TEST BANK FOR SAFE MATERNITY
& PEDIATRIC NURSING CARE
SECOND EDITION BY LUANNE
LINNARD-PALMER ISBN-10;
0803697341/ISBN-13; 978-
0803697348 COMPLETE SOLUTION
FOR ALL 38 CHAPTERS COVERED
2026/2027
TEST BANK FOR SAFE MATERNITY & PEDIATRIC NURSING CARE SECOND EDITION BY LUANNE
LINNARD-PALMER
COMPLETE SOLUTION FOR ALL CHAPTERS WITH CORRECT ANSWERS AND RATIONALES
CHAPTER 1: INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING
MULTIPLE CHOICE
1. A patient is admitted to the labor and delivery unit, and a plan of care based on that patient's needs
is developed by which member of the health-care team?
A) Licensed practical nurse (LPN)/Licensed vocational nurse (LVN)
B) Registered nurse (RN)
C) Nurse practitioner
D) Certified nurse midwife
Correct Answer: B) Registered nurse (RN)
Rationale: The RN is responsible for developing the plan of care. The LPN/LVN is responsible for carrying
out the plan of care but does not develop it. Nurse practitioners and certified nurse midwives do not
develop the plan of care but may contribute to the development if they wish.
2. How does a nurse practitioner's role differ from that of a certified nurse midwife with regard to
maternity care?
,A) The nurse practitioner does not usually deliver babies but cares for women before and after delivery.
B) The certified nurse midwife cannot prescribe medications, but a nurse practitioner does have
prescribing privileges.
C) The certified nurse midwife is hired by the hospital, whereas a nurse practitioner practices
independently and does not have hospital privileges.
D) The certified nurse midwife and the nurse practitioner have very similar roles with little difference
between the two.
Correct Answer: A) The nurse practitioner does not usually deliver babies but cares for women before
and after delivery.
Rationale: Both the nurse midwife and the nurse practitioner care for women before and after delivery;
however, nurse practitioners do not take responsibility for delivering babies, whereas midwives do
deliver babies. Both the nurse practitioner and the certified nurse midwife can prescribe medications.
Either can be employed by a facility, but usually the midwife has an independent practice with hospital
privileges. There are significant differences between a nurse practitioner and a midwife.
3. The provider explains the need for an amniocentesis, but the patient declines the procedure. The
nurse supports the patient's right to make this decision, demonstrating an understanding of which
ethical principle?
A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Justice
Correct Answer: A) Autonomy
Rationale: The nurse demonstrates the ethical principle of autonomy by understanding the importance
of allowing the patient to make her own decisions for her care. Beneficence is doing good and doing
what is needed and is not the principle involved in this scenario. Nonmaleficence is doing no harm and is
not the principle involved in the scenario. Justice is treating people fairly and is not the principle
demonstrated in this scenario.
4. The nurse joins a community outreach program to promote vaccination of children, demonstrating
which ethical principle?
A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Justice
,Correct Answer: B) Beneficence
Rationale: Beneficence is doing good and doing what is needed; it is the principle involved in this
scenario because the nurse is advocating for the health of children. Autonomy is allowing patients to
make their own decisions regarding health care. Nonmaleficence is doing no harm. Justice is treating
people fairly.
5. The nurse working in an acute care facility makes it a point to never look at the declaration page
showing the patient's insurance or lack of insurance because of a belief that all patients should be
treated equally. This demonstrates which ethical principle?
A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Justice
Correct Answer: D) Justice
Rationale: Justice is treating people fairly; it is the principle demonstrated in this scenario because the
nurse is treating everyone equally. Autonomy is allowing patients to make their own decisions regarding
health care. Beneficence is doing good and doing what is needed. Nonmaleficence is doing no harm.
6. A patient asks the student nurse whether a medication is safe to take during pregnancy. The
student thinks it is an approved medication during pregnancy. Which is the student's best response?
A) "I'm pretty sure it is a safe medication."
B) "I'm not qualified to answer that question."
C) "I will ask your obstetric provider."
D) "I really don't know."
Correct Answer: C) "I will ask your obstetric provider."
Rationale: Questions regarding the safety of medications should always be referred to the provider, so
this is the best response. Being "pretty sure" is not the standard of safe delivery of care and is a
dangerous statement to make. Although "I'm not qualified" is an accurate statement, it leaves the
patient without an answer and is not the best response. Although the last statement may be true, it
does not answer the patient's question. It is acceptable to admit not knowing something, but the
response should indicate how you will find an answer.
7. Which term describes assisting a family to feel supported, listened to, and competent?
, A) Enable
B) Empathy
C) Egocentric
D) Empowerment
Correct Answer: D) Empowerment
Rationale: Empowerment is defined as assisting a family to feel supported, listened to, and competent.
Enable is defined as giving someone or something the authority or means to do something. Empathy is
defined as the ability to understand and share the feelings of another. Egocentric is defined as thinking
only of oneself, without regard for the feelings or desires of others; self-centered.
8. Which action should the nurse implement in order to apply the principles of family-centered care in
the hospital environment?
A) Implementing strict visitation policy for siblings
B) Allowing a child to "cry it out" when parents leave the bedside
C) Encouraging parents to continue bedtime routines, such as reading a story
D) Discouraging cultural foods because they cannot be provided by the dietary department
Correct Answer: C) Encouraging parents to continue bedtime routines, such as reading a story
Rationale: Routines from home, such as bedtime routines, should be encouraged during hospitalization
when promoting the principles of family-centered care. Siblings and members of the extended family
should be included in care provision. Separation anxiety intensifies during hospitalization; therefore, the
nurse should provide comfort to the child when the parents leave the bedside. Cultural diversity should
be promoted when applying the principles of family-centered care. If the dietary department cannot
provide a cultural food, the family should be encouraged to bring it from home.
9. Which anatomical difference between adults and children places a pediatric patient at risk for
insensible losses?
A) Large body surface area
B) Obligatory nose breathing
C) Large posterior head bone occiput
D) Poorly developed intercostal chest muscles
Correct Answer: A) Large body surface area
Rationale: A large body surface area places pediatric patients at risk for greater heat loss and insensible
losses. Newborns are obligatory nose breathers; however, this does not increase the risk for heat loss
and insensible losses. A disproportionate head size is not the reason for an increased risk for insensible
& PEDIATRIC NURSING CARE
SECOND EDITION BY LUANNE
LINNARD-PALMER ISBN-10;
0803697341/ISBN-13; 978-
0803697348 COMPLETE SOLUTION
FOR ALL 38 CHAPTERS COVERED
2026/2027
TEST BANK FOR SAFE MATERNITY & PEDIATRIC NURSING CARE SECOND EDITION BY LUANNE
LINNARD-PALMER
COMPLETE SOLUTION FOR ALL CHAPTERS WITH CORRECT ANSWERS AND RATIONALES
CHAPTER 1: INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING
MULTIPLE CHOICE
1. A patient is admitted to the labor and delivery unit, and a plan of care based on that patient's needs
is developed by which member of the health-care team?
A) Licensed practical nurse (LPN)/Licensed vocational nurse (LVN)
B) Registered nurse (RN)
C) Nurse practitioner
D) Certified nurse midwife
Correct Answer: B) Registered nurse (RN)
Rationale: The RN is responsible for developing the plan of care. The LPN/LVN is responsible for carrying
out the plan of care but does not develop it. Nurse practitioners and certified nurse midwives do not
develop the plan of care but may contribute to the development if they wish.
2. How does a nurse practitioner's role differ from that of a certified nurse midwife with regard to
maternity care?
,A) The nurse practitioner does not usually deliver babies but cares for women before and after delivery.
B) The certified nurse midwife cannot prescribe medications, but a nurse practitioner does have
prescribing privileges.
C) The certified nurse midwife is hired by the hospital, whereas a nurse practitioner practices
independently and does not have hospital privileges.
D) The certified nurse midwife and the nurse practitioner have very similar roles with little difference
between the two.
Correct Answer: A) The nurse practitioner does not usually deliver babies but cares for women before
and after delivery.
Rationale: Both the nurse midwife and the nurse practitioner care for women before and after delivery;
however, nurse practitioners do not take responsibility for delivering babies, whereas midwives do
deliver babies. Both the nurse practitioner and the certified nurse midwife can prescribe medications.
Either can be employed by a facility, but usually the midwife has an independent practice with hospital
privileges. There are significant differences between a nurse practitioner and a midwife.
3. The provider explains the need for an amniocentesis, but the patient declines the procedure. The
nurse supports the patient's right to make this decision, demonstrating an understanding of which
ethical principle?
A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Justice
Correct Answer: A) Autonomy
Rationale: The nurse demonstrates the ethical principle of autonomy by understanding the importance
of allowing the patient to make her own decisions for her care. Beneficence is doing good and doing
what is needed and is not the principle involved in this scenario. Nonmaleficence is doing no harm and is
not the principle involved in the scenario. Justice is treating people fairly and is not the principle
demonstrated in this scenario.
4. The nurse joins a community outreach program to promote vaccination of children, demonstrating
which ethical principle?
A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Justice
,Correct Answer: B) Beneficence
Rationale: Beneficence is doing good and doing what is needed; it is the principle involved in this
scenario because the nurse is advocating for the health of children. Autonomy is allowing patients to
make their own decisions regarding health care. Nonmaleficence is doing no harm. Justice is treating
people fairly.
5. The nurse working in an acute care facility makes it a point to never look at the declaration page
showing the patient's insurance or lack of insurance because of a belief that all patients should be
treated equally. This demonstrates which ethical principle?
A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Justice
Correct Answer: D) Justice
Rationale: Justice is treating people fairly; it is the principle demonstrated in this scenario because the
nurse is treating everyone equally. Autonomy is allowing patients to make their own decisions regarding
health care. Beneficence is doing good and doing what is needed. Nonmaleficence is doing no harm.
6. A patient asks the student nurse whether a medication is safe to take during pregnancy. The
student thinks it is an approved medication during pregnancy. Which is the student's best response?
A) "I'm pretty sure it is a safe medication."
B) "I'm not qualified to answer that question."
C) "I will ask your obstetric provider."
D) "I really don't know."
Correct Answer: C) "I will ask your obstetric provider."
Rationale: Questions regarding the safety of medications should always be referred to the provider, so
this is the best response. Being "pretty sure" is not the standard of safe delivery of care and is a
dangerous statement to make. Although "I'm not qualified" is an accurate statement, it leaves the
patient without an answer and is not the best response. Although the last statement may be true, it
does not answer the patient's question. It is acceptable to admit not knowing something, but the
response should indicate how you will find an answer.
7. Which term describes assisting a family to feel supported, listened to, and competent?
, A) Enable
B) Empathy
C) Egocentric
D) Empowerment
Correct Answer: D) Empowerment
Rationale: Empowerment is defined as assisting a family to feel supported, listened to, and competent.
Enable is defined as giving someone or something the authority or means to do something. Empathy is
defined as the ability to understand and share the feelings of another. Egocentric is defined as thinking
only of oneself, without regard for the feelings or desires of others; self-centered.
8. Which action should the nurse implement in order to apply the principles of family-centered care in
the hospital environment?
A) Implementing strict visitation policy for siblings
B) Allowing a child to "cry it out" when parents leave the bedside
C) Encouraging parents to continue bedtime routines, such as reading a story
D) Discouraging cultural foods because they cannot be provided by the dietary department
Correct Answer: C) Encouraging parents to continue bedtime routines, such as reading a story
Rationale: Routines from home, such as bedtime routines, should be encouraged during hospitalization
when promoting the principles of family-centered care. Siblings and members of the extended family
should be included in care provision. Separation anxiety intensifies during hospitalization; therefore, the
nurse should provide comfort to the child when the parents leave the bedside. Cultural diversity should
be promoted when applying the principles of family-centered care. If the dietary department cannot
provide a cultural food, the family should be encouraged to bring it from home.
9. Which anatomical difference between adults and children places a pediatric patient at risk for
insensible losses?
A) Large body surface area
B) Obligatory nose breathing
C) Large posterior head bone occiput
D) Poorly developed intercostal chest muscles
Correct Answer: A) Large body surface area
Rationale: A large body surface area places pediatric patients at risk for greater heat loss and insensible
losses. Newborns are obligatory nose breathers; however, this does not increase the risk for heat loss
and insensible losses. A disproportionate head size is not the reason for an increased risk for insensible
