MATERNITY AND PEDIATRIC NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1
Reference
Ch. 1 — Introduction
Question Stem
A 24-year-old woman in a resource-limited rural clinic is
pregnant at 28 weeks and asks the nurse which community
interventions will most reduce her baby's risk of morbidity.
Which recommendation best reflects population-based
priorities for improving maternal–child health outcomes?
A. Arrange a referral for genetic testing and specialized prenatal
imaging.
B. Enroll her in a community prenatal program that provides
,nutritional supplementation and prenatal education.
C. Schedule weekly clinic visits with a perinatologist for the
remainder of pregnancy.
D. Recommend elective early delivery at 37 weeks to ensure
facility birth.
Correct Answer
B
Rationales
Correct: Community prenatal programs that provide nutrition
and education address common, modifiable risk factors
(nutrition, prenatal care access) and are high-impact population
interventions.
A: Genetic testing is important for select high-risk pregnancies
but is not the highest-yield population strategy in resource-
limited settings.
C: Perinatology referral may be unnecessary unless
maternal/fetal risk is identified and is not feasible or highest
priority for most low-risk patients.
D: Elective early delivery increases neonatal morbidity and is
not an evidence-based population strategy.
Teaching Point
Community prenatal programs with nutrition and education
reduce maternal–child morbidity most 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 Stem
A nurse educator is designing a module on how historical trends
shaped current maternal–child nursing roles. Which learning
objective best evaluates students’ ability to analyze that
evolution?
A. Describe the dates when hospital births became most
common.
B. List prominent historical figures in public health nursing.
C. Compare how shifts from home to hospital births altered
nurse scope, technology use, and continuity of family care.
D. Memorize historical maternal mortality rates by decade.
Correct Answer
C
Rationales
Correct: Comparing changes in scope, technology, and
continuity requires analysis of historical trends and application
to modern nursing roles.
A: Describing dates is recall and does not evaluate higher-order
understanding.
B: Listing figures is recall without analysis of impact on practice.
, D: Memorizing rates is recall and irrelevant to understanding
clinical implications.
Teaching Point
Analyze historical shifts to understand current nursing scope
and family-centered practice.
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 Stem
A public health nurse must justify a community campaign
promoting early prenatal care to local stakeholders. Which
historical insight provides the strongest rationale for the
campaign?
A. Advances in neonatal surgery established the need for
prenatal care.
B. Shifts in maternal mortality historically paralleled improved
access to prenatal screening and infection control.
C. Home births were always safer than hospital births.
D. Historical midwifery practices made prenatal clinics
unnecessary.
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1
Reference
Ch. 1 — Introduction
Question Stem
A 24-year-old woman in a resource-limited rural clinic is
pregnant at 28 weeks and asks the nurse which community
interventions will most reduce her baby's risk of morbidity.
Which recommendation best reflects population-based
priorities for improving maternal–child health outcomes?
A. Arrange a referral for genetic testing and specialized prenatal
imaging.
B. Enroll her in a community prenatal program that provides
,nutritional supplementation and prenatal education.
C. Schedule weekly clinic visits with a perinatologist for the
remainder of pregnancy.
D. Recommend elective early delivery at 37 weeks to ensure
facility birth.
Correct Answer
B
Rationales
Correct: Community prenatal programs that provide nutrition
and education address common, modifiable risk factors
(nutrition, prenatal care access) and are high-impact population
interventions.
A: Genetic testing is important for select high-risk pregnancies
but is not the highest-yield population strategy in resource-
limited settings.
C: Perinatology referral may be unnecessary unless
maternal/fetal risk is identified and is not feasible or highest
priority for most low-risk patients.
D: Elective early delivery increases neonatal morbidity and is
not an evidence-based population strategy.
Teaching Point
Community prenatal programs with nutrition and education
reduce maternal–child morbidity most 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 Stem
A nurse educator is designing a module on how historical trends
shaped current maternal–child nursing roles. Which learning
objective best evaluates students’ ability to analyze that
evolution?
A. Describe the dates when hospital births became most
common.
B. List prominent historical figures in public health nursing.
C. Compare how shifts from home to hospital births altered
nurse scope, technology use, and continuity of family care.
D. Memorize historical maternal mortality rates by decade.
Correct Answer
C
Rationales
Correct: Comparing changes in scope, technology, and
continuity requires analysis of historical trends and application
to modern nursing roles.
A: Describing dates is recall and does not evaluate higher-order
understanding.
B: Listing figures is recall without analysis of impact on practice.
, D: Memorizing rates is recall and irrelevant to understanding
clinical implications.
Teaching Point
Analyze historical shifts to understand current nursing scope
and family-centered practice.
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 Stem
A public health nurse must justify a community campaign
promoting early prenatal care to local stakeholders. Which
historical insight provides the strongest rationale for the
campaign?
A. Advances in neonatal surgery established the need for
prenatal care.
B. Shifts in maternal mortality historically paralleled improved
access to prenatal screening and infection control.
C. Home births were always safer than hospital births.
D. Historical midwifery practices made prenatal clinics
unnecessary.
