Maternity and Pediatric Nursing
5th Edition
• Author(s)Susan Scott Ricci; Terri Kyle; Susan Carman
• PublisherPublished by Wolters Kluwer Health Copyright©
2025
• Print ISBN: 9781975220419
TEST BANK
1. Chapter 1, Historical Development
Stem: A nursing instructor asks a student to explain how
the historical shift from home births to hospital births
influenced maternity nursing. Which statement best
describes that influence?
A. Hospital births decreased the nurse’s role because
physicians assumed full responsibility.
B. Hospital births increased emphasis on technical, medical
care while broadening nursing responsibilities for
monitoring and patient education.
C. Hospital births made family-centered care unnecessary
and obsolete.
D. Hospital births eliminated the need for skilled birth
attendants.
, Correct Answer: B
Rationale — Correct: The move to hospital births
increased medical interventions and monitoring; nurses’
roles expanded to include technical skills and patient
education.
Rationale — A: Incorrect — nurses retained substantial
roles; physician dominance did not remove nursing
responsibilities.
Rationale — C: Incorrect — family-centered care remained
important and later regained emphasis despite hospital
setting.
Rationale — D: Incorrect — skilled attendants remained
essential; hospitals increased access to skilled care rather
than eliminating it.
Teaching Point: Hospitalization increased technical care
needs and broadened nursing roles.
Citation: Chapter 1, Historical Development. LWW Official
Store
2. Chapter 1, The History of Maternal and Newborn Health
and Health Care
Stem: A public health nurse explains trends in maternal
mortality to a community group. Which factor most
strongly contributed to the marked decline in maternal
mortality during the 20th century?
A. Widespread use of traditional herbal medicines.
, B. Improved sanitation, antibiotics, and access to skilled
obstetric care.
C. The replacement of midwives by unskilled attendants.
D. Elimination of postpartum hemorrhage.
Correct Answer: B
Rationale — Correct: Declines in maternal mortality were
largely due to public health measures, antibiotics, and
access to skilled care.
Rationale — A: Incorrect — traditional remedies alone did
not account for the large declines.
Rationale — C: Incorrect — replacement by unskilled
attendants would worsen outcomes, not improve them.
Rationale — D: Incorrect — postpartum hemorrhage
remains a cause of maternal death; it was reduced but not
eliminated.
Teaching Point: Public health, antibiotics, and skilled care
drove maternal mortality reductions.
Citation: Chapter 1, History of Maternal and Newborn
Health. LWW Official Store
3. Chapter 1, The History of Child Health and Child Health
Care
Stem: A pediatric nurse explains why childhood mortality
from infectious diseases dropped steeply in the early 20th
century. Which intervention had the most direct impact?
, A. Introduction of childhood vaccination programs and
improved public health measures.
B. Increase in home schooling.
C. Greater reliance on herbal remedies.
D. Decrease in breastfeeding rates.
Correct Answer: A
Rationale — Correct: Vaccination programs and
sanitation/public health improvements directly reduced
infectious disease mortality.
Rationale — B: Incorrect — home schooling is unrelated to
infectious disease control.
Rationale — C: Incorrect — while some remedies
persisted, they did not drive population-level mortality
declines.
Rationale — D: Incorrect — decreased breastfeeding
would not reduce infectious disease mortality.
Teaching Point: Vaccines and public health substantially
reduced childhood infectious deaths.
Citation: Chapter 1, History of Child Health. LWW Official
Store
4. Chapter 1, Evolution of Maternal and Newborn Nursing
Stem: A nurse manager designing a maternal-newborn
orientation emphasizes family-centered care. Which
practice best embodies family-centered care in the hospital
5th Edition
• Author(s)Susan Scott Ricci; Terri Kyle; Susan Carman
• PublisherPublished by Wolters Kluwer Health Copyright©
2025
• Print ISBN: 9781975220419
TEST BANK
1. Chapter 1, Historical Development
Stem: A nursing instructor asks a student to explain how
the historical shift from home births to hospital births
influenced maternity nursing. Which statement best
describes that influence?
A. Hospital births decreased the nurse’s role because
physicians assumed full responsibility.
B. Hospital births increased emphasis on technical, medical
care while broadening nursing responsibilities for
monitoring and patient education.
C. Hospital births made family-centered care unnecessary
and obsolete.
D. Hospital births eliminated the need for skilled birth
attendants.
, Correct Answer: B
Rationale — Correct: The move to hospital births
increased medical interventions and monitoring; nurses’
roles expanded to include technical skills and patient
education.
Rationale — A: Incorrect — nurses retained substantial
roles; physician dominance did not remove nursing
responsibilities.
Rationale — C: Incorrect — family-centered care remained
important and later regained emphasis despite hospital
setting.
Rationale — D: Incorrect — skilled attendants remained
essential; hospitals increased access to skilled care rather
than eliminating it.
Teaching Point: Hospitalization increased technical care
needs and broadened nursing roles.
Citation: Chapter 1, Historical Development. LWW Official
Store
2. Chapter 1, The History of Maternal and Newborn Health
and Health Care
Stem: A public health nurse explains trends in maternal
mortality to a community group. Which factor most
strongly contributed to the marked decline in maternal
mortality during the 20th century?
A. Widespread use of traditional herbal medicines.
, B. Improved sanitation, antibiotics, and access to skilled
obstetric care.
C. The replacement of midwives by unskilled attendants.
D. Elimination of postpartum hemorrhage.
Correct Answer: B
Rationale — Correct: Declines in maternal mortality were
largely due to public health measures, antibiotics, and
access to skilled care.
Rationale — A: Incorrect — traditional remedies alone did
not account for the large declines.
Rationale — C: Incorrect — replacement by unskilled
attendants would worsen outcomes, not improve them.
Rationale — D: Incorrect — postpartum hemorrhage
remains a cause of maternal death; it was reduced but not
eliminated.
Teaching Point: Public health, antibiotics, and skilled care
drove maternal mortality reductions.
Citation: Chapter 1, History of Maternal and Newborn
Health. LWW Official Store
3. Chapter 1, The History of Child Health and Child Health
Care
Stem: A pediatric nurse explains why childhood mortality
from infectious diseases dropped steeply in the early 20th
century. Which intervention had the most direct impact?
, A. Introduction of childhood vaccination programs and
improved public health measures.
B. Increase in home schooling.
C. Greater reliance on herbal remedies.
D. Decrease in breastfeeding rates.
Correct Answer: A
Rationale — Correct: Vaccination programs and
sanitation/public health improvements directly reduced
infectious disease mortality.
Rationale — B: Incorrect — home schooling is unrelated to
infectious disease control.
Rationale — C: Incorrect — while some remedies
persisted, they did not drive population-level mortality
declines.
Rationale — D: Incorrect — decreased breastfeeding
would not reduce infectious disease mortality.
Teaching Point: Vaccines and public health substantially
reduced childhood infectious deaths.
Citation: Chapter 1, History of Child Health. LWW Official
Store
4. Chapter 1, Evolution of Maternal and Newborn Nursing
Stem: A nurse manager designing a maternal-newborn
orientation emphasizes family-centered care. Which
practice best embodies family-centered care in the hospital
