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
Chapter 1: The History of Maternal and
Newborn Health and Health Care
A nursing student is researching the historical impact of
family-centered care. Which 20th-century development
was most instrumental in shifting maternity care from a
fragmented, illness-oriented model to a more integrated,
wellness-focused approach?
A. The passing of the Sheppard-Towner Act of 1921.
B. The development of "rooming-in" practices in hospitals.
C. The widespread use of antibiotics to treat puerperal
fever.
D. The publication of standards for obstetrician-
gynecologist education.
, Correct Answer: B. The development of "rooming-in"
practices in hospitals.
• Rationale for Correct Answer: The "rooming-in" concept,
which gained popularity after World War II, allowed the
newborn to remain in the mother's room rather than in a
central nursery. This practice was a key component in the
shift toward family-centered care, promoting maternal-
infant bonding and viewing the family as a unit.
• Rationale for Incorrect Answers:
o A: The Sheppard-Towner Act was crucial for reducing
maternal and infant mortality through public health
nursing but focused on outreach and education, not
necessarily on restructuring hospital-based care to be
family-centered.
o C: Antibiotics drastically reduced mortality from
infection but did not directly change the philosophy of
care delivery toward family integration.
o D: Standardizing physician education improved the
quality of care providers but did not inherently
change the model of care to be more family-focused.
Teaching Point: Rooming-in is a cornerstone of family-
centered maternity care.
Citation: Ricci, S., Kyle, T., & Carman, S.
(2021). Maternity and Pediatric Nursing (5th ed.).
, Wolters Kluwer. Chapter 1, The History of Maternal
and Newborn Health and Health Care.
Question 2
Chapter 1, Section: The History of Child Health and Child
Health Care
A public health nurse is presenting to a community group
about milestones in child health. Which early 20th-century
federal legislation represented the first major national
commitment to reducing infant mortality by providing
funding for state-run health programs?
A. The Social Security Act of 1935.
B. The Medicaid and Medicare Acts of 1965.
C. The Sheppard-Towner Act of 1921.
D. The Women, Infants, and Children (WIC) program of
1972.
Correct Answer: C. The Sheppard-Towner Act of 1921.
• Rationale for Correct Answer: The Sheppard-Towner
Maternity and Infancy Protection Act of 1921 was the first
federal law to provide significant funding to states to
develop programs for maternal and child health, including
prenatal and child health centers, leading to a documented
decrease in infant mortality.
• Rationale for Incorrect Answers:
, o A: The Social Security Act of 1935 was broader and
included titles that eventually replaced and expanded
upon Sheppard-Towner, but it was not the first.
o B: Medicaid and Medicare provided healthcare access
to specific populations but came decades later.
o D: The WIC program is a vital nutritional supplement
program but was implemented much later than the
pioneering Sheppard-Towner Act.
Teaching Point: Sheppard-Towner Act was the
foundational U.S. law for federal involvement in child
health.
Citation: Ricci, S., Kyle, T., & Carman, S.
(2021). Maternity and Pediatric Nursing (5th ed.).
Wolters Kluwer. Chapter 1, The History of Child Health
and Child Health Care.
Question 3
Chapter 1, Section: Mortality
When analyzing recent trends in maternal mortality for a
quality improvement project, a nurse recognizes that a key
challenge in the United States is the significant racial
disparity. Which group experiences the highest rate of
pregnancy-related deaths?
A. Asian or Pacific Islander women.
B. Non-Hispanic White women.
C. American Indian or Alaska Native women.
D. Non-Hispanic Black women.
5th Edition
• Author(s)Susan Scott Ricci; Terri Kyle; Susan Carman
• PublisherPublished by Wolters Kluwer Health Copyright©
2025
• Print ISBN: 9781975220419
TEST BANK
Chapter 1: The History of Maternal and
Newborn Health and Health Care
A nursing student is researching the historical impact of
family-centered care. Which 20th-century development
was most instrumental in shifting maternity care from a
fragmented, illness-oriented model to a more integrated,
wellness-focused approach?
A. The passing of the Sheppard-Towner Act of 1921.
B. The development of "rooming-in" practices in hospitals.
C. The widespread use of antibiotics to treat puerperal
fever.
D. The publication of standards for obstetrician-
gynecologist education.
, Correct Answer: B. The development of "rooming-in"
practices in hospitals.
• Rationale for Correct Answer: The "rooming-in" concept,
which gained popularity after World War II, allowed the
newborn to remain in the mother's room rather than in a
central nursery. This practice was a key component in the
shift toward family-centered care, promoting maternal-
infant bonding and viewing the family as a unit.
• Rationale for Incorrect Answers:
o A: The Sheppard-Towner Act was crucial for reducing
maternal and infant mortality through public health
nursing but focused on outreach and education, not
necessarily on restructuring hospital-based care to be
family-centered.
o C: Antibiotics drastically reduced mortality from
infection but did not directly change the philosophy of
care delivery toward family integration.
o D: Standardizing physician education improved the
quality of care providers but did not inherently
change the model of care to be more family-focused.
Teaching Point: Rooming-in is a cornerstone of family-
centered maternity care.
Citation: Ricci, S., Kyle, T., & Carman, S.
(2021). Maternity and Pediatric Nursing (5th ed.).
, Wolters Kluwer. Chapter 1, The History of Maternal
and Newborn Health and Health Care.
Question 2
Chapter 1, Section: The History of Child Health and Child
Health Care
A public health nurse is presenting to a community group
about milestones in child health. Which early 20th-century
federal legislation represented the first major national
commitment to reducing infant mortality by providing
funding for state-run health programs?
A. The Social Security Act of 1935.
B. The Medicaid and Medicare Acts of 1965.
C. The Sheppard-Towner Act of 1921.
D. The Women, Infants, and Children (WIC) program of
1972.
Correct Answer: C. The Sheppard-Towner Act of 1921.
• Rationale for Correct Answer: The Sheppard-Towner
Maternity and Infancy Protection Act of 1921 was the first
federal law to provide significant funding to states to
develop programs for maternal and child health, including
prenatal and child health centers, leading to a documented
decrease in infant mortality.
• Rationale for Incorrect Answers:
, o A: The Social Security Act of 1935 was broader and
included titles that eventually replaced and expanded
upon Sheppard-Towner, but it was not the first.
o B: Medicaid and Medicare provided healthcare access
to specific populations but came decades later.
o D: The WIC program is a vital nutritional supplement
program but was implemented much later than the
pioneering Sheppard-Towner Act.
Teaching Point: Sheppard-Towner Act was the
foundational U.S. law for federal involvement in child
health.
Citation: Ricci, S., Kyle, T., & Carman, S.
(2021). Maternity and Pediatric Nursing (5th ed.).
Wolters Kluwer. Chapter 1, The History of Child Health
and Child Health Care.
Question 3
Chapter 1, Section: Mortality
When analyzing recent trends in maternal mortality for a
quality improvement project, a nurse recognizes that a key
challenge in the United States is the significant racial
disparity. Which group experiences the highest rate of
pregnancy-related deaths?
A. Asian or Pacific Islander women.
B. Non-Hispanic White women.
C. American Indian or Alaska Native women.
D. Non-Hispanic Black women.
