MATERNITY AND PEDIATRIC NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1
Reference
Ch. 1 — Historical Development
Question Stem
A community nurse evaluates a local maternal–child health
program developed in the early 20th century. Which program
characteristic best reflects the primary focus of historical
maternal–child health initiatives?
Options
A. Emphasis on family-centered care planning with shared
decision-making
B. Focus on reducing infant and maternal mortality through
,public health measures
C. Integration of genetic counseling and prenatal diagnostic
services
D. Implementation of universal prenatal mental health
screening
Correct Answer
B
Rationales
• Correct (B): Early maternal–child health initiatives
prioritized public health measures (sanitation,
immunizations, midwifery training) aimed at reducing
maternal and infant mortality. This reflects the historical
public-health driven approach described in the text.
• A: Family-centered shared decision-making is a later
development in care models and was not the primary
historical focus.
• C: Genetic counseling and prenatal diagnostics are
relatively recent advancements and were not central
historically.
• D: Universal prenatal mental health screening is a
contemporary quality initiative, not an early-20th-century
emphasis.
Teaching Point
Early maternal–child programs prioritized public health actions
to lower maternal and infant mortality.
,Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1 — Historical Development.
2
Reference
Ch. 1 — The History of Maternal and Newborn Health and
Health Care
Question Stem
A nurse teaching a prenatal class wants to explain how
advances in obstetrics affected neonatal outcomes. Which
historical advance best links to reduced newborn mortality?
Options
A. Development of electronic health records for newborn
screening
B. Introduction of aseptic technique and obstetric anesthesia
C. Adoption of routine cord blood banking
D. Universal use of ultrasonography in home births
Correct Answer
B
Rationales
• Correct (B): Introduction of aseptic technique and safe
obstetric anesthesia reduced infection and obstetric
, complications, contributing historically to improved
neonatal survival.
• A: Electronic records facilitate care coordination but are
modern tools; they were not historical drivers of early
neonatal mortality decline.
• C: Cord blood banking is a recent technology and did not
historically reduce newborn mortality.
• D: Routine ultrasonography and home birth practices are
modern and not a historical reason for early mortality
declines.
Teaching Point
Aseptic obstetric practices historically lowered maternal and
neonatal infection-related deaths.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1 — The History of Maternal and
Newborn Health and Health Care.
3
Reference
Ch. 1 — The History of Child Health and Child Health Care
Question Stem
While developing a school-based health education plan, a
pediatric nurse references historical shifts in child health care.
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1
Reference
Ch. 1 — Historical Development
Question Stem
A community nurse evaluates a local maternal–child health
program developed in the early 20th century. Which program
characteristic best reflects the primary focus of historical
maternal–child health initiatives?
Options
A. Emphasis on family-centered care planning with shared
decision-making
B. Focus on reducing infant and maternal mortality through
,public health measures
C. Integration of genetic counseling and prenatal diagnostic
services
D. Implementation of universal prenatal mental health
screening
Correct Answer
B
Rationales
• Correct (B): Early maternal–child health initiatives
prioritized public health measures (sanitation,
immunizations, midwifery training) aimed at reducing
maternal and infant mortality. This reflects the historical
public-health driven approach described in the text.
• A: Family-centered shared decision-making is a later
development in care models and was not the primary
historical focus.
• C: Genetic counseling and prenatal diagnostics are
relatively recent advancements and were not central
historically.
• D: Universal prenatal mental health screening is a
contemporary quality initiative, not an early-20th-century
emphasis.
Teaching Point
Early maternal–child programs prioritized public health actions
to lower maternal and infant mortality.
,Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1 — Historical Development.
2
Reference
Ch. 1 — The History of Maternal and Newborn Health and
Health Care
Question Stem
A nurse teaching a prenatal class wants to explain how
advances in obstetrics affected neonatal outcomes. Which
historical advance best links to reduced newborn mortality?
Options
A. Development of electronic health records for newborn
screening
B. Introduction of aseptic technique and obstetric anesthesia
C. Adoption of routine cord blood banking
D. Universal use of ultrasonography in home births
Correct Answer
B
Rationales
• Correct (B): Introduction of aseptic technique and safe
obstetric anesthesia reduced infection and obstetric
, complications, contributing historically to improved
neonatal survival.
• A: Electronic records facilitate care coordination but are
modern tools; they were not historical drivers of early
neonatal mortality decline.
• C: Cord blood banking is a recent technology and did not
historically reduce newborn mortality.
• D: Routine ultrasonography and home birth practices are
modern and not a historical reason for early mortality
declines.
Teaching Point
Aseptic obstetric practices historically lowered maternal and
neonatal infection-related deaths.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1 — The History of Maternal and
Newborn Health and Health Care.
3
Reference
Ch. 1 — The History of Child Health and Child Health Care
Question Stem
While developing a school-based health education plan, a
pediatric nurse references historical shifts in child health care.
