MATERNITY AND PEDIATRIC
NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI;
TERRI KYLE; SUSAN CARMAN
TEST BANK
1) Evolution of Maternal and Newborn Nursing
Reference: Evolution of Maternal and Newborn Nursing
Stem: A postpartum unit recently changed from separating
healthy newborns in a nursery to keeping mothers and
infants together in the same room. A new nurse asks why this
change matters if the newborn is “already being monitored.”
Which response by the charge nurse is best?
Options:
A. “It mainly reduces the number of nurses needed on the
unit.”
B. “It supports bonding, feeding, and family-centered care.”
,C. “It eliminates the need for newborn assessment.”
D. “It prevents all newborn complications.”
Correct Answer: B
Rationales:
B — Correct. Rooming-in and couplet care reflect the
evolution of maternal-newborn nursing toward family-
centered, developmentally supportive care. Keeping mother
and baby together promotes bonding, breastfeeding, and
parent participation in care.
A — Incorrect. Staffing efficiency may improve in some
settings, but that is not the primary reason for the change.
The focus is patient-centered outcomes, not unit
convenience.
C — Incorrect. Newborn assessment is still required and
remains essential for early detection of complications.
D — Incorrect. Rooming-in improves care but does not
eliminate complications or replace clinical monitoring.
Teaching Point: Family-centered care strengthens bonding
but never replaces assessment.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (n.d.). Maternity
and Pediatric Nursing (5th ed.), Chapter 1: Evolution of
Maternal and Newborn Nursing.
2) Evolution of Pediatric Nursing
,Reference: Evolution of Pediatric Nursing
Stem: A school-age child is admitted for appendectomy. The
nurse explains the procedure in simple language, allows the
child to ask questions, and encourages the parent to remain
at the bedside. Which practice best reflects the evolution of
pediatric nursing?
Options:
A. Limiting family presence so the child becomes more
independent
B. Using developmentally appropriate, family-centered care
C. Avoiding explanations to reduce the child’s fear
D. Asking only the parent to participate in care decisions
Correct Answer: B
Rationales:
B — Correct. Pediatric nursing emphasizes developmental
needs, parent involvement, and communication at the child’s
level of understanding. Family-centered care improves
cooperation and reduces anxiety.
A — Incorrect. Independence is supported developmentally,
but family presence is usually beneficial for hospitalized
children.
C — Incorrect. Age-appropriate explanations reduce fear
and support trust.
D — Incorrect. Children should be included in care to the
extent of their developmental ability, not excluded.
,Teaching Point: Pediatric care should match the child’s
developmental stage and include the family.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (n.d.). Maternity
and Pediatric Nursing (5th ed.), Chapter 1: Evolution of
Pediatric Nursing.
3) History of Maternal and Newborn Health Care
Reference: The History of Maternal and Newborn Health and
Health Care
Stem: A nurse educator explains to students why maternal
and newborn outcomes improved over time. Which historical
development most directly contributed to fewer infection-
related complications during childbirth?
Options:
A. Routine separation of newborns from mothers
B. Improved infection prevention and sanitary childbirth
practices
C. Eliminating prenatal care visits
D. Reducing family participation in care
Correct Answer: B
Rationales:
B — Correct. Infection prevention and cleaner childbirth
practices reduced maternal and newborn morbidity and
mortality. Historical advances in sanitation and evidence-
based care changed outcomes significantly.
, A — Incorrect. Nursery separation does not prevent
infection as effectively as infection-control measures.
C — Incorrect. Prenatal care improves, rather than worsens,
outcomes.
D — Incorrect. Family participation is not the cause of
improved health status; evidence-based care is.
Teaching Point: Infection control is a major reason maternal-
newborn outcomes improved.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (n.d.). Maternity
and Pediatric Nursing (5th ed.), Chapter 1: The History of
Maternal and Newborn Health and Health Care.
4) The History of Child Health and Child Health Care
Reference: The History of Child Health and Child Health Care
Stem: A community health nurse notes that a neighborhood
clinic once focused only on treating sick children but now
emphasizes well-child visits, immunizations, and nutrition
counseling. Which shift in child health care does this
represent?
Options:
A. A move away from prevention and toward hospitalization
B. A focus on cure rather than health promotion
C. A shift toward preventive, health-promoting care
D. A reduction in the need for parent education
Correct Answer: C
,Rationales:
C — Correct. Modern child health care emphasizes
prevention, early detection, growth monitoring, and health
promotion. This reflects a major shift from treating illness
alone to supporting overall child well-being.
A — Incorrect. The clinic is moving toward preventive care,
not away from it.
B — Incorrect. The focus is broader than cure; it includes
prevention and health maintenance.
D — Incorrect. Parent education remains essential in child
health care.
Teaching Point: Child health care now prioritizes prevention,
growth, and development.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (n.d.). Maternity
and Pediatric Nursing (5th ed.), Chapter 1: The History of
Child Health and Child Health Care.
5) Health Status of Women and Children — Mortality
Reference: Mortality
Stem: A public health nurse reviews data showing that
infants in one county have higher mortality rates when
mothers begin prenatal care late or have inconsistent visits.
Which nursing intervention is the priority?
Options:
A. Encourage delayed care until fetal movement is felt
B. Promote early and regular prenatal care access
,C. Focus only on postpartum discharge teaching
D. Refer all pregnant clients directly to the emergency
department
Correct Answer: B
Rationales:
B — Correct. Early and regular prenatal care helps identify
risk factors, manage complications, and reduce maternal and
infant mortality. Improving access is a high-yield prevention
strategy.
A — Incorrect. Delaying care increases the chance that
problems go undetected.
C — Incorrect. Postpartum education is important, but it
does not address the prenatal causes of mortality.
D — Incorrect. The emergency department is not a
substitute for routine prenatal care.
Teaching Point: Early prenatal care is a major strategy for
lowering maternal and infant mortality.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (n.d.). Maternity
and Pediatric Nursing (5th ed.), Chapter 1: Mortality.
6) Health Status of Women and Children — Morbidity
Reference: Morbidity
Stem: A pediatric nurse follows a child with frequent asthma
exacerbations and repeated emergency visits. The parent
says, “He is fine when he leaves the hospital, so we do not
,need follow-up.” Which nursing response best addresses
morbidity?
Options:
A. “Hospital care is enough if symptoms improve before
discharge.”
B. “Ongoing follow-up and trigger control can reduce repeat
illness.”
C. “Children usually outgrow chronic respiratory problems
quickly.”
D. “Emergency visits are better than primary care for chronic
conditions.”
Correct Answer: B
Rationales:
B — Correct. Morbidity refers to illness burden and
complications, and repeated follow-up can reduce
exacerbations and long-term impact. Teaching families about
trigger management and medication adherence improves
outcomes.
A — Incorrect. Improvement at discharge does not prevent
recurrence.
C — Incorrect. Chronic respiratory issues may persist and
need management.
D — Incorrect. Primary care and ongoing management are
safer and more effective than repeated emergency care
alone.
,Teaching Point: Morbidity is reduced by consistent follow-up
and family teaching.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (n.d.). Maternity
and Pediatric Nursing (5th ed.), Chapter 1: Morbidity.
7) Informed Consent
Reference: Informed Consent
Stem: A 28-year-old pregnant client is scheduled for an
amniocentesis. She says, “I signed the form, but I still do not
understand the risks and benefits.” What is the nurse’s
priority action?
Options:
A. Tell her the signature is enough because the form is
already completed
B. Notify the provider so the client can receive further
explanation before the procedure
C. Explain that questions are unnecessary once the form is
signed
D. Ask the client to ask other patients about their
experiences
Correct Answer: B
Rationales:
B — Correct. Informed consent requires understanding, not
just a signature. The nurse must ensure the provider clarifies
the procedure, risks, benefits, and alternatives before the
, test proceeds.
A — Incorrect. A signature alone does not prove informed
consent.
C — Incorrect. Questions are essential to valid consent.
D — Incorrect. Other patients cannot provide legal or
procedural informed consent information.
Teaching Point: A signed form is not informed consent unless
the patient understands the procedure.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (n.d.). Maternity
and Pediatric Nursing (5th ed.), Chapter 1: Informed Consent.
8) Assent
Reference: Assent
Stem: A 9-year-old child is scheduled for surgery. The parent
has signed consent, and the child says, “I am scared and do
not want anyone to cut me.” Which nursing action is most
appropriate?
Options:
A. Ignore the child’s concerns because only the parent can
decide
B. Use simple language to explain the procedure and seek
the child’s assent
C. Tell the child to remain quiet because fear is normal
D. Delay teaching until after the child is anesthetized
Correct Answer: B
NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI;
TERRI KYLE; SUSAN CARMAN
TEST BANK
1) Evolution of Maternal and Newborn Nursing
Reference: Evolution of Maternal and Newborn Nursing
Stem: A postpartum unit recently changed from separating
healthy newborns in a nursery to keeping mothers and
infants together in the same room. A new nurse asks why this
change matters if the newborn is “already being monitored.”
Which response by the charge nurse is best?
Options:
A. “It mainly reduces the number of nurses needed on the
unit.”
B. “It supports bonding, feeding, and family-centered care.”
,C. “It eliminates the need for newborn assessment.”
D. “It prevents all newborn complications.”
Correct Answer: B
Rationales:
B — Correct. Rooming-in and couplet care reflect the
evolution of maternal-newborn nursing toward family-
centered, developmentally supportive care. Keeping mother
and baby together promotes bonding, breastfeeding, and
parent participation in care.
A — Incorrect. Staffing efficiency may improve in some
settings, but that is not the primary reason for the change.
The focus is patient-centered outcomes, not unit
convenience.
C — Incorrect. Newborn assessment is still required and
remains essential for early detection of complications.
D — Incorrect. Rooming-in improves care but does not
eliminate complications or replace clinical monitoring.
Teaching Point: Family-centered care strengthens bonding
but never replaces assessment.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (n.d.). Maternity
and Pediatric Nursing (5th ed.), Chapter 1: Evolution of
Maternal and Newborn Nursing.
2) Evolution of Pediatric Nursing
,Reference: Evolution of Pediatric Nursing
Stem: A school-age child is admitted for appendectomy. The
nurse explains the procedure in simple language, allows the
child to ask questions, and encourages the parent to remain
at the bedside. Which practice best reflects the evolution of
pediatric nursing?
Options:
A. Limiting family presence so the child becomes more
independent
B. Using developmentally appropriate, family-centered care
C. Avoiding explanations to reduce the child’s fear
D. Asking only the parent to participate in care decisions
Correct Answer: B
Rationales:
B — Correct. Pediatric nursing emphasizes developmental
needs, parent involvement, and communication at the child’s
level of understanding. Family-centered care improves
cooperation and reduces anxiety.
A — Incorrect. Independence is supported developmentally,
but family presence is usually beneficial for hospitalized
children.
C — Incorrect. Age-appropriate explanations reduce fear
and support trust.
D — Incorrect. Children should be included in care to the
extent of their developmental ability, not excluded.
,Teaching Point: Pediatric care should match the child’s
developmental stage and include the family.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (n.d.). Maternity
and Pediatric Nursing (5th ed.), Chapter 1: Evolution of
Pediatric Nursing.
3) History of Maternal and Newborn Health Care
Reference: The History of Maternal and Newborn Health and
Health Care
Stem: A nurse educator explains to students why maternal
and newborn outcomes improved over time. Which historical
development most directly contributed to fewer infection-
related complications during childbirth?
Options:
A. Routine separation of newborns from mothers
B. Improved infection prevention and sanitary childbirth
practices
C. Eliminating prenatal care visits
D. Reducing family participation in care
Correct Answer: B
Rationales:
B — Correct. Infection prevention and cleaner childbirth
practices reduced maternal and newborn morbidity and
mortality. Historical advances in sanitation and evidence-
based care changed outcomes significantly.
, A — Incorrect. Nursery separation does not prevent
infection as effectively as infection-control measures.
C — Incorrect. Prenatal care improves, rather than worsens,
outcomes.
D — Incorrect. Family participation is not the cause of
improved health status; evidence-based care is.
Teaching Point: Infection control is a major reason maternal-
newborn outcomes improved.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (n.d.). Maternity
and Pediatric Nursing (5th ed.), Chapter 1: The History of
Maternal and Newborn Health and Health Care.
4) The History of Child Health and Child Health Care
Reference: The History of Child Health and Child Health Care
Stem: A community health nurse notes that a neighborhood
clinic once focused only on treating sick children but now
emphasizes well-child visits, immunizations, and nutrition
counseling. Which shift in child health care does this
represent?
Options:
A. A move away from prevention and toward hospitalization
B. A focus on cure rather than health promotion
C. A shift toward preventive, health-promoting care
D. A reduction in the need for parent education
Correct Answer: C
,Rationales:
C — Correct. Modern child health care emphasizes
prevention, early detection, growth monitoring, and health
promotion. This reflects a major shift from treating illness
alone to supporting overall child well-being.
A — Incorrect. The clinic is moving toward preventive care,
not away from it.
B — Incorrect. The focus is broader than cure; it includes
prevention and health maintenance.
D — Incorrect. Parent education remains essential in child
health care.
Teaching Point: Child health care now prioritizes prevention,
growth, and development.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (n.d.). Maternity
and Pediatric Nursing (5th ed.), Chapter 1: The History of
Child Health and Child Health Care.
5) Health Status of Women and Children — Mortality
Reference: Mortality
Stem: A public health nurse reviews data showing that
infants in one county have higher mortality rates when
mothers begin prenatal care late or have inconsistent visits.
Which nursing intervention is the priority?
Options:
A. Encourage delayed care until fetal movement is felt
B. Promote early and regular prenatal care access
,C. Focus only on postpartum discharge teaching
D. Refer all pregnant clients directly to the emergency
department
Correct Answer: B
Rationales:
B — Correct. Early and regular prenatal care helps identify
risk factors, manage complications, and reduce maternal and
infant mortality. Improving access is a high-yield prevention
strategy.
A — Incorrect. Delaying care increases the chance that
problems go undetected.
C — Incorrect. Postpartum education is important, but it
does not address the prenatal causes of mortality.
D — Incorrect. The emergency department is not a
substitute for routine prenatal care.
Teaching Point: Early prenatal care is a major strategy for
lowering maternal and infant mortality.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (n.d.). Maternity
and Pediatric Nursing (5th ed.), Chapter 1: Mortality.
6) Health Status of Women and Children — Morbidity
Reference: Morbidity
Stem: A pediatric nurse follows a child with frequent asthma
exacerbations and repeated emergency visits. The parent
says, “He is fine when he leaves the hospital, so we do not
,need follow-up.” Which nursing response best addresses
morbidity?
Options:
A. “Hospital care is enough if symptoms improve before
discharge.”
B. “Ongoing follow-up and trigger control can reduce repeat
illness.”
C. “Children usually outgrow chronic respiratory problems
quickly.”
D. “Emergency visits are better than primary care for chronic
conditions.”
Correct Answer: B
Rationales:
B — Correct. Morbidity refers to illness burden and
complications, and repeated follow-up can reduce
exacerbations and long-term impact. Teaching families about
trigger management and medication adherence improves
outcomes.
A — Incorrect. Improvement at discharge does not prevent
recurrence.
C — Incorrect. Chronic respiratory issues may persist and
need management.
D — Incorrect. Primary care and ongoing management are
safer and more effective than repeated emergency care
alone.
,Teaching Point: Morbidity is reduced by consistent follow-up
and family teaching.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (n.d.). Maternity
and Pediatric Nursing (5th ed.), Chapter 1: Morbidity.
7) Informed Consent
Reference: Informed Consent
Stem: A 28-year-old pregnant client is scheduled for an
amniocentesis. She says, “I signed the form, but I still do not
understand the risks and benefits.” What is the nurse’s
priority action?
Options:
A. Tell her the signature is enough because the form is
already completed
B. Notify the provider so the client can receive further
explanation before the procedure
C. Explain that questions are unnecessary once the form is
signed
D. Ask the client to ask other patients about their
experiences
Correct Answer: B
Rationales:
B — Correct. Informed consent requires understanding, not
just a signature. The nurse must ensure the provider clarifies
the procedure, risks, benefits, and alternatives before the
, test proceeds.
A — Incorrect. A signature alone does not prove informed
consent.
C — Incorrect. Questions are essential to valid consent.
D — Incorrect. Other patients cannot provide legal or
procedural informed consent information.
Teaching Point: A signed form is not informed consent unless
the patient understands the procedure.
Citation: Ricci, S. S., Kyle, T., & Carman, S. (n.d.). Maternity
and Pediatric Nursing (5th ed.), Chapter 1: Informed Consent.
8) Assent
Reference: Assent
Stem: A 9-year-old child is scheduled for surgery. The parent
has signed consent, and the child says, “I am scared and do
not want anyone to cut me.” Which nursing action is most
appropriate?
Options:
A. Ignore the child’s concerns because only the parent can
decide
B. Use simple language to explain the procedure and seek
the child’s assent
C. Tell the child to remain quiet because fear is normal
D. Delay teaching until after the child is anesthetized
Correct Answer: B
