Maternity and Pediatric Nursing
5th Edition
Author(s)Susan Scott Ricci; Terri Kyle; Susan
Carman
TEST BANK
1️⃣
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — Introduction
Question Stem: A community health nurse is creating a
program to reduce infant morbidity in a low-resource
neighborhood. Which initial nursing action best aligns with a
population-based maternal–child health approach?
A. Provide individualized discharge teaching to postpartum
families at the hospital.
B. Survey local families to identify common barriers to prenatal
,and infant care.
C. Arrange home visits for every newborn in the city.
D. Advocate for advanced neonatal intensive care expansion at
the regional hospital.
Correct Answer: B
Rationales:
• Correct (B): Surveying families identifies population-level
barriers and informs targeted interventions—core to
community maternal–child health planning.
• A: Individual discharge teaching is important but addresses
only those reached at the hospital, not population needs.
• C: Universal home visits may be effective but are resource-
intensive and not an appropriate first step without
assessing needs and feasibility.
• D: NICU expansion addresses tertiary care but does not
target upstream causes of infant morbidity in the
community.
Teaching Point: Begin with a community needs assessment to
design effective population interventions.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
2️⃣
,Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — Historical Development
Question Stem: A nurse teaching junior staff about the
evolution of maternal–child care wants to emphasize how
historical developments influence current practice. Which
statement best demonstrates higher-order understanding?
A. “We now have hospitals, so births shifted from homes to
institutions.”
B. “Historical shifts in maternal–child care show how social
policy and nursing roles shape access to services today.”
C. “Nursing textbooks from the past are less useful than current
ones.”
D. “Historically, pediatric care focused only on infectious
diseases.”
Correct Answer: B
Rationales:
• Correct (B): This integrates history with policy and role
development, prompting analysis of how past changes
affect present access and nursing practice.
• A: Factual but superficial—does not analyze implications
for current practice or policy.
• C: Overly dismissive and not analytical; ignores how
historical context informs current evidence-based practice.
, • D: Oversimplifies historical pediatric focus; lacks
integration of broader social and health trends.
Teaching Point: Historical context links policy, nursing roles, and
current access to care.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
3️⃣
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — The History of Maternal and Newborn Health and
Health Care
Question Stem: While preparing an in-service on perinatal
mortality trends, a nurse is asked which nursing action best
supports reducing perinatal mortality at the community level.
What should the nurse recommend?
A. Lobby exclusively for more neonatal surgeons.
B. Promote early and regular prenatal care with community
outreach.
C. Focus solely on high-technology neonatal interventions.
D. Advise families to limit pregnancies to reduce mortality rates.
Correct Answer: B
Rationales:
, • Correct (B): Early and regular prenatal care addresses risk
identification, prevention, and education—proven
measures to reduce perinatal mortality.
• A: Neonatal surgeons are important but do not address
upstream prevention and community-level determinants.
• C: Technologic care treats complications but doesn’t
prevent many causes of perinatal mortality.
• D: Advising family planning broadly is coercive and ignores
supportive, individualized reproductive health counseling.
Teaching Point: Prioritize accessible prenatal care and outreach
to lower perinatal mortality.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
4️⃣
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — The History of Child Health and Child Health Care
Question Stem: A pediatric nurse analyzes community
immunization gaps contributing to childhood morbidity. Which
nursing intervention demonstrates systems-level thinking?
A. Telling individual parents to vaccinate on their next clinic
visit.
B. Working with public health to organize school-based
,vaccination clinics.
C. Refusing to see unvaccinated children in the clinic.
D. Posting vaccine information on the clinic bulletin board.
Correct Answer: B
Rationales:
• Correct (B): Organizing school-based clinics addresses
access barriers at the population level and reduces
morbidity—system-level intervention.
• A: Advising individual parents is necessary but not
sufficient to address population gaps.
• C: Refusal to see children is unethical and increases risk;
it’s not an evidence-based strategy to improve coverage.
• D: Passive information has limited impact compared with
active outreach and service delivery.
Teaching Point: Use system-based interventions (e.g., school
clinics) to improve immunization rates.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
5️⃣
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — Evolution of Maternal and Newborn Nursing
,Question Stem: A nurse educator is designing a clinical
practicum emphasizing the evolving role of maternal–newborn
nurses. Which objective best assesses evaluation-level learning?
A. Describe historical milestones in maternal–newborn nursing.
B. List common newborn assessment findings.
C. Critique a local perinatal program and propose
improvements for family-centered care.
D. Demonstrate basic newborn bathing technique.
Correct Answer: C
Rationales:
• Correct (C): Critiquing and proposing improvements
requires analysis and evaluation—higher-order cognitive
skills aligned with practicum goals.
• A: Recall-level objective (history) does not assess applied
evaluation.
• B: Recall/understanding; necessary but lower-order.
• D: Skills demonstration is application-level but not
evaluation/analysis of systems or programs.
Teaching Point: Evaluation-level objectives require critique and
proposal of improvements.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
,6️⃣
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — Evolution of Pediatric Nursing
Question Stem: A seasoned pediatric RN mentors a novice
about family-centered care. Which mentoring statement best
reflects modern pediatric nursing evolution?
A. “Nursing focuses only on the child’s immediate physical
needs.”
B. “Include families in decision-making and tailor care to
developmental stages.”
C. “Parents should follow nursing directives without question.”
D. “The nurse’s role is limited to administering treatments
ordered by physicians.”
Correct Answer: B
Rationales:
• Correct (B): Modern pediatric nursing emphasizes family-
centered care and developmentally appropriate
interventions—reflects historic evolution.
• A: Narrow and outdated; ignores psychosocial and family
roles.
• C: Paternalistic and contradicts family-centered principles
and shared decision-making.
• D: Minimizes nursing autonomy and the expanded role in
advocacy and care coordination.
,Teaching Point: Family-centered, developmentally appropriate
care defines modern pediatric nursing.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
7️⃣
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — Health Status of Women and Children
Question Stem: A public health nurse notes high rates of
preventable childhood injuries in a region. Which population-
level nursing action should be prioritized to reduce morbidity?
A. Educate one family at a time about home safety.
B. Advocate for community safety policies (e.g., car-seat
programs, safe playgrounds).
C. Increase clinic hours for sick visits only.
D. Recommend parents supervise children at all times.
Correct Answer: B
Rationales:
• Correct (B): Advocating for policies and programs
addresses environmental risk factors and has broad impact
on injury prevention.
• A: Individual education is beneficial but less efficient for
population impact.
, • C: Additional clinic hours treat illness but do not prevent
injuries.
• D: Advising constant supervision is unrealistic and not a
sustainable public health strategy.
Teaching Point: Policy and environmental interventions reduce
childhood injury morbidity effectively.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
8️⃣
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — Mortality
Question Stem: On reviewing perinatal mortality reports, a
nurse is asked to recommend one high-yield clinical priority for
the obstetric unit to lower neonatal deaths. Which is most
appropriate?
A. Focus on improving early recognition and management of
maternal hemorrhage and fetal distress.
B. Hire more administrative staff to file reports.
C. Reduce prenatal education classes to save funds.
D. Eliminate postpartum follow-up visits.
Correct Answer: A
Rationales:
5th Edition
Author(s)Susan Scott Ricci; Terri Kyle; Susan
Carman
TEST BANK
1️⃣
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — Introduction
Question Stem: A community health nurse is creating a
program to reduce infant morbidity in a low-resource
neighborhood. Which initial nursing action best aligns with a
population-based maternal–child health approach?
A. Provide individualized discharge teaching to postpartum
families at the hospital.
B. Survey local families to identify common barriers to prenatal
,and infant care.
C. Arrange home visits for every newborn in the city.
D. Advocate for advanced neonatal intensive care expansion at
the regional hospital.
Correct Answer: B
Rationales:
• Correct (B): Surveying families identifies population-level
barriers and informs targeted interventions—core to
community maternal–child health planning.
• A: Individual discharge teaching is important but addresses
only those reached at the hospital, not population needs.
• C: Universal home visits may be effective but are resource-
intensive and not an appropriate first step without
assessing needs and feasibility.
• D: NICU expansion addresses tertiary care but does not
target upstream causes of infant morbidity in the
community.
Teaching Point: Begin with a community needs assessment to
design effective population interventions.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
2️⃣
,Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — Historical Development
Question Stem: A nurse teaching junior staff about the
evolution of maternal–child care wants to emphasize how
historical developments influence current practice. Which
statement best demonstrates higher-order understanding?
A. “We now have hospitals, so births shifted from homes to
institutions.”
B. “Historical shifts in maternal–child care show how social
policy and nursing roles shape access to services today.”
C. “Nursing textbooks from the past are less useful than current
ones.”
D. “Historically, pediatric care focused only on infectious
diseases.”
Correct Answer: B
Rationales:
• Correct (B): This integrates history with policy and role
development, prompting analysis of how past changes
affect present access and nursing practice.
• A: Factual but superficial—does not analyze implications
for current practice or policy.
• C: Overly dismissive and not analytical; ignores how
historical context informs current evidence-based practice.
, • D: Oversimplifies historical pediatric focus; lacks
integration of broader social and health trends.
Teaching Point: Historical context links policy, nursing roles, and
current access to care.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
3️⃣
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — The History of Maternal and Newborn Health and
Health Care
Question Stem: While preparing an in-service on perinatal
mortality trends, a nurse is asked which nursing action best
supports reducing perinatal mortality at the community level.
What should the nurse recommend?
A. Lobby exclusively for more neonatal surgeons.
B. Promote early and regular prenatal care with community
outreach.
C. Focus solely on high-technology neonatal interventions.
D. Advise families to limit pregnancies to reduce mortality rates.
Correct Answer: B
Rationales:
, • Correct (B): Early and regular prenatal care addresses risk
identification, prevention, and education—proven
measures to reduce perinatal mortality.
• A: Neonatal surgeons are important but do not address
upstream prevention and community-level determinants.
• C: Technologic care treats complications but doesn’t
prevent many causes of perinatal mortality.
• D: Advising family planning broadly is coercive and ignores
supportive, individualized reproductive health counseling.
Teaching Point: Prioritize accessible prenatal care and outreach
to lower perinatal mortality.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
4️⃣
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — The History of Child Health and Child Health Care
Question Stem: A pediatric nurse analyzes community
immunization gaps contributing to childhood morbidity. Which
nursing intervention demonstrates systems-level thinking?
A. Telling individual parents to vaccinate on their next clinic
visit.
B. Working with public health to organize school-based
,vaccination clinics.
C. Refusing to see unvaccinated children in the clinic.
D. Posting vaccine information on the clinic bulletin board.
Correct Answer: B
Rationales:
• Correct (B): Organizing school-based clinics addresses
access barriers at the population level and reduces
morbidity—system-level intervention.
• A: Advising individual parents is necessary but not
sufficient to address population gaps.
• C: Refusal to see children is unethical and increases risk;
it’s not an evidence-based strategy to improve coverage.
• D: Passive information has limited impact compared with
active outreach and service delivery.
Teaching Point: Use system-based interventions (e.g., school
clinics) to improve immunization rates.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
5️⃣
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — Evolution of Maternal and Newborn Nursing
,Question Stem: A nurse educator is designing a clinical
practicum emphasizing the evolving role of maternal–newborn
nurses. Which objective best assesses evaluation-level learning?
A. Describe historical milestones in maternal–newborn nursing.
B. List common newborn assessment findings.
C. Critique a local perinatal program and propose
improvements for family-centered care.
D. Demonstrate basic newborn bathing technique.
Correct Answer: C
Rationales:
• Correct (C): Critiquing and proposing improvements
requires analysis and evaluation—higher-order cognitive
skills aligned with practicum goals.
• A: Recall-level objective (history) does not assess applied
evaluation.
• B: Recall/understanding; necessary but lower-order.
• D: Skills demonstration is application-level but not
evaluation/analysis of systems or programs.
Teaching Point: Evaluation-level objectives require critique and
proposal of improvements.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
,6️⃣
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — Evolution of Pediatric Nursing
Question Stem: A seasoned pediatric RN mentors a novice
about family-centered care. Which mentoring statement best
reflects modern pediatric nursing evolution?
A. “Nursing focuses only on the child’s immediate physical
needs.”
B. “Include families in decision-making and tailor care to
developmental stages.”
C. “Parents should follow nursing directives without question.”
D. “The nurse’s role is limited to administering treatments
ordered by physicians.”
Correct Answer: B
Rationales:
• Correct (B): Modern pediatric nursing emphasizes family-
centered care and developmentally appropriate
interventions—reflects historic evolution.
• A: Narrow and outdated; ignores psychosocial and family
roles.
• C: Paternalistic and contradicts family-centered principles
and shared decision-making.
• D: Minimizes nursing autonomy and the expanded role in
advocacy and care coordination.
,Teaching Point: Family-centered, developmentally appropriate
care defines modern pediatric nursing.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
7️⃣
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — Health Status of Women and Children
Question Stem: A public health nurse notes high rates of
preventable childhood injuries in a region. Which population-
level nursing action should be prioritized to reduce morbidity?
A. Educate one family at a time about home safety.
B. Advocate for community safety policies (e.g., car-seat
programs, safe playgrounds).
C. Increase clinic hours for sick visits only.
D. Recommend parents supervise children at all times.
Correct Answer: B
Rationales:
• Correct (B): Advocating for policies and programs
addresses environmental risk factors and has broad impact
on injury prevention.
• A: Individual education is beneficial but less efficient for
population impact.
, • C: Additional clinic hours treat illness but do not prevent
injuries.
• D: Advising constant supervision is unrealistic and not a
sustainable public health strategy.
Teaching Point: Policy and environmental interventions reduce
childhood injury morbidity effectively.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
8️⃣
Reference: Ch. 1 — Perspectives on Maternal and Child Health
Care — Mortality
Question Stem: On reviewing perinatal mortality reports, a
nurse is asked to recommend one high-yield clinical priority for
the obstetric unit to lower neonatal deaths. Which is most
appropriate?
A. Focus on improving early recognition and management of
maternal hemorrhage and fetal distress.
B. Hire more administrative staff to file reports.
C. Reduce prenatal education classes to save funds.
D. Eliminate postpartum follow-up visits.
Correct Answer: A
Rationales:
