SAFE MATERNITY AND PEDIATRIC
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
1. Reference
Ch. 1 — Introduction to Maternity and Pediatric Nursing /
Roles in Maternal–Child Nursing
Stem
A newly graduated RN is assigned to a mother–infant couplet
on the postpartum unit. The nurse recognizes that the role
includes both patient care and advocacy. Which action best
reflects the nurse’s role in promoting family-centered care while
ensuring safety during the first 24 hours postpartum?
A. Limit visitors to only the mother’s chosen partner to reduce
stimulation.
B. Teach the family to perform bulb suctioning and allow them
,to do it unsupervised.
C. Encourage rooming-in while supervising the family’s
understanding of safe newborn sleep and feeding cues.
D. Perform all newborn care tasks to protect the infant from
family errors.
Correct Answer: C
Rationales
Correct: Encouraging rooming-in and supervising family
teaching supports bonding, empowers caregivers, and ensures
safety by confirming understanding of safe sleep and feeding—
both family-centered and protective.
A: Rigidly limiting visitors may ignore family-centered values
and isn’t always necessary; safety can often be maintained
through education and supervision.
B: Teaching is appropriate, but allowing unsupervised bulb
suctioning risks incorrect technique and aspiration—supervision
and return demonstration are required.
D: Doing all tasks removes family participation, undermines
bonding and self-efficacy and does not promote long-term
safety.
Teaching Point: Supervise family caregiving; combine rooming-
in with safety education.
Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
, 2. Reference
Ch. 1 — Legalities and Ethics
Stem
A 17-year-old pregnant adolescent arrives with her mother. She
requests that clinicians not inform her parents about her
pregnancy. According to standard maternal–child nursing legal
and ethical principles, which action should the nurse take first?
A. Refuse to provide care until parental consent is obtained.
B. Respect the adolescent’s confidentiality and provide care and
counseling.
C. Notify child protective services for failing to involve the
parents.
D. Inform the adolescent that the nurse must notify the parents
immediately.
Correct Answer: B
Rationales
Correct: Many jurisdictions allow minors to consent to
reproductive and prenatal care; respecting confidentiality and
providing care promotes safety and legal/ethical practice while
discussing limits of confidentiality.
A: Refusing care endangers the adolescent and fetus and is
unethical and likely illegal.
C: Child protective services notification is not indicated solely
for parental noninvolvement in consenting to pregnancy care.
D: Automatically notifying parents violates confidentiality laws
and may deter the adolescent from seeking care.
, Teaching Point: Provide care and respect confidentiality; know
minor consent laws.
Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
3. Reference
Ch. 1 — Informed Consent
Stem
A woman in active labor is offered an emergent external
cephalic version (ECV) by the obstetrician. She appears anxious
and asks the nurse to explain the risks and benefits before she
signs. What is the nurse’s most appropriate action?
A. Tell her the procedure is safe and encourage immediate
signing.
B. Explain risks and benefits in simple language and notify the
provider to clarify unanswered questions.
C. Discourage signing because clinicians should make the
decision in emergencies.
D. Ask the partner to sign consent instead because the mother
is in pain.
Correct Answer: B
Rationales
Correct: Nurses clarify information using plain language and
ensure the patient’s questions are addressed; the provider must
obtain consent but the nurse facilitates understanding and
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
1. Reference
Ch. 1 — Introduction to Maternity and Pediatric Nursing /
Roles in Maternal–Child Nursing
Stem
A newly graduated RN is assigned to a mother–infant couplet
on the postpartum unit. The nurse recognizes that the role
includes both patient care and advocacy. Which action best
reflects the nurse’s role in promoting family-centered care while
ensuring safety during the first 24 hours postpartum?
A. Limit visitors to only the mother’s chosen partner to reduce
stimulation.
B. Teach the family to perform bulb suctioning and allow them
,to do it unsupervised.
C. Encourage rooming-in while supervising the family’s
understanding of safe newborn sleep and feeding cues.
D. Perform all newborn care tasks to protect the infant from
family errors.
Correct Answer: C
Rationales
Correct: Encouraging rooming-in and supervising family
teaching supports bonding, empowers caregivers, and ensures
safety by confirming understanding of safe sleep and feeding—
both family-centered and protective.
A: Rigidly limiting visitors may ignore family-centered values
and isn’t always necessary; safety can often be maintained
through education and supervision.
B: Teaching is appropriate, but allowing unsupervised bulb
suctioning risks incorrect technique and aspiration—supervision
and return demonstration are required.
D: Doing all tasks removes family participation, undermines
bonding and self-efficacy and does not promote long-term
safety.
Teaching Point: Supervise family caregiving; combine rooming-
in with safety education.
Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
, 2. Reference
Ch. 1 — Legalities and Ethics
Stem
A 17-year-old pregnant adolescent arrives with her mother. She
requests that clinicians not inform her parents about her
pregnancy. According to standard maternal–child nursing legal
and ethical principles, which action should the nurse take first?
A. Refuse to provide care until parental consent is obtained.
B. Respect the adolescent’s confidentiality and provide care and
counseling.
C. Notify child protective services for failing to involve the
parents.
D. Inform the adolescent that the nurse must notify the parents
immediately.
Correct Answer: B
Rationales
Correct: Many jurisdictions allow minors to consent to
reproductive and prenatal care; respecting confidentiality and
providing care promotes safety and legal/ethical practice while
discussing limits of confidentiality.
A: Refusing care endangers the adolescent and fetus and is
unethical and likely illegal.
C: Child protective services notification is not indicated solely
for parental noninvolvement in consenting to pregnancy care.
D: Automatically notifying parents violates confidentiality laws
and may deter the adolescent from seeking care.
, Teaching Point: Provide care and respect confidentiality; know
minor consent laws.
Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
3. Reference
Ch. 1 — Informed Consent
Stem
A woman in active labor is offered an emergent external
cephalic version (ECV) by the obstetrician. She appears anxious
and asks the nurse to explain the risks and benefits before she
signs. What is the nurse’s most appropriate action?
A. Tell her the procedure is safe and encourage immediate
signing.
B. Explain risks and benefits in simple language and notify the
provider to clarify unanswered questions.
C. Discourage signing because clinicians should make the
decision in emergencies.
D. Ask the partner to sign consent instead because the mother
is in pain.
Correct Answer: B
Rationales
Correct: Nurses clarify information using plain language and
ensure the patient’s questions are addressed; the provider must
obtain consent but the nurse facilitates understanding and
