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 planning a prenatal outreach
program after reviewing local data showing late prenatal visits
and high teen pregnancy. Which first action most effectively
addresses barriers to early prenatal care?
A. Send mailers to households with teen parents.
B. Partner with schools and community centers to provide on-
site prenatal education and screening.
,C. Increase clinic hours at the hospital's antenatal clinic.
D. Provide educational pamphlets at the local pharmacy.
Correct Answer
B
Rationales
• Correct: Partnering with schools and community centers
meets teens where they are, reduces access barriers, and
supports relationship-building—key public health
strategies in maternal-child care.
• A: Mailers may miss teens or families without stable
addresses and are passive.
• C: Increasing clinic hours helps access but does not directly
reach adolescents who avoid clinical settings.
• D: Pamphlets are passive and unlikely to change behavior
without targeted outreach.
Teaching Point
Community partnerships reduce access barriers and improve
early prenatal engagement.
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
A nurse teaching new staff about the evolution of maternal–
newborn care emphasizes shifts in practice. Which statement
best reflects that historical evolution?
A. Care has always centered on hospitals rather than family
involvement.
B. Practice moved from home- and community-based models
toward technology-driven, hospital-based care, then back
toward family-centered and community-based approaches.
C. Midwifery was never a significant influence on maternal care.
D. The role of nurses has remained unchanged since the 19th
century.
Correct Answer
B
Rationales
• Correct: Maternal–newborn care historically shifted from
community/home care to hospital/technology focus and
has increasingly emphasized family-centered and
community approaches.
• A: Incorrect—historically many births were at home;
hospital-centered care became more prominent later.
• C: Incorrect—midwifery has been and remains a major
influence historically and in contemporary practice.
, • D: Incorrect—nursing roles have expanded and specialized
over time.
Teaching Point
Maternal–newborn care has cycled between community- and
hospital-centered models.
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
While conducting a quality-improvement presentation, a nurse
links historic declines in maternal mortality to which health-
system advancement that had the most direct impact?
A. Increased home births.
B. Development of antiseptic and surgical techniques plus
improved prenatal surveillance.
C. Reduced nurse education standards.
D. Elimination of all traditional midwifery practices.
Correct Answer
B
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 planning a prenatal outreach
program after reviewing local data showing late prenatal visits
and high teen pregnancy. Which first action most effectively
addresses barriers to early prenatal care?
A. Send mailers to households with teen parents.
B. Partner with schools and community centers to provide on-
site prenatal education and screening.
,C. Increase clinic hours at the hospital's antenatal clinic.
D. Provide educational pamphlets at the local pharmacy.
Correct Answer
B
Rationales
• Correct: Partnering with schools and community centers
meets teens where they are, reduces access barriers, and
supports relationship-building—key public health
strategies in maternal-child care.
• A: Mailers may miss teens or families without stable
addresses and are passive.
• C: Increasing clinic hours helps access but does not directly
reach adolescents who avoid clinical settings.
• D: Pamphlets are passive and unlikely to change behavior
without targeted outreach.
Teaching Point
Community partnerships reduce access barriers and improve
early prenatal engagement.
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
A nurse teaching new staff about the evolution of maternal–
newborn care emphasizes shifts in practice. Which statement
best reflects that historical evolution?
A. Care has always centered on hospitals rather than family
involvement.
B. Practice moved from home- and community-based models
toward technology-driven, hospital-based care, then back
toward family-centered and community-based approaches.
C. Midwifery was never a significant influence on maternal care.
D. The role of nurses has remained unchanged since the 19th
century.
Correct Answer
B
Rationales
• Correct: Maternal–newborn care historically shifted from
community/home care to hospital/technology focus and
has increasingly emphasized family-centered and
community approaches.
• A: Incorrect—historically many births were at home;
hospital-centered care became more prominent later.
• C: Incorrect—midwifery has been and remains a major
influence historically and in contemporary practice.
, • D: Incorrect—nursing roles have expanded and specialized
over time.
Teaching Point
Maternal–newborn care has cycled between community- and
hospital-centered models.
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
While conducting a quality-improvement presentation, a nurse
links historic declines in maternal mortality to which health-
system advancement that had the most direct impact?
A. Increased home births.
B. Development of antiseptic and surgical techniques plus
improved prenatal surveillance.
C. Reduced nurse education standards.
D. Elimination of all traditional midwifery practices.
Correct Answer
B
