Maternity and Pediatric Nursing
5th Edition
Author(s)Susan Scott Ricci; Terri Kyle; Susan
Carman
TEST BANK
Reference
Ch. 1 — Historical Development
Question Stem
A community health nurse investigates persistently high infant
mortality rates in a low-income neighborhood. Which nursing
action best applies lessons from historical public-health
advances to reduce infant mortality now?
Options
A. Focus exclusively on increasing the number of hospital births.
B. Implement a coordinated community program addressing
sanitation, breastfeeding support, and immunization access.
,C. Recommend relocation of families to neighborhoods with
lower mortality rates.
D. Provide written pamphlets about infant care and leave them
at community sites.
Correct Answer
B
Rationales
Correct: Implementing coordinated community programs
reflects historical evidence that multifactorial public-health
interventions (sanitation, immunization, nutrition/breastfeeding
support, access to care) produce sustained reductions in infant
mortality. Nurses lead and coordinate these community-level
strategies.
Incorrect A: Increasing hospital births alone ignores social
determinants and community prevention measures that
historically produced larger population health gains.
Incorrect C: Recommending relocation is not a practical nursing
intervention and fails to address root causes in the community.
Incorrect D: Passive distribution of pamphlets is unlikely to
change outcomes without active engagement and coordinated
services.
Teaching Point
Multifaceted community interventions reduce infant mortality
more than single technical solutions.
,Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
2.
Reference
Ch. 1 — The History of Maternal and Newborn Health and
Health Care
Question Stem
A new nurse notes that postpartum infection used to be a
leading cause of maternal death historically. Which current
nursing practice most directly reflects that historical lesson?
Options
A. Routinely delaying maternal education until after discharge.
B. Strict adherence to hand hygiene, aseptic technique, and
early recognition of infection signs.
C. Encouraging home births without prenatal follow-up for low-
risk women.
D. Reducing postpartum vital sign checks to save nursing time.
Correct Answer
B
Rationales
Correct: Hand hygiene, aseptic technique, and vigilant
assessment for infection directly address historical causes of
puerperal sepsis and are essential nursing measures to prevent
, postpartum morbidity and mortality.
Incorrect A: Delaying education misses opportunities for early
recognition of infection and preventive teaching.
Incorrect C: Encouraging home births without appropriate
follow-up could increase risk if infection prevention and
monitoring are not ensured.
Incorrect D: Reducing vital sign monitoring compromises early
detection of infection and other complications.
Teaching Point
Hand hygiene and early infection surveillance prevent
postpartum morbidity and mortality.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
3.
Reference
Ch. 1 — The History of Child Health and Child Health Care
Question Stem
A pediatric nurse is counseling vaccine-hesitant parents who
cite historical vaccine controversies. Which nursing approach
best applies historical lessons to improve vaccine uptake?
Options
A. Dismiss parental concerns and insist on immediate
vaccination.
5th Edition
Author(s)Susan Scott Ricci; Terri Kyle; Susan
Carman
TEST BANK
Reference
Ch. 1 — Historical Development
Question Stem
A community health nurse investigates persistently high infant
mortality rates in a low-income neighborhood. Which nursing
action best applies lessons from historical public-health
advances to reduce infant mortality now?
Options
A. Focus exclusively on increasing the number of hospital births.
B. Implement a coordinated community program addressing
sanitation, breastfeeding support, and immunization access.
,C. Recommend relocation of families to neighborhoods with
lower mortality rates.
D. Provide written pamphlets about infant care and leave them
at community sites.
Correct Answer
B
Rationales
Correct: Implementing coordinated community programs
reflects historical evidence that multifactorial public-health
interventions (sanitation, immunization, nutrition/breastfeeding
support, access to care) produce sustained reductions in infant
mortality. Nurses lead and coordinate these community-level
strategies.
Incorrect A: Increasing hospital births alone ignores social
determinants and community prevention measures that
historically produced larger population health gains.
Incorrect C: Recommending relocation is not a practical nursing
intervention and fails to address root causes in the community.
Incorrect D: Passive distribution of pamphlets is unlikely to
change outcomes without active engagement and coordinated
services.
Teaching Point
Multifaceted community interventions reduce infant mortality
more than single technical solutions.
,Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
2.
Reference
Ch. 1 — The History of Maternal and Newborn Health and
Health Care
Question Stem
A new nurse notes that postpartum infection used to be a
leading cause of maternal death historically. Which current
nursing practice most directly reflects that historical lesson?
Options
A. Routinely delaying maternal education until after discharge.
B. Strict adherence to hand hygiene, aseptic technique, and
early recognition of infection signs.
C. Encouraging home births without prenatal follow-up for low-
risk women.
D. Reducing postpartum vital sign checks to save nursing time.
Correct Answer
B
Rationales
Correct: Hand hygiene, aseptic technique, and vigilant
assessment for infection directly address historical causes of
puerperal sepsis and are essential nursing measures to prevent
, postpartum morbidity and mortality.
Incorrect A: Delaying education misses opportunities for early
recognition of infection and preventive teaching.
Incorrect C: Encouraging home births without appropriate
follow-up could increase risk if infection prevention and
monitoring are not ensured.
Incorrect D: Reducing vital sign monitoring compromises early
detection of infection and other complications.
Teaching Point
Hand hygiene and early infection surveillance prevent
postpartum morbidity and mortality.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
3.
Reference
Ch. 1 — The History of Child Health and Child Health Care
Question Stem
A pediatric nurse is counseling vaccine-hesitant parents who
cite historical vaccine controversies. Which nursing approach
best applies historical lessons to improve vaccine uptake?
Options
A. Dismiss parental concerns and insist on immediate
vaccination.
