MATERNITY AND PEDIATRIC NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1️⃣ Reference
Ch. 1 — Historical Development
Question Stem:
A community health nurse is designing a prenatal outreach
program in a region with high maternal mortality. Which
historical lesson should most influence the nurse’s emphasis in
the program design?
A. Expanding hospital-based care exclusively to reduce home-
birth complications.
B. Prioritizing coordinated public health measures and
community education to address social determinants.
C. Relying primarily on advances in surgical obstetrics to reduce
,mortality.
D. Focusing on individualized high-technology interventions for
a few high-risk women.
Correct Answer: B
Rationales:
• Correct (B): Historically, declines in maternal and child
mortality were achieved through public health measures,
education, and community-based interventions;
prioritizing social determinants and coordinated outreach
applies that lesson to program design.
• Incorrect (A): Exclusive emphasis on hospital births ignores
access, cultural context, and preventative measures shown
historically to be necessary.
• Incorrect (C): Surgical advances helped but were not the
sole historical driver; relying mainly on surgery misses
upstream prevention.
• Incorrect (D): High-technology care benefits some but
neglects broad population-level strategies that historically
produced greater mortality reductions.
Teaching Point:
Public health and education reduce maternal mortality more
broadly than technology-only approaches.
,Citation:
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
2️⃣ Reference
Ch. 1 — The History of Maternal and Newborn Health and
Health Care
Question Stem:
A nurse educator preparing a staff in-service wants to explain
how historical shifts in newborn care influence current practice.
Which statement best demonstrates that influence?
A. Newborn care has always emphasized family presence
because hospitals never restricted visitors.
B. Contemporary newborn practice integrates family-centered
care because historical institutional models separated families
from infants.
C. Current newborn practices are identical to early 20th-century
methods due to lack of evidence change.
D. Historical efforts focused only on neonatal surgery, which
remains the central theme today.
Correct Answer: B
Rationales:
• Correct (B): Historically, institutional separation of mothers
and infants led to later emphasis on family-centered care
, and bonding; current practice integrates families because
of that evolution.
• Incorrect (A): Historically hospitals often restricted family
contact; claiming it was always emphasized is inaccurate.
• Incorrect (C): Practices have changed substantially with
evidence and social change; they are not identical.
• Incorrect (D): Neonatal surgery was not the sole focus
historically; public health, nursing care, and family
integration shaped modern care.
Teaching Point:
Family-centered care evolved to reverse past institutional
separation of mothers and infants.
Citation:
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
3️⃣ Reference
Ch. 1 — The History of Child Health and Child Health Care
Question Stem:
While developing a pediatric clinic’s outreach program, a nurse
analyzes historical trends that improved child health. Which
program component best reflects those trends?
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1️⃣ Reference
Ch. 1 — Historical Development
Question Stem:
A community health nurse is designing a prenatal outreach
program in a region with high maternal mortality. Which
historical lesson should most influence the nurse’s emphasis in
the program design?
A. Expanding hospital-based care exclusively to reduce home-
birth complications.
B. Prioritizing coordinated public health measures and
community education to address social determinants.
C. Relying primarily on advances in surgical obstetrics to reduce
,mortality.
D. Focusing on individualized high-technology interventions for
a few high-risk women.
Correct Answer: B
Rationales:
• Correct (B): Historically, declines in maternal and child
mortality were achieved through public health measures,
education, and community-based interventions;
prioritizing social determinants and coordinated outreach
applies that lesson to program design.
• Incorrect (A): Exclusive emphasis on hospital births ignores
access, cultural context, and preventative measures shown
historically to be necessary.
• Incorrect (C): Surgical advances helped but were not the
sole historical driver; relying mainly on surgery misses
upstream prevention.
• Incorrect (D): High-technology care benefits some but
neglects broad population-level strategies that historically
produced greater mortality reductions.
Teaching Point:
Public health and education reduce maternal mortality more
broadly than technology-only approaches.
,Citation:
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
2️⃣ Reference
Ch. 1 — The History of Maternal and Newborn Health and
Health Care
Question Stem:
A nurse educator preparing a staff in-service wants to explain
how historical shifts in newborn care influence current practice.
Which statement best demonstrates that influence?
A. Newborn care has always emphasized family presence
because hospitals never restricted visitors.
B. Contemporary newborn practice integrates family-centered
care because historical institutional models separated families
from infants.
C. Current newborn practices are identical to early 20th-century
methods due to lack of evidence change.
D. Historical efforts focused only on neonatal surgery, which
remains the central theme today.
Correct Answer: B
Rationales:
• Correct (B): Historically, institutional separation of mothers
and infants led to later emphasis on family-centered care
, and bonding; current practice integrates families because
of that evolution.
• Incorrect (A): Historically hospitals often restricted family
contact; claiming it was always emphasized is inaccurate.
• Incorrect (C): Practices have changed substantially with
evidence and social change; they are not identical.
• Incorrect (D): Neonatal surgery was not the sole focus
historically; public health, nursing care, and family
integration shaped modern care.
Teaching Point:
Family-centered care evolved to reverse past institutional
separation of mothers and infants.
Citation:
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
3️⃣ Reference
Ch. 1 — The History of Child Health and Child Health Care
Question Stem:
While developing a pediatric clinic’s outreach program, a nurse
analyzes historical trends that improved child health. Which
program component best reflects those trends?
