MATERNITY AND PEDIATRIC NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1
Reference: Ch. 1 — Introduction
Question: A community health nurse is designing a postpartum
home-visit program for a low-income neighborhood with high
rates of infant morbidity. Which first step best reflects a
population-focused nursing approach?
A. Provide standardized teaching packets to every mother.
B. Conduct a community needs assessment to identify local
barriers.
C. Schedule visits only for mothers with prior complications.
D. Focus visits on immunization schedules alone.
,Correct Answer: B
Rationales:
• B (correct): Conducting a community needs assessment
identifies social determinants, resources, and barriers,
guiding targeted, equitable interventions.
• A: Standardized packets ignore local needs and may not
address access or literacy barriers.
• C: Limiting visits to those with prior complications misses
preventive opportunities for at-risk but previously healthy
mothers.
• D: Immunizations are important but addressing a single
topic fails to address broader determinants of infant
morbidity.
Teaching Point: Start with a community needs assessment
to target interventions effectively.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024).
Maternity and Pediatric Nursing (5th Ed.). Ch. 1.
2
Reference: Ch. 1 — Historical Development
Question: During a clinical seminar, a student argues that
historical patterns of maternal mortality influence current care
priorities. Which instructor response best applies historical
insight to nursing practice?
A. “History is interesting but not clinically useful.”
,B. “Use historical trends to prioritize preventative and system-
level strategies.”
C. “Focus solely on current clinical guidelines — history slows
progress.”
D. “History shows only physician-level changes, not nursing.”
Correct Answer: B
Rationales:
• B (correct): Applying historical trends helps nurses
understand causes of past maternal mortality and informs
prevention, policy advocacy, and systems-level
interventions.
• A: Dismissing history overlooks lessons that shaped
modern maternal-child care and prevention strategies.
• C: Current guidelines matter, but history contextualizes
why guidelines exist and where system gaps remain.
• D: Nursing has played a key role historically; ignoring that
undermines professional contributions to care evolution.
Teaching Point: Historical trends inform prevention, policy,
and systems-level nursing strategies.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024).
Maternity and Pediatric Nursing (5th Ed.). Ch. 1.
3
Reference: Ch. 1 — The History of Maternal and Newborn
Health and Health Care
, Question: A hospital is developing a maternal mortality review.
Which historical perspective should the nurse include to
strengthen recommendations?
A. Past success of home births over hospital births in reducing
mortality.
B. Historical causes of maternal death (hemorrhage, infection)
and effective system responses.
C. Historical legal cases unrelated to maternal health.
D. The fashion trends of nurse uniforms over time.
Correct Answer: B
Rationales:
• B (correct): Identifying historical causes and successful
system responses (e.g., blood transfusion protocols,
infection control) helps design effective current
interventions.
• A: The assertion oversimplifies and may not reflect
complex risk/benefit analyses across eras.
• C: Unrelated legal history adds little to clinical
recommendations.
• D: Uniform history is irrelevant to clinical quality
improvement.
Teaching Point: Use past causes and system responses to
guide current maternal mortality prevention.
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
1
Reference: Ch. 1 — Introduction
Question: A community health nurse is designing a postpartum
home-visit program for a low-income neighborhood with high
rates of infant morbidity. Which first step best reflects a
population-focused nursing approach?
A. Provide standardized teaching packets to every mother.
B. Conduct a community needs assessment to identify local
barriers.
C. Schedule visits only for mothers with prior complications.
D. Focus visits on immunization schedules alone.
,Correct Answer: B
Rationales:
• B (correct): Conducting a community needs assessment
identifies social determinants, resources, and barriers,
guiding targeted, equitable interventions.
• A: Standardized packets ignore local needs and may not
address access or literacy barriers.
• C: Limiting visits to those with prior complications misses
preventive opportunities for at-risk but previously healthy
mothers.
• D: Immunizations are important but addressing a single
topic fails to address broader determinants of infant
morbidity.
Teaching Point: Start with a community needs assessment
to target interventions effectively.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024).
Maternity and Pediatric Nursing (5th Ed.). Ch. 1.
2
Reference: Ch. 1 — Historical Development
Question: During a clinical seminar, a student argues that
historical patterns of maternal mortality influence current care
priorities. Which instructor response best applies historical
insight to nursing practice?
A. “History is interesting but not clinically useful.”
,B. “Use historical trends to prioritize preventative and system-
level strategies.”
C. “Focus solely on current clinical guidelines — history slows
progress.”
D. “History shows only physician-level changes, not nursing.”
Correct Answer: B
Rationales:
• B (correct): Applying historical trends helps nurses
understand causes of past maternal mortality and informs
prevention, policy advocacy, and systems-level
interventions.
• A: Dismissing history overlooks lessons that shaped
modern maternal-child care and prevention strategies.
• C: Current guidelines matter, but history contextualizes
why guidelines exist and where system gaps remain.
• D: Nursing has played a key role historically; ignoring that
undermines professional contributions to care evolution.
Teaching Point: Historical trends inform prevention, policy,
and systems-level nursing strategies.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024).
Maternity and Pediatric Nursing (5th Ed.). Ch. 1.
3
Reference: Ch. 1 — The History of Maternal and Newborn
Health and Health Care
, Question: A hospital is developing a maternal mortality review.
Which historical perspective should the nurse include to
strengthen recommendations?
A. Past success of home births over hospital births in reducing
mortality.
B. Historical causes of maternal death (hemorrhage, infection)
and effective system responses.
C. Historical legal cases unrelated to maternal health.
D. The fashion trends of nurse uniforms over time.
Correct Answer: B
Rationales:
• B (correct): Identifying historical causes and successful
system responses (e.g., blood transfusion protocols,
infection control) helps design effective current
interventions.
• A: The assertion oversimplifies and may not reflect
complex risk/benefit analyses across eras.
• C: Unrelated legal history adds little to clinical
recommendations.
• D: Uniform history is irrelevant to clinical quality
improvement.
Teaching Point: Use past causes and system responses to
guide current maternal mortality prevention.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024).
Maternity and Pediatric Nursing (5th Ed.). Ch. 1.
