MATERNITY AND PEDIATRIC NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1. Which development most strongly contributed to a
decline in maternal and newborn mortality in the 20th
century?
A. Increased home births without skilled attendants
B. Improved obstetric care, antisepsis, and access to hospitals
C. Decreased prenatal screening
D. Reduced use of diagnostic testing
Answer: B
Rationale: Safer childbirth practices, infection control, and
skilled care reduced deaths.
2. What was a major historical goal of pediatric nursing?
A. Treat children as small adults
,B. Promote family-centered, developmentally appropriate care
C. Limit parental involvement during hospitalization
D. Focus only on acute illness
Answer: B
Rationale: Pediatric nursing evolved to support the child’s
growth, development, and family needs.
3. Which statement best describes morbidity?
A. Number of deaths in a population
B. Frequency of disease or illness in a population
C. Average life expectancy
D. Number of births per year
Answer: B
Rationale: Morbidity refers to illness, disease, or poor health
status.
4. Which factor is most directly related to infant mortality
rates?
A. Number of pediatric specialists in a city
B. Access to prenatal care and safe delivery services
C. Number of school nurses in a district
D. Use of herbal supplements during pregnancy
Answer: B
Rationale: Maternal health care access strongly affects infant
survival.
5. Which historical change improved the survival of
newborns with respiratory distress?
A. Elimination of all newborn assessments
B. Advances in neonatal intensive care
C. Fewer skilled nurses in delivery rooms
D. Reduced monitoring after birth
Answer: B
,Rationale: NICU care and respiratory support improved newborn
outcomes.
6. Which issue is most likely to create an ethical dilemma
in maternal-child nursing?
A. A parent asks for discharge instructions
B. A pregnant patient refuses a recommended treatment
C. A newborn cries after feeding
D. A child asks for a blanket
Answer: B
Rationale: Refusal of treatment may involve autonomy, fetal
interests, and maternal rights.
7. Informed consent requires that the patient:
A. Be told only the benefits of treatment
B. Sign a form without explanation
C. Receive adequate information to make a voluntary decision
D. Allow the nurse to decide for them
Answer: C
Rationale: Informed consent includes explanation of risks,
benefits, and alternatives.
8. Which patient action demonstrates understanding of
informed consent?
A. Signing before hearing the explanation
B. Asking questions before agreeing to a procedure
C. Letting a family member decide without discussion
D. Refusing to listen to the provider
Answer: B
Rationale: Questions show active participation and
understanding.
, 9. Assent is best described as:
A. Legal consent given by a parent only
B. A child’s affirmative agreement to participate in care
C. A refusal of all treatment
D. A court order for surgery
Answer: B
Rationale: Assent is the child’s agreement, when
developmentally appropriate, in addition to parental consent.
10. Which statement about refusal of medical treatment
is correct?
A. Nurses should ignore it if they disagree
B. Adults with decision-making capacity may refuse treatment
C. Parents cannot refuse treatment for children
D. Refusal is never allowed in emergencies
Answer: B
Rationale: Competent adults have the right to refuse care, even
if the decision is risky.
11. Advance directives are used to:
A. Replace informed consent in all situations
B. Record a patient’s preferences for future medical care
C. Give nurses legal authority over treatment
D. Require treatment against the patient’s wishes
Answer: B
Rationale: Advance directives guide care if the patient later
cannot speak for themselves.
12. Patient rights in maternal-child care include all of the
following except:
A. Privacy
B. Confidentiality
C. Participation in decisions
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1. Which development most strongly contributed to a
decline in maternal and newborn mortality in the 20th
century?
A. Increased home births without skilled attendants
B. Improved obstetric care, antisepsis, and access to hospitals
C. Decreased prenatal screening
D. Reduced use of diagnostic testing
Answer: B
Rationale: Safer childbirth practices, infection control, and
skilled care reduced deaths.
2. What was a major historical goal of pediatric nursing?
A. Treat children as small adults
,B. Promote family-centered, developmentally appropriate care
C. Limit parental involvement during hospitalization
D. Focus only on acute illness
Answer: B
Rationale: Pediatric nursing evolved to support the child’s
growth, development, and family needs.
3. Which statement best describes morbidity?
A. Number of deaths in a population
B. Frequency of disease or illness in a population
C. Average life expectancy
D. Number of births per year
Answer: B
Rationale: Morbidity refers to illness, disease, or poor health
status.
4. Which factor is most directly related to infant mortality
rates?
A. Number of pediatric specialists in a city
B. Access to prenatal care and safe delivery services
C. Number of school nurses in a district
D. Use of herbal supplements during pregnancy
Answer: B
Rationale: Maternal health care access strongly affects infant
survival.
5. Which historical change improved the survival of
newborns with respiratory distress?
A. Elimination of all newborn assessments
B. Advances in neonatal intensive care
C. Fewer skilled nurses in delivery rooms
D. Reduced monitoring after birth
Answer: B
,Rationale: NICU care and respiratory support improved newborn
outcomes.
6. Which issue is most likely to create an ethical dilemma
in maternal-child nursing?
A. A parent asks for discharge instructions
B. A pregnant patient refuses a recommended treatment
C. A newborn cries after feeding
D. A child asks for a blanket
Answer: B
Rationale: Refusal of treatment may involve autonomy, fetal
interests, and maternal rights.
7. Informed consent requires that the patient:
A. Be told only the benefits of treatment
B. Sign a form without explanation
C. Receive adequate information to make a voluntary decision
D. Allow the nurse to decide for them
Answer: C
Rationale: Informed consent includes explanation of risks,
benefits, and alternatives.
8. Which patient action demonstrates understanding of
informed consent?
A. Signing before hearing the explanation
B. Asking questions before agreeing to a procedure
C. Letting a family member decide without discussion
D. Refusing to listen to the provider
Answer: B
Rationale: Questions show active participation and
understanding.
, 9. Assent is best described as:
A. Legal consent given by a parent only
B. A child’s affirmative agreement to participate in care
C. A refusal of all treatment
D. A court order for surgery
Answer: B
Rationale: Assent is the child’s agreement, when
developmentally appropriate, in addition to parental consent.
10. Which statement about refusal of medical treatment
is correct?
A. Nurses should ignore it if they disagree
B. Adults with decision-making capacity may refuse treatment
C. Parents cannot refuse treatment for children
D. Refusal is never allowed in emergencies
Answer: B
Rationale: Competent adults have the right to refuse care, even
if the decision is risky.
11. Advance directives are used to:
A. Replace informed consent in all situations
B. Record a patient’s preferences for future medical care
C. Give nurses legal authority over treatment
D. Require treatment against the patient’s wishes
Answer: B
Rationale: Advance directives guide care if the patient later
cannot speak for themselves.
12. Patient rights in maternal-child care include all of the
following except:
A. Privacy
B. Confidentiality
C. Participation in decisions
