Maternity and Pediatric Nursing
5th Edition
Author(s)Susan Scott Ricci; Terri Kyle; Susan
Carman
TEST BANK
1️⃣ Reference
Ch. 1 — Introduction
Question Stem
A 28-year-old primigravida asks the nurse why maternal and
child health nursing focuses on families and communities
instead of only individuals. Which nursing response best
explains the rationale?
Options
A. “Family- and community-focused care lowers hospital costs
for maternal services.”
,B. “Health outcomes for mothers and children are influenced by
family, social, and environmental factors.”
C. “Clinical care for a child often requires fewer resources than
adult care.”
D. “Public health laws require nurses to report family health
information.”
Correct Answer
B
Rationales
Correct: Maternal and child health nursing emphasizes family-
and community-centered approaches because maternal and
child outcomes are shaped by family context, social
determinants, and environmental influences; nursing
interventions therefore consider those levels.
A (incorrect): While cost is a consideration, it is not the primary
rationale for family/community focus.
C (incorrect): Resource use comparisons are irrelevant to the
conceptual rationale.
D (incorrect): Reporting requirements exist for specific
conditions but do not explain the foundational focus on family
and community.
Teaching Point
Maternal–child health nursing addresses family, social, and
environmental determinants of health.
,Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
2️⃣ Reference
Ch. 1 — Historical Development
Question Stem
A nursing student reviewing the history of maternal and child
health asks why professional nursing for children and mothers
evolved separately from general nursing. Which explanation
should the nurse give?
Options
A. “Children and mothers were historically excluded from
general hospitals.”
B. “Distinct developmental and physiological needs required
specialized knowledge and practice.”
C. “Nursing lacked scientific methods until the 20th century.”
D. “Legislation prohibited nurses from caring for women and
children in early practice.”
Correct Answer
B
Rationales
Correct: The evolution of maternal and pediatric nursing
reflected recognition that infants, children, and childbearing
women have unique physiological and developmental needs
, that demand specialized skills and knowledge.
A (incorrect): While historical care settings varied, exclusion is
not the main reason for specialization.
C (incorrect): Scientific methods influenced all nursing but don't
specifically explain the split.
D (incorrect): Legislation did not universally prohibit such care;
specialization arose from clinical necessity.
Teaching Point
Specialty nursing grew from the unique physiologic and
developmental needs of mothers and children.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
3️⃣ Reference
Ch. 1 — The History of Maternal and Newborn Health and
Health Care
Question Stem
A clinic nurse is preparing a short community presentation on
how past public health initiatives shaped newborn outcomes.
Which historical point should the nurse emphasize to explain
current newborn survival improvements?
Options
A. “Elimination of all home births by the 20th century.”
B. “Advances in perinatal care, immunizations, and infant
5th Edition
Author(s)Susan Scott Ricci; Terri Kyle; Susan
Carman
TEST BANK
1️⃣ Reference
Ch. 1 — Introduction
Question Stem
A 28-year-old primigravida asks the nurse why maternal and
child health nursing focuses on families and communities
instead of only individuals. Which nursing response best
explains the rationale?
Options
A. “Family- and community-focused care lowers hospital costs
for maternal services.”
,B. “Health outcomes for mothers and children are influenced by
family, social, and environmental factors.”
C. “Clinical care for a child often requires fewer resources than
adult care.”
D. “Public health laws require nurses to report family health
information.”
Correct Answer
B
Rationales
Correct: Maternal and child health nursing emphasizes family-
and community-centered approaches because maternal and
child outcomes are shaped by family context, social
determinants, and environmental influences; nursing
interventions therefore consider those levels.
A (incorrect): While cost is a consideration, it is not the primary
rationale for family/community focus.
C (incorrect): Resource use comparisons are irrelevant to the
conceptual rationale.
D (incorrect): Reporting requirements exist for specific
conditions but do not explain the foundational focus on family
and community.
Teaching Point
Maternal–child health nursing addresses family, social, and
environmental determinants of health.
,Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
2️⃣ Reference
Ch. 1 — Historical Development
Question Stem
A nursing student reviewing the history of maternal and child
health asks why professional nursing for children and mothers
evolved separately from general nursing. Which explanation
should the nurse give?
Options
A. “Children and mothers were historically excluded from
general hospitals.”
B. “Distinct developmental and physiological needs required
specialized knowledge and practice.”
C. “Nursing lacked scientific methods until the 20th century.”
D. “Legislation prohibited nurses from caring for women and
children in early practice.”
Correct Answer
B
Rationales
Correct: The evolution of maternal and pediatric nursing
reflected recognition that infants, children, and childbearing
women have unique physiological and developmental needs
, that demand specialized skills and knowledge.
A (incorrect): While historical care settings varied, exclusion is
not the main reason for specialization.
C (incorrect): Scientific methods influenced all nursing but don't
specifically explain the split.
D (incorrect): Legislation did not universally prohibit such care;
specialization arose from clinical necessity.
Teaching Point
Specialty nursing grew from the unique physiologic and
developmental needs of mothers and children.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
3️⃣ Reference
Ch. 1 — The History of Maternal and Newborn Health and
Health Care
Question Stem
A clinic nurse is preparing a short community presentation on
how past public health initiatives shaped newborn outcomes.
Which historical point should the nurse emphasize to explain
current newborn survival improvements?
Options
A. “Elimination of all home births by the 20th century.”
B. “Advances in perinatal care, immunizations, and infant
