Maternity and Pediatric Nursing
5th Edition
Author(s)Susan Scott Ricci; Terri Kyle; Susan
Carman
TEST BANK
1
Reference: Ch. 1 — Introduction
Question Stem: A community health nurse reviewing local data
finds rising neonatal mortality linked to late prenatal care. What
is the nurse’s best first action to address this trend?
A. Start a weekly prenatal education class at the community
center.
B. Perform a focused community needs assessment to identify
barriers to early prenatal care.
C. Recommend stricter hospital policies requiring earlier
,prenatal registration.
D. Provide free transportation vouchers to pregnant women.
Correct Answer: B
Rationales:
• Correct (B): Conducting a needs assessment identifies
specific local barriers (transportation, cultural beliefs, clinic
hours) so interventions are targeted and effective.
• A: Education is useful but may fail if structural barriers
(childcare, hours) prevent access; assessment should guide
program design.
• C: Policy changes at hospitals may not address community-
level determinants and could be infeasible without needs
data.
• D: Transportation may be a barrier for some, but
implementing vouchers before confirming it as a primary
barrier risks misallocating resources.
Teaching Point: Start with a community needs assessment to
target interventions effectively.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
2
,Reference: Ch. 1 — Historical Development
Question Stem: A nurse educator is explaining how the shift
from home to hospital births changed maternal nursing roles.
Which statement best reflects that historical change?
A. Hospital births decreased the involvement of families in care,
eliminating family-centered practice.
B. The shift led to specialization and expanded technical skills
but required reintroduction of family-centered approaches.
C. Home births were replaced because hospitals always
provided better psychological support.
D. The change solely improved maternal mortality without
altering nursing practice.
Correct Answer: B
Rationales:
• Correct (B): Moving births into hospitals increased
specialization and technological skills in nursing; later
nursing emphasized returning to family-centered care
within medical settings.
• A: While family involvement initially decreased, nursing
practice evolved to re-emphasize family-centered care
rather than eliminate it.
• C: Hospitals provided more technology but not uniformly
better psychological support; emotional care requires
intentional nursing strategies.
, • D: The hospital shift affected both outcomes and the
scope/skills of nursing practice, not mortality alone.
Teaching Point: Hospitalization expanded technical nursing
roles while prompting renewed emphasis on family-centered
care.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
3
Reference: Ch. 1 — The History of Maternal and Newborn
Health and Health Care
Question Stem: A student asks why historical declines in
maternal mortality are important when planning current
services. What is the nurse’s best explanation?
A. Historical declines show that current services need no
further improvement.
B. Historical trends highlight effective public health measures
and guide priority setting.
C. Past declines are irrelevant to modern high-technology care.
D. They only reflect changes in recording systems, not real
health improvements.
Correct Answer: B
Rationales:
5th Edition
Author(s)Susan Scott Ricci; Terri Kyle; Susan
Carman
TEST BANK
1
Reference: Ch. 1 — Introduction
Question Stem: A community health nurse reviewing local data
finds rising neonatal mortality linked to late prenatal care. What
is the nurse’s best first action to address this trend?
A. Start a weekly prenatal education class at the community
center.
B. Perform a focused community needs assessment to identify
barriers to early prenatal care.
C. Recommend stricter hospital policies requiring earlier
,prenatal registration.
D. Provide free transportation vouchers to pregnant women.
Correct Answer: B
Rationales:
• Correct (B): Conducting a needs assessment identifies
specific local barriers (transportation, cultural beliefs, clinic
hours) so interventions are targeted and effective.
• A: Education is useful but may fail if structural barriers
(childcare, hours) prevent access; assessment should guide
program design.
• C: Policy changes at hospitals may not address community-
level determinants and could be infeasible without needs
data.
• D: Transportation may be a barrier for some, but
implementing vouchers before confirming it as a primary
barrier risks misallocating resources.
Teaching Point: Start with a community needs assessment to
target interventions effectively.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
2
,Reference: Ch. 1 — Historical Development
Question Stem: A nurse educator is explaining how the shift
from home to hospital births changed maternal nursing roles.
Which statement best reflects that historical change?
A. Hospital births decreased the involvement of families in care,
eliminating family-centered practice.
B. The shift led to specialization and expanded technical skills
but required reintroduction of family-centered approaches.
C. Home births were replaced because hospitals always
provided better psychological support.
D. The change solely improved maternal mortality without
altering nursing practice.
Correct Answer: B
Rationales:
• Correct (B): Moving births into hospitals increased
specialization and technological skills in nursing; later
nursing emphasized returning to family-centered care
within medical settings.
• A: While family involvement initially decreased, nursing
practice evolved to re-emphasize family-centered care
rather than eliminate it.
• C: Hospitals provided more technology but not uniformly
better psychological support; emotional care requires
intentional nursing strategies.
, • D: The hospital shift affected both outcomes and the
scope/skills of nursing practice, not mortality alone.
Teaching Point: Hospitalization expanded technical nursing
roles while prompting renewed emphasis on family-centered
care.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and
Pediatric Nursing (5th Ed.). Ch. 1.
3
Reference: Ch. 1 — The History of Maternal and Newborn
Health and Health Care
Question Stem: A student asks why historical declines in
maternal mortality are important when planning current
services. What is the nurse’s best explanation?
A. Historical declines show that current services need no
further improvement.
B. Historical trends highlight effective public health measures
and guide priority setting.
C. Past declines are irrelevant to modern high-technology care.
D. They only reflect changes in recording systems, not real
health improvements.
Correct Answer: B
Rationales:
