MATERNITY AND PEDIATRIC
NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI;
TERRI KYLE; SUSAN CARMAN
TEST BANK
1) Historical Development — Maternal and Newborn Health
Care
Reference: Historical Development — Maternal and
Newborn Health Care
Stem:
A postpartum nurse is orienting a new graduate who asks
why the unit encourages rooming-in and frequent skin-to-
skin contact instead of routine nursery separation. The nurse
explains that older practices focused on staff convenience
and infant observation, but current care emphasizes bonding
,and family involvement. Which statement by the new
graduate shows correct understanding of this historical shift?
Options:
A. “Separating mother and newborn prevents all postpartum
infection.”
B. “Rooming-in supports bonding, breastfeeding, and parent
confidence.”
C. “Nursery care is no longer used because it is unsafe in all
situations.”
D. “Skin-to-skin contact replaces the need for newborn
assessment.”
Correct Answer: B
Rationale — Correct Answer:
Rooming-in reflects the evolution from institution-centered
care to family-centered care. It supports attachment,
breastfeeding success, and parental confidence while still
allowing appropriate newborn assessment and safety
monitoring.
Rationale — Incorrect Options:
A. Separation is not routine solely to prevent infection, and it
does not reflect current family-centered care.
C. Nurseries may still be used for specific clinical needs; they
are not universally eliminated.
D. Skin-to-skin is beneficial, but it does not replace newborn
assessment and surveillance.
,Teaching Point:
Family-centered newborn care strengthens bonding and
supports breastfeeding.
Citation:
Ricci, S. S., Kyle, T., & Carman, S. Maternity and Pediatric
Nursing (5th ed.). Chapter 1: Historical Development—The
History of Maternal and Newborn Health and Health Care.
2) Historical Development — Child Health Care
Reference: Historical Development — The History of Child
Health and Child Health Care
Stem:
A community health nurse reviews a neighborhood report
showing fewer childhood deaths than several decades ago.
The nurse links this improvement to changes in public health
and pediatric care. Which nursing interpretation best reflects
the historical progress in child health care?
Options:
A. Child health improved primarily because children now
need fewer developmental assessments.
B. Improved sanitation, immunization, and access to care
reduced preventable childhood illness and death.
C. Pediatric care is now focused only on treating acute illness
rather than prevention.
, D. Mortality rates declined because children are biologically
less vulnerable than adults.
Correct Answer: B
Rationale — Correct Answer:
Child health outcomes improved because preventive care,
immunizations, sanitation, nutrition, and access to treatment
reduced many avoidable illnesses and deaths. This reflects a
major public health shift in pediatric care.
Rationale — Incorrect Options:
A. Developmental assessments remain essential and are not
less important.
C. Modern pediatric care emphasizes prevention, health
promotion, and early intervention.
D. Children are not less vulnerable; they are often more
vulnerable to preventable disease.
Teaching Point:
Prevention and access to care are central to child health
outcomes.
Citation:
Ricci, S. S., Kyle, T., & Carman, S. Maternity and Pediatric
Nursing (5th ed.). Chapter 1: Historical Development—The
History of Child Health and Child Health Care.
3) Evolution of Maternal and Newborn Nursing
NURSING
5TH EDITION
AUTHOR(S)SUSAN SCOTT RICCI;
TERRI KYLE; SUSAN CARMAN
TEST BANK
1) Historical Development — Maternal and Newborn Health
Care
Reference: Historical Development — Maternal and
Newborn Health Care
Stem:
A postpartum nurse is orienting a new graduate who asks
why the unit encourages rooming-in and frequent skin-to-
skin contact instead of routine nursery separation. The nurse
explains that older practices focused on staff convenience
and infant observation, but current care emphasizes bonding
,and family involvement. Which statement by the new
graduate shows correct understanding of this historical shift?
Options:
A. “Separating mother and newborn prevents all postpartum
infection.”
B. “Rooming-in supports bonding, breastfeeding, and parent
confidence.”
C. “Nursery care is no longer used because it is unsafe in all
situations.”
D. “Skin-to-skin contact replaces the need for newborn
assessment.”
Correct Answer: B
Rationale — Correct Answer:
Rooming-in reflects the evolution from institution-centered
care to family-centered care. It supports attachment,
breastfeeding success, and parental confidence while still
allowing appropriate newborn assessment and safety
monitoring.
Rationale — Incorrect Options:
A. Separation is not routine solely to prevent infection, and it
does not reflect current family-centered care.
C. Nurseries may still be used for specific clinical needs; they
are not universally eliminated.
D. Skin-to-skin is beneficial, but it does not replace newborn
assessment and surveillance.
,Teaching Point:
Family-centered newborn care strengthens bonding and
supports breastfeeding.
Citation:
Ricci, S. S., Kyle, T., & Carman, S. Maternity and Pediatric
Nursing (5th ed.). Chapter 1: Historical Development—The
History of Maternal and Newborn Health and Health Care.
2) Historical Development — Child Health Care
Reference: Historical Development — The History of Child
Health and Child Health Care
Stem:
A community health nurse reviews a neighborhood report
showing fewer childhood deaths than several decades ago.
The nurse links this improvement to changes in public health
and pediatric care. Which nursing interpretation best reflects
the historical progress in child health care?
Options:
A. Child health improved primarily because children now
need fewer developmental assessments.
B. Improved sanitation, immunization, and access to care
reduced preventable childhood illness and death.
C. Pediatric care is now focused only on treating acute illness
rather than prevention.
, D. Mortality rates declined because children are biologically
less vulnerable than adults.
Correct Answer: B
Rationale — Correct Answer:
Child health outcomes improved because preventive care,
immunizations, sanitation, nutrition, and access to treatment
reduced many avoidable illnesses and deaths. This reflects a
major public health shift in pediatric care.
Rationale — Incorrect Options:
A. Developmental assessments remain essential and are not
less important.
C. Modern pediatric care emphasizes prevention, health
promotion, and early intervention.
D. Children are not less vulnerable; they are often more
vulnerable to preventable disease.
Teaching Point:
Prevention and access to care are central to child health
outcomes.
Citation:
Ricci, S. S., Kyle, T., & Carman, S. Maternity and Pediatric
Nursing (5th ed.). Chapter 1: Historical Development—The
History of Child Health and Child Health Care.
3) Evolution of Maternal and Newborn Nursing
