5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI; TERRI
KYLE; SUSAN CARMAN
TEST BANK
1️⃣
Reference: Ch. 1 — Introduction
Question Stem: A community health nurse is designing a
postpartum home-visit program to reduce readmissions. Which
action best demonstrates a population-focused approach?
Options:
A. Provide standardized discharge teaching packets to all
postpartum families.
B. Schedule a single home visit within 2 weeks for every mother
who delivered.
C. Use local birth registry data to identify neighborhoods with
,high readmission rates and target visits there.
D. Offer telephone follow-up to any family who requests it.
Correct Answer: C
Rationales:
• Correct (C): Using local data to identify high-risk
neighborhoods applies population health principles to
target limited resources where they'll most reduce
readmissions.
• Incorrect (A): Standard packets are useful but are universal
and do not target areas of greatest need.
• Incorrect (B): A single visit for all does not prioritize high-
need populations or address disparities.
• Incorrect (D): Reactive telephone follow-up depends on
families initiating contact and may miss those with barriers
to access.
Teaching Point: Use data to target interventions to
populations with greatest need.
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 nurse educator is explaining how historical
shifts influenced maternal-child care. Which statement best
reflects a major historical influence on current nursing roles?
,Options:
A. Hospital births decreased, making community care obsolete.
B. Advances in medical technology centralized all care in tertiary
centers.
C. Public health movements expanded nursing into preventive
and community roles.
D. Nursing education has remained unchanged since the 19th
century.
Correct Answer: C
Rationales:
• Correct (C): Public health movements historically
broadened nursing from bedside care to prevention and
community health, shaping modern maternal-child roles.
• Incorrect (A): Hospital births actually increased in the 20th
century; community care remains essential.
• Incorrect (B): Technology advanced care but also expanded
ambulatory and community services rather than
centralizing exclusively.
• Incorrect (D): Nursing education has evolved substantially
in content and length.
Teaching Point: Public health advances expanded nursing
into prevention and community practice.
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: During a unit discussion about the history of
newborn care, a student asks why neonatal outcomes improved
in the 20th century. Which nurse response best links historical
change to outcome improvement?
Options:
A. "Improved maternal nutrition and public health policies
reduced birth complications."
B. "Fewer women gave birth, so outcomes improved by
chance."
C. "Traditional midwifery completely replaced medical care."
D. "Neonatal outcomes improved because fewer infants were
born prematurely."
Correct Answer: A
Rationales:
• Correct (A): Improvements in maternal nutrition and
public health policies (prenatal care, sanitation,
immunizations) historically reduced maternal/newborn
complications.
• Incorrect (B): Birth rates fluctuated but are not the primary
cause of improved outcomes.
• Incorrect (C): Midwifery complemented rather than
replaced medical care; multidisciplinary advances
mattered.