5th Edition
Author(s)Susan Scott Ricci; Terri Kyle; Susan
Carman
TEST BANK
1.
Reference — Ch. 1 — Introduction
Question Stem — A community health nurse is designing a
prenatal outreach program for a rural area with high infant
mortality. Which initial action best aligns with a population-
health approach?
A. Schedule individual prenatal visits for each pregnant patient
at the clinic.
B. Conduct a community assessment to identify barriers to
prenatal care.
C. Provide a standardized prenatal education handout to all
,patients.
D. Recommend that patients travel to the nearest urban
hospital for prenatal care.
Correct Answer — B
Rationales — Correct: Conducting a community assessment
targets interventions to local barriers and social determinants of
health, a core population-health strategy.
A: Scheduling individual visits is useful but may not address
community-level barriers like transportation or cultural factors.
C: A standardized handout is low-cost but may not meet specific
community needs or literacy levels.
D: Referring to urban hospitals ignores access and continuity
issues; it is not population-focused.
Teaching Point — Start with a community assessment to tailor
effective prenatal programs.
Citation — Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity
and Pediatric Nursing (5th Ed.). Ch. 1.
2.
Reference — Ch. 1 — Historical Development
Question Stem — A nursing student studying the history of
maternal-child health notes that maternal and infant mortality
declined dramatically in the 20th century. Which historical
intervention most directly contributed to this decline?
A. Development of homeopathic remedies for pregnancy
discomfort.
,B. Expansion of hospital-based obstetric care and antiseptic
techniques.
C. Decreased emphasis on prenatal education programs.
D. Restriction of midwifery practice in all settings.
Correct Answer — B
Rationales — Correct: Expansion of hospital care and antisepsis
reduced infection and improved management of obstetric
complications, contributing to mortality declines.
A: Homeopathy did not produce the population-level mortality
reductions seen with improved medical and public health
measures.
C: Decreasing prenatal education would likely worsen
outcomes, not improve them.
D: While professionalization changed practice patterns,
restriction alone doesn’t explain the mortality decline;
improvements in clinical care did.
Teaching Point — Improved clinical care and antisepsis were
pivotal in reducing maternal-infant 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 explains to a parent how
child health care evolved to emphasize preventive services.
, Which historical change best supports current well-child visit
practices?
A. The shift from acute-only care to routine immunizations and
anticipatory guidance.
B. The elimination of school health programs in the 20th
century.
C. The exclusive focus on inpatient pediatric specialty care.
D. The adoption of curative medications instead of prevention.
Correct Answer — A
Rationales — Correct: Child health care evolved to include
immunizations and anticipatory guidance, forming the basis for
routine well-child visits and prevention.
B: School health programs expanded, not eliminated, and
supported prevention efforts.
C: Inpatient specialty care complements but does not replace
preventive outpatient services.
D: Curative medications are important but do not substitute for
preventive strategies like immunization.
Teaching Point — Well-child visits prioritize preventive care,
immunizations, and anticipatory guidance.
Citation — Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity
and Pediatric Nursing (5th Ed.). Ch. 1.
4.
Reference — Ch. 1 — Evolution of Maternal and Newborn
Nursing