MATERNITY AND PEDIATRIC NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1️⃣
Reference
Ch. 1 — Introduction
Question Stem
A community health nurse is preparing a presentation for
nursing students about the social determinants that most
influence maternal and child health outcomes. Which teaching
point should the nurse emphasize to best explain why
community-level interventions often have greater population
impact than individual counseling alone?
,Options
A. Individual counseling changes behavior faster than
community programs.
B. Community-level interventions alter environmental and
systemic factors affecting many families.
C. Legal penalties are the most effective way to change
maternal behaviors.
D. Maternal knowledge is the sole determinant of child health
outcomes.
Correct Answer
B
Rationales
• Correct (B): Community interventions target
environmental and systemic determinants (access to care,
housing, nutrition) that affect populations, producing
broader and more sustained improvements in maternal
and child health.
• Incorrect (A): Individual counseling can influence behavior
but usually affects only one person at a time and may not
address barriers created by the environment.
• Incorrect (C): Legal penalties may deter some behaviors
but do not address root causes and can harm trust with
vulnerable families.
, • Incorrect (D): Maternal knowledge is important but
interacts with socioeconomic, cultural, and structural
factors that also determine outcomes.
Teaching Point
Community interventions change systems and environments to
improve population health.
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 discussing the evolution of maternal and child health
services, a student asks why nursing roles shifted from primarily
home-based midwifery to diverse clinical and public health
roles. Which explanation best reflects the historical forces that
drove this change?
Options
A. A decreased need for childbirth care in hospitals.
B. Advances in medical science and public health creating new
care settings and specialization.
C. Nursing education intentionally narrowed to only hospital
, bedside skills.
D. Families preferred no professional involvement in childbirth.
Correct Answer
B
Rationales
• Correct (B): Medical and public health advances
(antisepsis, vaccines, specialized neonatal care) and
institutionalization of services expanded nursing roles into
hospitals, clinics, and community health.
• Incorrect (A): The need for hospital-based and specialized
care increased, not decreased.
• Incorrect (C): Nursing education broadened to include
public health, maternal–child specialties, and community
nursing rather than narrowed.
• Incorrect (D): Families increasingly sought professional
care as outcomes and available services improved.
Teaching Point
Medical and public health advances expanded nursing roles
across settings.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1️⃣
Reference
Ch. 1 — Introduction
Question Stem
A community health nurse is preparing a presentation for
nursing students about the social determinants that most
influence maternal and child health outcomes. Which teaching
point should the nurse emphasize to best explain why
community-level interventions often have greater population
impact than individual counseling alone?
,Options
A. Individual counseling changes behavior faster than
community programs.
B. Community-level interventions alter environmental and
systemic factors affecting many families.
C. Legal penalties are the most effective way to change
maternal behaviors.
D. Maternal knowledge is the sole determinant of child health
outcomes.
Correct Answer
B
Rationales
• Correct (B): Community interventions target
environmental and systemic determinants (access to care,
housing, nutrition) that affect populations, producing
broader and more sustained improvements in maternal
and child health.
• Incorrect (A): Individual counseling can influence behavior
but usually affects only one person at a time and may not
address barriers created by the environment.
• Incorrect (C): Legal penalties may deter some behaviors
but do not address root causes and can harm trust with
vulnerable families.
, • Incorrect (D): Maternal knowledge is important but
interacts with socioeconomic, cultural, and structural
factors that also determine outcomes.
Teaching Point
Community interventions change systems and environments to
improve population health.
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 discussing the evolution of maternal and child health
services, a student asks why nursing roles shifted from primarily
home-based midwifery to diverse clinical and public health
roles. Which explanation best reflects the historical forces that
drove this change?
Options
A. A decreased need for childbirth care in hospitals.
B. Advances in medical science and public health creating new
care settings and specialization.
C. Nursing education intentionally narrowed to only hospital
, bedside skills.
D. Families preferred no professional involvement in childbirth.
Correct Answer
B
Rationales
• Correct (B): Medical and public health advances
(antisepsis, vaccines, specialized neonatal care) and
institutionalization of services expanded nursing roles into
hospitals, clinics, and community health.
• Incorrect (A): The need for hospital-based and specialized
care increased, not decreased.
• Incorrect (C): Nursing education broadened to include
public health, maternal–child specialties, and community
nursing rather than narrowed.
• Incorrect (D): Families increasingly sought professional
care as outcomes and available services improved.
Teaching Point
Medical and public health advances expanded nursing roles
across settings.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
