5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1)
Reference
Ch. 1 — Introduction. LWW Shop
Question Stem
A public health nurse is designing a prenatal outreach program
for a high-risk urban community. Which initial action best
demonstrates application of community-focused maternal–child
health principles?
Options
A. Develop a standardized prenatal class schedule and advertise
it in clinics.
B. Hold focus groups with pregnant individuals and community
,stakeholders to identify barriers.
C. Provide printed pregnancy education packets to all
community health centers.
D. Assign a rotating clinician schedule to ensure clinic coverage
on weekends.
Correct Answer
B
Rationales
• Correct (B): Conducting focus groups applies community-
centered assessment to identify local barriers and tailor
services—an evidence-based first step in program
planning.
• A: Advertising a fixed class schedule may miss community
needs and access barriers identified only by engagement.
• C: Distribution of materials alone is passive and may not
address literacy, language, or cultural barriers.
• D: Adjusting clinic hours could help access but should
follow assessment that identifies whether weekend
coverage is needed.
Teaching Point
Begin interventions with community assessment and
stakeholder input.
,Citation (APA)
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1. LWW Shop
2)
Reference
Ch. 1 — Historical Development. LWW Shop
Question Stem
A nursing student is comparing childbirth practices from the
1700s to modern practice. Which observation demonstrates
analytic understanding of how historical developments shaped
current maternity care?
Options
A. Midwives always practiced independently in the 1700s, so
physicians were unnecessary.
B. Historical high maternal mortality led to specialized obstetric
care and safety protocols.
C. Technology has not influenced maternal mortality trends
since the 1700s.
D. Childbirth historically had lower risk, which explains the
modern emphasis on home birth.
Correct Answer
B
Rationales
, • Correct (B): Recognition that historically high maternal
mortality spurred development of obstetric specialties and
safety initiatives reflects accurate analysis of historical
influence.
• A: Oversimplifies midwifery roles and ignores the later
integration of physician-led care; incorrect.
• C: False—technological and public health advances have
significantly changed outcomes.
• D: Incorrect—historically childbirth carried higher risk;
modern home birth emphasis is context-dependent.
Teaching Point
Past maternal mortality trends catalyzed specialized obstetric
care and safety improvements.
Citation (APA)
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1. LWW Shop
3)
Reference
Ch. 1 — The History of Maternal and Newborn Health and
Health Care. LWW Shop
Question Stem
A nurse educator is teaching why neonatal care units evolved.