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 community health nurse must prioritize one
population indicator to evaluate success of prenatal programs in
a low-resource area. Which indicator most directly reflects
effectiveness of prenatal care and maternal nutrition?
Options:
A. Maternal mortality ratio
B. Low birth weight rate
C. Neonatal mortality rate
D. Under-5 mortality rate
,Correct Answer: B
Rationales:
• Correct (B): Low birth weight (<2500 g) is highly sensitive
to maternal nutrition and quality/timing of prenatal care;
reductions indicate improved prenatal access and maternal
health.
• Incorrect (A): Maternal mortality ratio reflects severe
obstetric complications and health system capacity but is
less sensitive to incremental prenatal care improvements.
• Incorrect (C): Neonatal mortality often reflects intrapartum
and immediate newborn care quality, not solely prenatal
care/nutrition.
• Incorrect (D): Under-5 mortality includes post-neonatal
causes and broader child health issues beyond prenatal
programs.
Teaching Point: Low birth weight rate is a key indicator of
prenatal care and maternal nutrition.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1 — Introduction.
2️⃣
Reference: Ch. 1 — Historical Development
Question Stem: A nurse teaching students about the historical
,shift from home births to hospital deliveries is asked why this
transition reduced maternal mortality in the early 20th century.
Which explanation best evaluates the historical impact?
Options:
A. Increased hospital births eliminated puerperal infections
immediately.
B. Hospitals provided access to antisepsis, anesthesia, and
blood transfusion, reducing deaths.
C. Midwife care was uniformly inferior to physician care.
D. Hospital births prevented all obstetric hemorrhage.
Correct Answer: B
Rationales:
• Correct (B): The shift to hospitals coincided with antiseptic
techniques, anesthesia, and transfusion availability—major
contributors to reduced maternal mortality.
• Incorrect (A): Antisepsis reduced infection risk but did not
eliminate puerperal infections immediately or entirely.
• Incorrect (C): Midwifery varied historically; saying it was
uniformly inferior is an oversimplification and ignores
social/contextual factors.
• Incorrect (D): Hospitals improved hemorrhage
management but did not prevent all obstetric hemorrhage.
Teaching Point: Advances in antisepsis, anesthesia, and
transfusion cut historic maternal deaths.
, Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1 — Historical Development.
3️⃣
Reference: Ch. 1 — The History of Maternal and Newborn
Health and Health Care
Question Stem: A quality improvement team analyzes historic
drivers of improved newborn survival. Which intervention
would the nurse argue had the greatest immediate effect on
early neonatal survival?
Options:
A. Universal prenatal education programs
B. Introduction of neonatal resuscitation and thermoregulation
protocols
C. Expansion of postpartum home visits
D. Public health campaigns about family planning
Correct Answer: B
Rationales:
• Correct (B): Implementation of neonatal resuscitation and
thermal care significantly reduces immediate neonatal
deaths from asphyxia and hypothermia.
• Incorrect (A): Prenatal education is important but has a
less immediate effect on the earliest neonatal survival.
5th Edition
Author(s)Susan Scott Ricci; Terri Kyle; Susan
Carman
TEST BANK
1️⃣
Reference: Ch. 1 — Introduction
Question Stem: A community health nurse must prioritize one
population indicator to evaluate success of prenatal programs in
a low-resource area. Which indicator most directly reflects
effectiveness of prenatal care and maternal nutrition?
Options:
A. Maternal mortality ratio
B. Low birth weight rate
C. Neonatal mortality rate
D. Under-5 mortality rate
,Correct Answer: B
Rationales:
• Correct (B): Low birth weight (<2500 g) is highly sensitive
to maternal nutrition and quality/timing of prenatal care;
reductions indicate improved prenatal access and maternal
health.
• Incorrect (A): Maternal mortality ratio reflects severe
obstetric complications and health system capacity but is
less sensitive to incremental prenatal care improvements.
• Incorrect (C): Neonatal mortality often reflects intrapartum
and immediate newborn care quality, not solely prenatal
care/nutrition.
• Incorrect (D): Under-5 mortality includes post-neonatal
causes and broader child health issues beyond prenatal
programs.
Teaching Point: Low birth weight rate is a key indicator of
prenatal care and maternal nutrition.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1 — Introduction.
2️⃣
Reference: Ch. 1 — Historical Development
Question Stem: A nurse teaching students about the historical
,shift from home births to hospital deliveries is asked why this
transition reduced maternal mortality in the early 20th century.
Which explanation best evaluates the historical impact?
Options:
A. Increased hospital births eliminated puerperal infections
immediately.
B. Hospitals provided access to antisepsis, anesthesia, and
blood transfusion, reducing deaths.
C. Midwife care was uniformly inferior to physician care.
D. Hospital births prevented all obstetric hemorrhage.
Correct Answer: B
Rationales:
• Correct (B): The shift to hospitals coincided with antiseptic
techniques, anesthesia, and transfusion availability—major
contributors to reduced maternal mortality.
• Incorrect (A): Antisepsis reduced infection risk but did not
eliminate puerperal infections immediately or entirely.
• Incorrect (C): Midwifery varied historically; saying it was
uniformly inferior is an oversimplification and ignores
social/contextual factors.
• Incorrect (D): Hospitals improved hemorrhage
management but did not prevent all obstetric hemorrhage.
Teaching Point: Advances in antisepsis, anesthesia, and
transfusion cut historic maternal deaths.
, Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1 — Historical Development.
3️⃣
Reference: Ch. 1 — The History of Maternal and Newborn
Health and Health Care
Question Stem: A quality improvement team analyzes historic
drivers of improved newborn survival. Which intervention
would the nurse argue had the greatest immediate effect on
early neonatal survival?
Options:
A. Universal prenatal education programs
B. Introduction of neonatal resuscitation and thermoregulation
protocols
C. Expansion of postpartum home visits
D. Public health campaigns about family planning
Correct Answer: B
Rationales:
• Correct (B): Implementation of neonatal resuscitation and
thermal care significantly reduces immediate neonatal
deaths from asphyxia and hypothermia.
• Incorrect (A): Prenatal education is important but has a
less immediate effect on the earliest neonatal survival.
