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
Multiple-Choice Questions for Maternity and Pediatric
Nursing
Question 1
1. Chapter 1, The History of Maternal and Newborn Health
and Health Care
2. A nurse educator is teaching a group of student nurses
about the historical context of maternal-newborn care in the
United States. The most significant development that
reduced the maternal mortality rate in the early 20th
century was:
3. A. The shift from home births to hospital births. B. The
discovery and widespread use of antibiotics. C. The
establishment of the Children's Bureau. D. Increased public
funding for well-baby clinics.
,4. Correct Answer: B
5. Rationales:
o Correct answer: The widespread use of antibiotics
(like sulfa drugs and penicillin) starting in the mid-
20th century dramatically reduced deaths from
puerperal infection (sepsis), which was a major cause
of maternal mortality.
o Incorrect A: The shift to hospital births initially
increased the maternal mortality rate due to the spread
of puerperal infection from physician's hands and
instruments before aseptic techniques were standard.
o Incorrect C: The Children's Bureau was established
in 1912 and focused on child welfare, but its direct
impact on maternal mortality rates was less profound
than antibiotics.
o Incorrect D: Public funding for well-baby clinics
primarily addressed infant morbidity and mortality,
not maternal mortality.
6. Teaching Point: The introduction of antibiotics was the
critical factor in significantly lowering historical maternal
mortality rates.
7. Citation: Maternity and Pediatric Nursing (5th Ed.),
Chapter 1, The History of Maternal and Newborn Health
and Health Care
,Question 2
1. Chapter 1, The History of Child Health and Child Health
Care
2. A pediatric nurse is reviewing the major milestones in child
health legislation. Which act is primarily responsible for
establishing comprehensive public health services for
mothers and children, including prenatal care and
immunizations?
3. A. The Social Security Act of 1935 B. The Sheppard-
Towner Act of 1921 C. The Education for All Handicapped
Children Act of 1975 D. The Health Care and Education
Reconciliation Act of 2010
4. Correct Answer: A
5. Rationales:
o Correct answer: Title V of the Social Security Act of
1935 established the foundation for federal aid to
states for maternal and child health programs, which
continues to be a cornerstone of public health services
today.
o Incorrect B: The Sheppard-Towner Act was an
important precursor but was only in effect for a few
years and did not establish the lasting, comprehensive
structure Title V did.
o Incorrect C: This Act focused on educational rights
for children with disabilities, not general maternal and
, child health services like immunizations and prenatal
care.
o Incorrect D: This is a modern healthcare reform law,
but Title V of the Social Security Act is the historical
foundation for federal MCH services.
6. Teaching Point: Title V of the Social Security Act is the
enduring foundation for U.S. maternal and child health
programs.
7. Citation: Maternity and Pediatric Nursing (5th Ed.),
Chapter 1, The History of Child Health and Child Health
Care
Question 3
1. Chapter 1, Evolution of Maternal and Newborn Nursing
2. A registered nurse is transitioning to a maternity unit where
a family-centered care model is utilized. This model is best
characterized by which of the following practices?
3. A. Strict separation of mother and infant to maximize
maternal rest. B. Encouraging the family to participate in
the care of the mother and infant. C. Scheduling all
procedures at the convenience of the nursing staff. D.
Limiting visitation to immediate family members only
during recovery.
4. Correct Answer: B
5. Rationales:
5th Edition
• Author(s)Susan Scott Ricci; Terri Kyle; Susan Carman
• PublisherPublished by Wolters Kluwer Health Copyright©
2025
• Print ISBN: 9781975220419
TEST BANK
Multiple-Choice Questions for Maternity and Pediatric
Nursing
Question 1
1. Chapter 1, The History of Maternal and Newborn Health
and Health Care
2. A nurse educator is teaching a group of student nurses
about the historical context of maternal-newborn care in the
United States. The most significant development that
reduced the maternal mortality rate in the early 20th
century was:
3. A. The shift from home births to hospital births. B. The
discovery and widespread use of antibiotics. C. The
establishment of the Children's Bureau. D. Increased public
funding for well-baby clinics.
,4. Correct Answer: B
5. Rationales:
o Correct answer: The widespread use of antibiotics
(like sulfa drugs and penicillin) starting in the mid-
20th century dramatically reduced deaths from
puerperal infection (sepsis), which was a major cause
of maternal mortality.
o Incorrect A: The shift to hospital births initially
increased the maternal mortality rate due to the spread
of puerperal infection from physician's hands and
instruments before aseptic techniques were standard.
o Incorrect C: The Children's Bureau was established
in 1912 and focused on child welfare, but its direct
impact on maternal mortality rates was less profound
than antibiotics.
o Incorrect D: Public funding for well-baby clinics
primarily addressed infant morbidity and mortality,
not maternal mortality.
6. Teaching Point: The introduction of antibiotics was the
critical factor in significantly lowering historical maternal
mortality rates.
7. Citation: Maternity and Pediatric Nursing (5th Ed.),
Chapter 1, The History of Maternal and Newborn Health
and Health Care
,Question 2
1. Chapter 1, The History of Child Health and Child Health
Care
2. A pediatric nurse is reviewing the major milestones in child
health legislation. Which act is primarily responsible for
establishing comprehensive public health services for
mothers and children, including prenatal care and
immunizations?
3. A. The Social Security Act of 1935 B. The Sheppard-
Towner Act of 1921 C. The Education for All Handicapped
Children Act of 1975 D. The Health Care and Education
Reconciliation Act of 2010
4. Correct Answer: A
5. Rationales:
o Correct answer: Title V of the Social Security Act of
1935 established the foundation for federal aid to
states for maternal and child health programs, which
continues to be a cornerstone of public health services
today.
o Incorrect B: The Sheppard-Towner Act was an
important precursor but was only in effect for a few
years and did not establish the lasting, comprehensive
structure Title V did.
o Incorrect C: This Act focused on educational rights
for children with disabilities, not general maternal and
, child health services like immunizations and prenatal
care.
o Incorrect D: This is a modern healthcare reform law,
but Title V of the Social Security Act is the historical
foundation for federal MCH services.
6. Teaching Point: Title V of the Social Security Act is the
enduring foundation for U.S. maternal and child health
programs.
7. Citation: Maternity and Pediatric Nursing (5th Ed.),
Chapter 1, The History of Child Health and Child Health
Care
Question 3
1. Chapter 1, Evolution of Maternal and Newborn Nursing
2. A registered nurse is transitioning to a maternity unit where
a family-centered care model is utilized. This model is best
characterized by which of the following practices?
3. A. Strict separation of mother and infant to maximize
maternal rest. B. Encouraging the family to participate in
the care of the mother and infant. C. Scheduling all
procedures at the convenience of the nursing staff. D.
Limiting visitation to immediate family members only
during recovery.
4. Correct Answer: B
5. Rationales:
