SAFE MATERNITY AND PEDIATRIC
NURSING CARE 2ND EDITION LINNARD-
PALMER TEST BANK
Question 1
A nurse is caring for a client in the prenatal clinic. The client asks about the
primary difference between a Certified Nurse-Midwife (CNM) and a Nurse
,Practitioner (NP) regarding childbirth. Which response by the nurse is most
accurate?
A) "CNMs cannot prescribe medications during pregnancy."
B) "NPs are primary care providers who manage low-risk labor and deliveries."
C) "CNMs are specifically trained to manage low-risk labor and births."
D) "NPs only provide care to gynecological patients, not pregnant clients."
Correct Answer: C) "CNMs are specifically trained to manage low-risk labor
and births."
Explanation: Certified Nurse-Midwives (CNMs) are specifically trained to
provide comprehensive prenatal, intrapartum, and postpartum care, including
managing low-risk vaginal deliveries. While Nurse Practitioners (NPs)
provide comprehensive prenatal and postpartum care, they do not
traditionally manage or attend active labor and childbirth in hospital or birth
center settings. Both roles can prescribe medications within their scope of
practice.
Question 2
A nurse is reviewing the medication history of a client at 6 weeks of gestation.
The nurse notes the client takes a medication classified as FDA Pregnancy
Category X. Which action should the nurse take immediately?
A) Tell the client to finish her current prescription and then stop.
B) Instruct the client to stop taking the medication immediately and notify the
provider.
C) Reassure the client that Category X drugs are safe in the first trimester.
D) Advise the client to cut the dosage in half until her next scheduled
appointment.
,Correct Answer: B) Instruct the client to stop taking the medication
immediately and notify the provider.
Explanation: FDA Pregnancy Category X medications have demonstrated
positive evidence of fetal abnormalities and risks in human or animal studies.
The risks of using these drugs in pregnant women clearly outweigh any
potential benefits. The medication must be stopped immediately to protect the
fetus from teratogenic effects, and the prescribing provider must be notified to
find a safer therapeutic alternative.
Question 3
A nurse is monitoring a client in active labor and notes a fetal heart rate (FHR)
pattern showing late decelerations. Which underlying condition is the primary
cause of this pattern?
A) Umbilical cord compression
B) Fetal head compression
C) Uteroplacental insufficiency
D) Maternal hyperventilation
Correct Answer: C) Uteroplacental insufficiency
Explanation: Late decelerations are caused by uteroplacental insufficiency,
meaning there is decreased blood flow and oxygen delivery to the fetus during
contractions. This is a non-reassuring sign that requires immediate nursing
intervention (oxygen administration, turning the client on her side, increasing
IV fluids). Umbilical cord compression causes variable decelerations, and
fetal head compression causes early decelerations.
, Question 4
A nurse is teaching a newly licensed nurse about family-centered care in a
pediatric unit. Which statement by the newly licensed nurse indicates a correct
understanding of this concept?
A) "Family-centered care means the family makes all clinical decisions without
medical input."
B) "We should restrict visiting hours so the child can rest without family
disruption."
C) "The family is recognized as the constant in the child's life and an essential
partner in care."
D) "Parents should be discouraged from participating in basic care to reduce
their stress."
Correct Answer: C) "The family is recognized as the constant in the child's
life and an essential partner in care."
Explanation: Family-centered care is a philosophy that recognizes the family
as the core constant in a child’s life. Nursing care should support, respect,
and involve the family as partners in the care team. Restricting visiting hours
or discouraging parental participation goes against this philosophy, which
encourages collaboration to improve the child's emotional and physical
recovery.
Question 5
A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect the infant to have achieved?
A) Walking while holding onto furniture (cruising)
B) Sitting up steadily without any support
NURSING CARE 2ND EDITION LINNARD-
PALMER TEST BANK
Question 1
A nurse is caring for a client in the prenatal clinic. The client asks about the
primary difference between a Certified Nurse-Midwife (CNM) and a Nurse
,Practitioner (NP) regarding childbirth. Which response by the nurse is most
accurate?
A) "CNMs cannot prescribe medications during pregnancy."
B) "NPs are primary care providers who manage low-risk labor and deliveries."
C) "CNMs are specifically trained to manage low-risk labor and births."
D) "NPs only provide care to gynecological patients, not pregnant clients."
Correct Answer: C) "CNMs are specifically trained to manage low-risk labor
and births."
Explanation: Certified Nurse-Midwives (CNMs) are specifically trained to
provide comprehensive prenatal, intrapartum, and postpartum care, including
managing low-risk vaginal deliveries. While Nurse Practitioners (NPs)
provide comprehensive prenatal and postpartum care, they do not
traditionally manage or attend active labor and childbirth in hospital or birth
center settings. Both roles can prescribe medications within their scope of
practice.
Question 2
A nurse is reviewing the medication history of a client at 6 weeks of gestation.
The nurse notes the client takes a medication classified as FDA Pregnancy
Category X. Which action should the nurse take immediately?
A) Tell the client to finish her current prescription and then stop.
B) Instruct the client to stop taking the medication immediately and notify the
provider.
C) Reassure the client that Category X drugs are safe in the first trimester.
D) Advise the client to cut the dosage in half until her next scheduled
appointment.
,Correct Answer: B) Instruct the client to stop taking the medication
immediately and notify the provider.
Explanation: FDA Pregnancy Category X medications have demonstrated
positive evidence of fetal abnormalities and risks in human or animal studies.
The risks of using these drugs in pregnant women clearly outweigh any
potential benefits. The medication must be stopped immediately to protect the
fetus from teratogenic effects, and the prescribing provider must be notified to
find a safer therapeutic alternative.
Question 3
A nurse is monitoring a client in active labor and notes a fetal heart rate (FHR)
pattern showing late decelerations. Which underlying condition is the primary
cause of this pattern?
A) Umbilical cord compression
B) Fetal head compression
C) Uteroplacental insufficiency
D) Maternal hyperventilation
Correct Answer: C) Uteroplacental insufficiency
Explanation: Late decelerations are caused by uteroplacental insufficiency,
meaning there is decreased blood flow and oxygen delivery to the fetus during
contractions. This is a non-reassuring sign that requires immediate nursing
intervention (oxygen administration, turning the client on her side, increasing
IV fluids). Umbilical cord compression causes variable decelerations, and
fetal head compression causes early decelerations.
, Question 4
A nurse is teaching a newly licensed nurse about family-centered care in a
pediatric unit. Which statement by the newly licensed nurse indicates a correct
understanding of this concept?
A) "Family-centered care means the family makes all clinical decisions without
medical input."
B) "We should restrict visiting hours so the child can rest without family
disruption."
C) "The family is recognized as the constant in the child's life and an essential
partner in care."
D) "Parents should be discouraged from participating in basic care to reduce
their stress."
Correct Answer: C) "The family is recognized as the constant in the child's
life and an essential partner in care."
Explanation: Family-centered care is a philosophy that recognizes the family
as the core constant in a child’s life. Nursing care should support, respect,
and involve the family as partners in the care team. Restricting visiting hours
or discouraging parental participation goes against this philosophy, which
encourages collaboration to improve the child's emotional and physical
recovery.
Question 5
A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect the infant to have achieved?
A) Walking while holding onto furniture (cruising)
B) Sitting up steadily without any support
