse is asked how the shift from home
to hospital births changed nursing practice. Which statement
best captures that evolution for bedside nurses?
Options
A. Nurses moved from technical roles to purely administrative
tasks.
B. Nurses increasingly integrated medical technologies and
interdisciplinary care.
C. Nurses stopped providing family education because
physicians assumed that role.
