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 nurse working in a maternal–child clinic notes rising rates of
preterm birth in the community. Which nursing action best
aligns with the population-health focus described in the
chapter?
Options
A. Provide individualized prenatal teaching only to clients
already identified as high risk.
B. Advocate for and help design a community program offering
,universal prenatal education and screening.
C. Refer all pregnant clients to a perinatologist regardless of risk
factors.
D. Limit outreach to hospital-based prenatal classes to conserve
clinic resources.
Correct Answer
B
Rationales
• Correct (B): Population-health emphasis supports primary
prevention and community interventions; designing
universal prenatal education and screening addresses risk
factors across the community and aligns with public health
strategies.
• Incorrect (A): Providing teaching only to identified high-
risk clients ignores universal prevention and misses
opportunities to reduce population-level morbidity.
• Incorrect (C): Referring all clients to specialists is neither
efficient nor necessary and may overmedicalize care
without improving population outcomes.
• Incorrect (D): Limiting outreach to hospital-based classes
reduces access and contradicts community-centered
strategies.
Teaching Point
Population health approaches prioritize community-level
prevention and access.
,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 is asked to explain why modern maternal–child health
nursing emphasizes evidence-based community programs
rather than only hospital-centered care. Which explanation best
reflects the historical evolution discussed?
Options
A. Early improvements in maternal mortality occurred only after
hospitals eliminated home births.
B. The shift occurred because community-based public health
measures historically reduced maternal and child mortality.
C. Hospital-based care has always been sufficient to resolve all
maternal–child health problems.
D. Historical focus on family-centered care decreased the need
for public health initiatives.
Correct Answer
B
Rationales
, • Correct (B): Historically, public health measures
(sanitation, immunizations, prenatal screening) produced
major declines in mortality; thus modern practice
emphasizes community programs.
• Incorrect (A): Improvements were multifactorial; claiming
elimination of home births as sole cause is historically
inaccurate.
• Incorrect (C): Hospital care alone has not resolved
population-level problems—public health is essential.
• Incorrect (D): Family-centered care complements but does
not reduce need for public health initiatives.
Teaching Point
Public health interventions historically drove major gains in
maternal–child survival.
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
A nurse educator is preparing a lecture about trends in
,maternal mortality over time. Which analytic statement best
reflects how historical data influence current nursing priorities?
Options
A. Maternal mortality declines historically mean current nurses
should focus only on chronic disease.
B. Historic reductions in infectious causes of maternal death
shift attention to obstetric hemorrhage and hypertensive
disorders.
C. Since maternal mortality is no longer a problem, nursing
resources can be reduced.
D. Historical data are irrelevant to present-day nursing practice.
Correct Answer
B
Rationales
• Correct (B): As infectious causes declined historically,
relative importance of obstetric hemorrhage and
hypertensive disorders rose; nurses prioritize prevention,
early detection, and management of these conditions.
• Incorrect (A): Chronic disease is important, but focusing
only on it ignores acute obstetric complications.
• Incorrect (C): Maternal mortality remains a priority;
reducing resources would be unsafe.
• Incorrect (D): Historical trends inform surveillance and
targeted interventions; they are relevant.
,Teaching Point
Shifts in causes of death guide current prevention and
surveillance priorities.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1 — The History of Maternal and
Newborn Health and Health Care.
4️⃣
Reference
Ch. 1 — The History of Child Health and Child Health Care
Question Stem
A clinic manager uses historical child health trends to plan
services. Which decision best reflects an evidence-based,
historically informed approach?
Options
A. Allocate all resources to acute pediatric care and close
community health programs.
B. Reintroduce community immunization outreach and well-
child developmental screening programs.
C. Stop developmental screening because it was ineffective
historically.
D. Focus entirely on inpatient pediatric subspecialty services.
Correct Answer
B
,Rationales
• Correct (B): Historical success of immunizations and early
developmental screening supports community outreach
and preventive services to reduce morbidity.
• Incorrect (A): Exclusive focus on acute care neglects
primary prevention, which historically improved child
health.
• Incorrect (C): Developmental screening has been effective;
discontinuing it would risk missed delays.
• Incorrect (D): Ignoring community prevention increases
future morbidity and is not historically supported.
Teaching Point
Preventive community programs (immunizations, screenings)
are foundational to child health.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1 — The History of Child Health and Child
Health Care.
5⃣
Reference
Ch. 1 — Evolution of Maternal and Newborn Nursing
,Question Stem
A new graduate nurse asks how the role of maternal–newborn
nurses has evolved. Which response best focuses on
contemporary nursing responsibilities?
Options
A. Maternal–newborn nurses now provide only task-based care
and refer all education to social services.
B. The role expanded to include health promotion, risk
assessment, community-based prevention, and patient
education.
C. The role has narrowed to purely administrative functions.
D. Nurses no longer play a role in breastfeeding support due to
lactation consultants.
Correct Answer
B
Rationales
• Correct (B): Evolution includes broader responsibilities—
health promotion, risk assessment, community outreach,
and patient/family education are central.
• Incorrect (A): Care is not limited to tasks; education
remains a core nursing role.
• Incorrect (C): The role has expanded clinically and
educationally, not narrowed to administration.
• Incorrect (D): Nurses remain key in breastfeeding support
alongside consultants.
,Teaching Point
Maternal–newborn nursing encompasses clinical care,
education, and community health promotion.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1 — Evolution of Maternal and Newborn
Nursing.
6️⃣
Reference
Ch. 1 — Evolution of Pediatric Nursing
Question Stem
In redesigning pediatric services for family-centered care, which
strategy best reflects the historical and modern role of pediatric
nursing?
Options
A. Restrict parents from the bedside to promote rest for staff.
B. Integrate parents as partners in the plan of care and include
family education.
C. Exclude siblings from visiting to minimize family involvement.
D. Provide care only during standard business hours to simplify
scheduling.
Correct Answer
B
, Rationales
• Correct (B): Pediatric nursing emphasizes family-centered
care—parents as partners and education are essential for
continuity and child outcomes.
• Incorrect (A): Restricting parents contradicts family-
centered principles and can harm bonding.
• Incorrect (C): Excluding siblings without clinical reason
undermines family-centered support.
• Incorrect (D): Limiting care to business hours reduces
access and does not align with family needs.
Teaching Point
Family-centered care treats parents as partners in the child’s
health plan.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1 — Evolution of Pediatric Nursing.
7️⃣
Reference
Ch. 1 — Health Status of Women and Children
Question Stem
A nurse is analyzing local morbidity data showing increased
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1️⃣
Reference
Ch. 1 — Introduction
Question Stem
A nurse working in a maternal–child clinic notes rising rates of
preterm birth in the community. Which nursing action best
aligns with the population-health focus described in the
chapter?
Options
A. Provide individualized prenatal teaching only to clients
already identified as high risk.
B. Advocate for and help design a community program offering
,universal prenatal education and screening.
C. Refer all pregnant clients to a perinatologist regardless of risk
factors.
D. Limit outreach to hospital-based prenatal classes to conserve
clinic resources.
Correct Answer
B
Rationales
• Correct (B): Population-health emphasis supports primary
prevention and community interventions; designing
universal prenatal education and screening addresses risk
factors across the community and aligns with public health
strategies.
• Incorrect (A): Providing teaching only to identified high-
risk clients ignores universal prevention and misses
opportunities to reduce population-level morbidity.
• Incorrect (C): Referring all clients to specialists is neither
efficient nor necessary and may overmedicalize care
without improving population outcomes.
• Incorrect (D): Limiting outreach to hospital-based classes
reduces access and contradicts community-centered
strategies.
Teaching Point
Population health approaches prioritize community-level
prevention and access.
,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 is asked to explain why modern maternal–child health
nursing emphasizes evidence-based community programs
rather than only hospital-centered care. Which explanation best
reflects the historical evolution discussed?
Options
A. Early improvements in maternal mortality occurred only after
hospitals eliminated home births.
B. The shift occurred because community-based public health
measures historically reduced maternal and child mortality.
C. Hospital-based care has always been sufficient to resolve all
maternal–child health problems.
D. Historical focus on family-centered care decreased the need
for public health initiatives.
Correct Answer
B
Rationales
, • Correct (B): Historically, public health measures
(sanitation, immunizations, prenatal screening) produced
major declines in mortality; thus modern practice
emphasizes community programs.
• Incorrect (A): Improvements were multifactorial; claiming
elimination of home births as sole cause is historically
inaccurate.
• Incorrect (C): Hospital care alone has not resolved
population-level problems—public health is essential.
• Incorrect (D): Family-centered care complements but does
not reduce need for public health initiatives.
Teaching Point
Public health interventions historically drove major gains in
maternal–child survival.
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
A nurse educator is preparing a lecture about trends in
,maternal mortality over time. Which analytic statement best
reflects how historical data influence current nursing priorities?
Options
A. Maternal mortality declines historically mean current nurses
should focus only on chronic disease.
B. Historic reductions in infectious causes of maternal death
shift attention to obstetric hemorrhage and hypertensive
disorders.
C. Since maternal mortality is no longer a problem, nursing
resources can be reduced.
D. Historical data are irrelevant to present-day nursing practice.
Correct Answer
B
Rationales
• Correct (B): As infectious causes declined historically,
relative importance of obstetric hemorrhage and
hypertensive disorders rose; nurses prioritize prevention,
early detection, and management of these conditions.
• Incorrect (A): Chronic disease is important, but focusing
only on it ignores acute obstetric complications.
• Incorrect (C): Maternal mortality remains a priority;
reducing resources would be unsafe.
• Incorrect (D): Historical trends inform surveillance and
targeted interventions; they are relevant.
,Teaching Point
Shifts in causes of death guide current prevention and
surveillance priorities.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1 — The History of Maternal and
Newborn Health and Health Care.
4️⃣
Reference
Ch. 1 — The History of Child Health and Child Health Care
Question Stem
A clinic manager uses historical child health trends to plan
services. Which decision best reflects an evidence-based,
historically informed approach?
Options
A. Allocate all resources to acute pediatric care and close
community health programs.
B. Reintroduce community immunization outreach and well-
child developmental screening programs.
C. Stop developmental screening because it was ineffective
historically.
D. Focus entirely on inpatient pediatric subspecialty services.
Correct Answer
B
,Rationales
• Correct (B): Historical success of immunizations and early
developmental screening supports community outreach
and preventive services to reduce morbidity.
• Incorrect (A): Exclusive focus on acute care neglects
primary prevention, which historically improved child
health.
• Incorrect (C): Developmental screening has been effective;
discontinuing it would risk missed delays.
• Incorrect (D): Ignoring community prevention increases
future morbidity and is not historically supported.
Teaching Point
Preventive community programs (immunizations, screenings)
are foundational to child health.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1 — The History of Child Health and Child
Health Care.
5⃣
Reference
Ch. 1 — Evolution of Maternal and Newborn Nursing
,Question Stem
A new graduate nurse asks how the role of maternal–newborn
nurses has evolved. Which response best focuses on
contemporary nursing responsibilities?
Options
A. Maternal–newborn nurses now provide only task-based care
and refer all education to social services.
B. The role expanded to include health promotion, risk
assessment, community-based prevention, and patient
education.
C. The role has narrowed to purely administrative functions.
D. Nurses no longer play a role in breastfeeding support due to
lactation consultants.
Correct Answer
B
Rationales
• Correct (B): Evolution includes broader responsibilities—
health promotion, risk assessment, community outreach,
and patient/family education are central.
• Incorrect (A): Care is not limited to tasks; education
remains a core nursing role.
• Incorrect (C): The role has expanded clinically and
educationally, not narrowed to administration.
• Incorrect (D): Nurses remain key in breastfeeding support
alongside consultants.
,Teaching Point
Maternal–newborn nursing encompasses clinical care,
education, and community health promotion.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1 — Evolution of Maternal and Newborn
Nursing.
6️⃣
Reference
Ch. 1 — Evolution of Pediatric Nursing
Question Stem
In redesigning pediatric services for family-centered care, which
strategy best reflects the historical and modern role of pediatric
nursing?
Options
A. Restrict parents from the bedside to promote rest for staff.
B. Integrate parents as partners in the plan of care and include
family education.
C. Exclude siblings from visiting to minimize family involvement.
D. Provide care only during standard business hours to simplify
scheduling.
Correct Answer
B
, Rationales
• Correct (B): Pediatric nursing emphasizes family-centered
care—parents as partners and education are essential for
continuity and child outcomes.
• Incorrect (A): Restricting parents contradicts family-
centered principles and can harm bonding.
• Incorrect (C): Excluding siblings without clinical reason
undermines family-centered support.
• Incorrect (D): Limiting care to business hours reduces
access and does not align with family needs.
Teaching Point
Family-centered care treats parents as partners in the child’s
health plan.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1 — Evolution of Pediatric Nursing.
7️⃣
Reference
Ch. 1 — Health Status of Women and Children
Question Stem
A nurse is analyzing local morbidity data showing increased
