MATERNITY AND PEDIATRIC NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1
1️⃣ Reference – Ch. 1️ — Introduction
2️⃣ Question Stem
A community health nurse is designing a prenatal outreach
program for a low-income neighborhood with high maternal
mortality. Which initial action most appropriately reflects a
population-health approach to reduce maternal deaths?
3️⃣ Options
A. Provide individual prenatal education sessions at the local
clinic.
B. Partner with local leaders to identify barriers and create
accessible prenatal services.
C. Offer free transportation vouchers to pregnant women who
,attend clinic appointments.
D. Develop a hospital-based high-risk maternity clinic for
referrals only.
4️⃣ Correct Answer
B
5️⃣ Rationales
• Correct (B): Partnering with community leaders addresses
social determinants and structural barriers, enabling
tailored, accessible programs that can reduce population
maternal mortality. This is consistent with population-
health approaches described in the text.
• Incorrect (A): Individual education is important but does
not address system-level access or community barriers
that drive higher mortality.
• Incorrect (C): Transportation vouchers remove one barrier
but may not address other local determinants (trust,
cultural issues, clinic hours).
• Incorrect (D): A hospital-based clinic helps high-risk
individuals but does little for prevention or access at the
community level.
6️⃣ Teaching Point
Address social determinants through community
partnership to reduce maternal mortality.
7️⃣ Citation
, Ricci, S. S., Kyle, T., & Carman, S. (2️02️4️). Maternity and
Pediatric Nursing (5️th Ed.). Ch. 1️.
2
1️⃣ Reference – Ch. 1️ — Historical Development
2️⃣ Question Stem
A nurse preparing an in-service on the evolution of maternal
care wants to emphasize how past changes influence current
practice. Which historical shift best explains why family-
centered birth practices are now common?
3️⃣ Options
A. Technologic advances increasing rates of institutional births.
B. The movement from home births to physician-led hospital
care.
C. Increased recognition of the family's role in outcomes and
rights of the mother-infant dyad.
D. Legal restrictions that limited midwifery practice.
4️⃣ Correct Answer
C
5️⃣ Rationales
• Correct (C): The historical development includes a shift
toward recognizing family needs and rights, prompting
family-centered care models that integrate the family into
decision-making and newborn care.
, • Incorrect (A): Technology contributed to
institutionalization but does not directly explain the
adoption of family-centered practices.
• Incorrect (B): Physician-led care increased hospital births,
but family-centered care evolved later as a response to
overly medicalized practices.
• Incorrect (D): Legal constraints affected provider
availability but aren’t the primary driver of family-centered
philosophies.
6️⃣ Teaching Point
Family-centered care grew from recognizing family roles
and maternal–infant rights.
7️⃣ Citation
Ricci, S. S., Kyle, T., & Carman, S. (2️02️4️). Maternity and
Pediatric Nursing (5️th Ed.). Ch. 1️.
3
1️⃣ Reference – Ch. 1️ — The History of Maternal and Newborn
Health and Health Care
2️⃣ Question Stem
A nurse educator asks students to evaluate how historical infant
mortality trends shaped public health priorities. Which
programmatic priority most directly arose from high historical
infant mortality?
3️⃣ Options
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1
1️⃣ Reference – Ch. 1️ — Introduction
2️⃣ Question Stem
A community health nurse is designing a prenatal outreach
program for a low-income neighborhood with high maternal
mortality. Which initial action most appropriately reflects a
population-health approach to reduce maternal deaths?
3️⃣ Options
A. Provide individual prenatal education sessions at the local
clinic.
B. Partner with local leaders to identify barriers and create
accessible prenatal services.
C. Offer free transportation vouchers to pregnant women who
,attend clinic appointments.
D. Develop a hospital-based high-risk maternity clinic for
referrals only.
4️⃣ Correct Answer
B
5️⃣ Rationales
• Correct (B): Partnering with community leaders addresses
social determinants and structural barriers, enabling
tailored, accessible programs that can reduce population
maternal mortality. This is consistent with population-
health approaches described in the text.
• Incorrect (A): Individual education is important but does
not address system-level access or community barriers
that drive higher mortality.
• Incorrect (C): Transportation vouchers remove one barrier
but may not address other local determinants (trust,
cultural issues, clinic hours).
• Incorrect (D): A hospital-based clinic helps high-risk
individuals but does little for prevention or access at the
community level.
6️⃣ Teaching Point
Address social determinants through community
partnership to reduce maternal mortality.
7️⃣ Citation
, Ricci, S. S., Kyle, T., & Carman, S. (2️02️4️). Maternity and
Pediatric Nursing (5️th Ed.). Ch. 1️.
2
1️⃣ Reference – Ch. 1️ — Historical Development
2️⃣ Question Stem
A nurse preparing an in-service on the evolution of maternal
care wants to emphasize how past changes influence current
practice. Which historical shift best explains why family-
centered birth practices are now common?
3️⃣ Options
A. Technologic advances increasing rates of institutional births.
B. The movement from home births to physician-led hospital
care.
C. Increased recognition of the family's role in outcomes and
rights of the mother-infant dyad.
D. Legal restrictions that limited midwifery practice.
4️⃣ Correct Answer
C
5️⃣ Rationales
• Correct (C): The historical development includes a shift
toward recognizing family needs and rights, prompting
family-centered care models that integrate the family into
decision-making and newborn care.
, • Incorrect (A): Technology contributed to
institutionalization but does not directly explain the
adoption of family-centered practices.
• Incorrect (B): Physician-led care increased hospital births,
but family-centered care evolved later as a response to
overly medicalized practices.
• Incorrect (D): Legal constraints affected provider
availability but aren’t the primary driver of family-centered
philosophies.
6️⃣ Teaching Point
Family-centered care grew from recognizing family roles
and maternal–infant rights.
7️⃣ Citation
Ricci, S. S., Kyle, T., & Carman, S. (2️02️4️). Maternity and
Pediatric Nursing (5️th Ed.). Ch. 1️.
3
1️⃣ Reference – Ch. 1️ — The History of Maternal and Newborn
Health and Health Care
2️⃣ Question Stem
A nurse educator asks students to evaluate how historical infant
mortality trends shaped public health priorities. Which
programmatic priority most directly arose from high historical
infant mortality?
3️⃣ Options
