,Chapter 1 – Introduction to Maternity and Pediatric Nursing
1. Test Bank Question
Which of the following best reflects the primary goal of maternity and
pediatric nursing?
A) To provide acute care services to women and children
B) To reduce national healthcare spending
C) To promote optimal wellness across reproductive and developmental
stages
D) To emphasize medical interventions over preventive care
✅ Correct Answer: C
Rationale: Maternity and pediatric nursing aims to support families and
promote health during reproduction and childhood development through
education, support, and preventive care.
2. Case Study
Case Scenario:
A 19-year-old primigravida arrives at her first prenatal appointment unsure
about what to expect from maternity care. She expresses anxiety and says her
only support is her roommate. The clinic uses a family-centered approach,
but the patient does not identify any immediate family support.
Key Issues:
Importance of holistic, family-centered care
Challenges faced by unsupported young mothers
Role of the nurse in early prenatal education
Guiding Questions:
How should the nurse define and support the patient’s concept of
“family”?
, What educational strategies can reduce prenatal anxiety?
How can the nurse empower the patient during her first prenatal visit?
Suggested Solution:
The nurse should acknowledge the patient’s chosen support system, affirming
that "family" includes non-biological support. Education should be tailored,
using open-ended dialogue and visual aids. Emotional support, referral to
community resources, and continuity of care help foster trust and reduce
anxiety.
3. Test Bank Question
What is a major benefit of family-centered maternity care?
A) It reduces nurse workload
B) It shifts all care responsibility to family members
C) It empowers patients and improves maternal–infant outcomes
D) It eliminates the need for hospital-based birth
✅ Correct Answer: C
Rationale: Family-centered maternity care involves the patient and family in
care decisions, leading to better satisfaction, emotional support, and
outcomes.
4. Case Study
Case Scenario:
A nurse working in a pediatric clinic notices a pattern of missed follow-up
appointments for children from low-income, single-parent households. One
child has missed two vaccination appointments and a developmental
screening.
Key Issues:
Access to pediatric care
Social determinants of health
, Preventive care disparities in underserved populations
Guiding Questions:
What are potential barriers to follow-up care?
How can the nurse address systemic inequities in access?
What interventions support continuity of care in such populations?
Suggested Solution:
The nurse should assess transportation, childcare, and financial constraints
and offer flexible scheduling or community health outreach. Collaboration
with social workers can connect families to services like mobile clinics or
Medicaid transport assistance.
5. Test Bank Question
Which historical change most significantly advanced maternal and child
health in the 20th century?
A) Development of pediatric ICUs
B) Legalization of midwifery
C) Introduction of public health policies and vaccines
D) Reduced length of hospital stays
✅ Correct Answer: C
Rationale: The rise of public health initiatives, including vaccination and
sanitation, drastically reduced child mortality and improved maternal
outcomes.
6. Case Study
Case Scenario:
A nursing student completing their maternity rotation observes that one
birthing suite consistently receives complaints about impersonal care. On
investigation, the student notes limited patient-provider interaction and
minimal family involvement.
1. Test Bank Question
Which of the following best reflects the primary goal of maternity and
pediatric nursing?
A) To provide acute care services to women and children
B) To reduce national healthcare spending
C) To promote optimal wellness across reproductive and developmental
stages
D) To emphasize medical interventions over preventive care
✅ Correct Answer: C
Rationale: Maternity and pediatric nursing aims to support families and
promote health during reproduction and childhood development through
education, support, and preventive care.
2. Case Study
Case Scenario:
A 19-year-old primigravida arrives at her first prenatal appointment unsure
about what to expect from maternity care. She expresses anxiety and says her
only support is her roommate. The clinic uses a family-centered approach,
but the patient does not identify any immediate family support.
Key Issues:
Importance of holistic, family-centered care
Challenges faced by unsupported young mothers
Role of the nurse in early prenatal education
Guiding Questions:
How should the nurse define and support the patient’s concept of
“family”?
, What educational strategies can reduce prenatal anxiety?
How can the nurse empower the patient during her first prenatal visit?
Suggested Solution:
The nurse should acknowledge the patient’s chosen support system, affirming
that "family" includes non-biological support. Education should be tailored,
using open-ended dialogue and visual aids. Emotional support, referral to
community resources, and continuity of care help foster trust and reduce
anxiety.
3. Test Bank Question
What is a major benefit of family-centered maternity care?
A) It reduces nurse workload
B) It shifts all care responsibility to family members
C) It empowers patients and improves maternal–infant outcomes
D) It eliminates the need for hospital-based birth
✅ Correct Answer: C
Rationale: Family-centered maternity care involves the patient and family in
care decisions, leading to better satisfaction, emotional support, and
outcomes.
4. Case Study
Case Scenario:
A nurse working in a pediatric clinic notices a pattern of missed follow-up
appointments for children from low-income, single-parent households. One
child has missed two vaccination appointments and a developmental
screening.
Key Issues:
Access to pediatric care
Social determinants of health
, Preventive care disparities in underserved populations
Guiding Questions:
What are potential barriers to follow-up care?
How can the nurse address systemic inequities in access?
What interventions support continuity of care in such populations?
Suggested Solution:
The nurse should assess transportation, childcare, and financial constraints
and offer flexible scheduling or community health outreach. Collaboration
with social workers can connect families to services like mobile clinics or
Medicaid transport assistance.
5. Test Bank Question
Which historical change most significantly advanced maternal and child
health in the 20th century?
A) Development of pediatric ICUs
B) Legalization of midwifery
C) Introduction of public health policies and vaccines
D) Reduced length of hospital stays
✅ Correct Answer: C
Rationale: The rise of public health initiatives, including vaccination and
sanitation, drastically reduced child mortality and improved maternal
outcomes.
6. Case Study
Case Scenario:
A nursing student completing their maternity rotation observes that one
birthing suite consistently receives complaints about impersonal care. On
investigation, the student notes limited patient-provider interaction and
minimal family involvement.
