TEST BANK
Safe Maternity & Pediatric Nursing Care
Luanne Linnard-Palmer, and Gloria Haile Coats
3rd Edition
,Table of Contents
Chapter 01 Introduction to Maternity and Pediatric Nursing 1
Chapter 02 Culture 17
Chapter 03 Women’s Health Promotion Across the Life Span 33
Chapter 04 Human Reproduction and Fetal Development 48
Chapter 05 Physical and Psychological Changes of Pregnancy 63
Chapter 06 Nursing Care During Pregnancy 80
Chapter 07 Promoting a Healthy Pregnancy 96
Chapter 08 Nursing Care of the Woman With Complications During Pregnancy 111
Chapter 09 Nursing Care During Labor and Childbirth 127
Chapter 10 Nursing Care of the Woman With Complications During Labor and Birth 142
Chapter 11 Birth-Related Procedures 158
Chapter 12 Postpartum Nursing Care 173
Chapter 13 Postpartum Complications 189
Chapter 14 Physiological and Behavioral Adaptations of the Newborn 204
Chapter 15 Nursing Care of the Newborn 220
Chapter 16 Newborn Nutrition 236
Chapter 17 Nursing Care of the Newborn at Risk 252
Chapter 18 Health Promotion of the Infant-Birth to One Year 267
Chapter 19 Health Promotion of the Toddler 283
Chapter 20 Health Promotion of the Preschooler 299
Chapter 21 Health Promotion of the School-Aged Child 315
Chapter 22 Health Promotion of the Adolescent 331
Chapter 23 Nursing Care of the Hospitalized Child 347
Chapter 24 Acutely Ill Children and Their Needs 363
Chapter 25 Adapting to Chronic Illness and Supporting the Family Unit 379
Chapter 26 The Abused Child 396
Chapter 27 Child With a Neurological Condition 411
Chapter 28 Child With a Sensory Impairment 427
Chapter 29 Child With a Mental Health Condition 442
Chapter 30 Child With a Respiratory Condition 458
Chapter 31 Child With a Cardiac Condition 473
Chapter 32 Child With a Metabolic Condition 489
Chapter 33 Child With a Musculoskeletal Condition 504
Chapter 34 Child With a Gastrointestinal Condition 520
Chapter 35 Child With a Genitourinary Condition 535
Chapter 36 Child With a Skin Condition 550
Chapter 37 Child With a Communicable Disease 565
Chapter 38 Child With an Oncological or Hematological Condition 581
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Test Bank - Safe Maternity and Pediatric Nursing Care, 3rd Edition (Linnard-Palmer, 2025)
Chapter 1: Introduction to Maternity and Pediatric Nursing
MULTIPLE CHOICE
1. A patient is admitted to the labor and delivery unit. Which member of the health-care team
develops a plan of care based on that patient’s needs?
a. Licensed practical nurse (LPN)/licensed vocational nurse (LVN)
b. Registered nurse (RN)
c. Nurse practitioner (NP)
d. Certified nurse midwife (CNM)
ANS: B
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 3. Compare the roles of the licensed practical/vocational nurse
(LPN/LVN), registered nurse (RN), nurse practitioner (NP), clinical nurse specialist (CNS),
and certified nurse midwife (CNM).
Chapter page reference: 3–4
Heading: Roles in Maternal–Child and Pediatric Nursing
Integrated processes: Caring
Client need: Safe and Effective Care Environment: Coordinated Care
Cognitive level: Comprehension [Understanding]
Concept: Collaboration
Difficulty: Easy
Feedback
A The LPN/LVN is responsible for carrying out the plan of care but does not
develop the plan of care because independent care planning is not within their
scope of practice.
B The RN is responsible for developing the plan of care.
C NPs do not develop the plan of care but may contribute to the development if
they wish.
D CNMs do not develop the plan of care but may contribute to the development if
they wish.
2. How does a nurse practitioner’s (NP’s) role differ from that of a certified nurse midwife
(CNM) with regard to maternity care?
a. The NP does not usually deliver babies but cares for women before and after
delivery.
b. The CNM cannot prescribe medications, but an NP does have prescribing
privileges.
c. The CNM is hired by the hospital, whereas an NP practices independently and
does not have hospital privileges.
d. The CNM and the NP have very similar roles with little difference between the
two.
ANS: A
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
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Test Bank - Safe Maternity and Pediatric Nursing Care, 3rd Edition (Linnard-Palmer, 2025)
Chapter learning objective: 3. Compare the roles of the licensed practical/vocational nurse
(LPN/LVN), registered nurse (RN), nurse practitioner (NP), clinical nurse specialist (CNS),
and certified nurse midwife (CNM).
Chapter page reference: 3–4
Heading: Roles in Maternal–Child and Pediatric Nursing
Integrated processes: Caring
Client need: Coordinated Care
Cognitive level: Comprehension [Understanding]
Concept: Collaboration; Professionalism
Difficulty: Easy
Feedback
A Both the CNM and the NP care for women before and after delivery; however,
NPs do not take responsibility for delivering babies, whereas CNMs do deliver
babies.
B Both the NP and the CNM can prescribe medications.
C Either can be employed by a facility, but usually the CNM has an independent
practice with hospital privileges.
D There are significant differences between an NP and a CNM.
3. The health-care 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
ANS: A
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 5. Explain the ethical principles of autonomy, beneficence,
nonmaleficence, and justice as related to maternity and pediatric nursing.
Chapter page reference: 4
Heading: Legalities and Ethics—Ethics
Integrated processes: Clinical Problem-Solving Process (Nursing Process)
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Ante-/Intra-/Postpartum; Ethics
Difficulty: Moderate
Feedback
A The nurse demonstrates the ethical principle of autonomy by understanding the
importance of allowing the patient to make their own health decisions.
B Beneficence is doing good to benefit others and is not the principle involved in
this scenario.
C Nonmaleficence is doing no harm and is not the principle involved in the
scenario.
D Justice is treating people fairly and is not the principle demonstrated in this
scenario.
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Test Bank - Safe Maternity and Pediatric Nursing Care, 3rd Edition (Linnard-Palmer, 2025)
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
ANS: B
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 5. Explain the ethical principles of autonomy, beneficence,
nonmaleficence, and justice as related to maternity and pediatric nursing.
Chapter page reference: 4
Heading: Legalities and Ethics—Ethics
Integrated processes: Clinical Problem-Solving Process (Nursing Process)
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Ethics
Difficulty: Moderate
Feedback
A Autonomy is allowing patients to make their own decisions regarding health care
and is not the principle involved in this scenario.
B Beneficence is doing good to benefit others; it is the principle involved in this
scenario because the nurse is advocating for the health of children.
C Nonmaleficence is doing no harm and is not the principle involved in this
scenario.
D Justice is treating people fairly and is not the principle demonstrated in this
scenario.
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
ANS: D
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 5. Explain the ethical principles of autonomy, beneficence,
nonmaleficence, and justice as related to maternity and pediatric nursing.
Chapter page reference: 5
Heading: Legalities and Ethics—Ethics
Integrated processes: Clinical Problem-Solving Process (Nursing Process)
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Ethics
Difficulty: Moderate
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Test Bank - Safe Maternity and Pediatric Nursing Care, 3rd Edition (Linnard-Palmer, 2025)
Feedback
A Autonomy is allowing patients to make their own decisions regarding health care
and is not the principle involved in this scenario.
B Beneficence is doing good to benefit others and is not the principle involved in
this scenario.
C Nonmaleficence is doing no harm and is not the principle involved in this
scenario.
D Justice is treating people fairly; it is the principle demonstrated in this scenario
because the nurse is treating everyone equally, regardless of their health
insurance status.
6. The nurse working on a pediatric medical–surgical unit is reviewing the clinical guidelines for
how to administer an intramuscular injection to a child. Which type of legal guideline is the
nurse using to inform their practice in this scenario?
a. Scope of practice
b. Standards of care
c. Ethical principles
d. Informed consent
ANS: B
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 4. Discuss the legalities and ethics of nursing practice including
scope of practice, delegation, standards of care, and institutional policies.
Chapter page reference: 4
Heading: Legalities and Ethics—Legalities—Standards of Care
Integrated processes: Caring
Client need: Safe and Effective Care Environment: Coordinated Care
Cognitive level: Comprehension [Understanding]
Concept: Collaboration; Legal
Difficulty: Easy
Feedback
A The scope of practice is the legal outline of what a certain role (nurse
practitioner, registered nurse, licensed vocational nurse, etc.) can do according to
state laws. The nurse is reviewing clinical guidelines related to caring for the
patient, not legal guidelines about the nurse’s role.
B Standards of care refer to guidelines that show the correct way to provide care
for a patient. In this scenario, the nurse was reviewing guidelines that showed
the correct way to administer injections.
C Ethical principles are moral principles that guide behavior. Reviewing guidelines
about how to administer injections is not an example of ethical principles.
D Informed consent involves obtaining consent before a procedure or intervention,
provided that the patient has a full understanding of the procedure and its
associated risks and benefits. Although the nurse will need to obtain informed
consent before administering the injection, reviewing clinical guidelines about
how to perform the injection is not an example of informed consent.
7. Which term describes assisting a family to feel supported, listened to, and competent?
a. Enabling
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Test Bank - Safe Maternity and Pediatric Nursing Care, 3rd Edition (Linnard-Palmer, 2025)
b. Empathy
c. Egocentric
d. Empowerment
ANS: D
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 1. Define the key terms.
Chapter page reference: 7
Heading: Family-Centered Care—Definition of Family
Integrated processes: Caring
Client need: Safe and Effective Care Environment: Coordinated Care
Cognitive level: Knowledge [Remembering]
Concept: Family Dynamics; Patient-Centered Care
Difficulty: Easy
Feedback
A Enabling is defined as giving someone or something the authority or means to
do something.
B Empathy is defined as the ability to understand and share the feelings of another.
C Egocentric is defined as thinking only of oneself, without regard for the feelings
or desires of others; self-centered.
D Empowerment is defined as assisting a family to feel supported, listened to, and
competent.
8. Which action would the nurse implement in order to apply the principles of family-centered
care in the hospital environment?
a. Implementing a 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
ANS: C
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 9. Apply principles of family-centered care to families receiving
care in a hospital or home setting.
Chapter page reference: 7
Heading: Family-Centered Care—Definition of Family—Box 1.4: Family-Centered Care
Principles
Integrated processes: Caring
Client need: Psychosocial Integrity
Cognitive level: Application [Applying]
Concept: Family Dynamics
Difficulty: Moderate
Feedback
A Siblings and members of the extended family should be included in care
provision.
B Separation anxiety intensifies during hospitalization; therefore, the nurse should
provide comfort to the child when the parents leave the bedside.
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Test Bank - Safe Maternity and Pediatric Nursing Care, 3rd Edition (Linnard-Palmer, 2025)
C Routines from home, such as bedtime routines, should be encouraged during
hospitalization when promoting the principles of family-centered care.
D 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. Disproportionate head size
d. Poorly developed intercostal chest muscles
ANS: A
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 11. Describe the anatomical, physiological, social, and emotional
differences between adults and children, emphasizing the critical components that are
pertinent to safe, emergent care of children across health-care settings.
Chapter page reference: 8
Heading: Special Considerations in Pediatric Nursing—Anatomical and Physiological
Differences Between Children and Adults
Integrated processes: Clinical Problem-Solving Process (Nursing Process)
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Growth and Development
Difficulty: Easy
Feedback
A A large body surface area places pediatric patients at risk for greater heat loss
and increased insensible losses.
B Newborns are obligatory nose breathers; however, this does not increase the risk
for heat loss and insensible losses.
C Although children’s heads are disproportionately large compared to those of
adults, it is not the reason for an increased risk for insensible losses.
D Poorly developed intercostal muscles place the pediatric patient at risk for
fatigue and respiratory failure, not insensible losses.
10. Which anatomical factor increases the risk for respiratory failure in a pediatric patient?
a. Smaller airway
b. Obligatory nose breathing
c. Large posterior head bone (occiput)
d. Poorly developed intercostal chest muscles
ANS: D
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 11. Describe the anatomical, physiological, social, and emotional
differences between adults and children, emphasizing the critical components that are
pertinent to safe, emergent care of children across health-care settings.
Chapter page reference: 8
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Test Bank - Safe Maternity and Pediatric Nursing Care, 3rd Edition (Linnard-Palmer, 2025)
Heading: Special Considerations in Pediatric Nursing—Anatomical and Physiological
Differences Between Children and Adults
Integrated processes: Clinical Problem-Solving Process (Nursing Process)
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Growth and Development; Oxygenation
Difficulty: Moderate
Feedback
A Although children do have smaller airways than adults, this is not an anatomical
difference that increases the risk for respiratory failure.
B Although younger infants are obligatory nose breathers, this is not an anatomical
difference that increases the risk for respiratory failure.
C Although pediatric patients do have a large posterior head bone (occiput), this
increases the risk of airway occlusion, not respiratory failure.
D The poorly developed intercostal muscles of the chest increase the pediatric
patient’s risk for fatigue, leading to respiratory failure.
11. Which anatomical factor increases the risk for airway occlusion in a pediatric patient?
a. A large posterior head bone (occiput)
b. An increase in total body surface area
c. A decrease in circulatory blood volume
d. Poorly developed intercostal chest muscles
ANS: A
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 11. Describe the anatomical, physiological, social, and emotional
differences between adults and children, emphasizing the critical components that are
pertinent to safe, emergent care of children across health-care settings.
Chapter page reference: 8
Heading: Special Considerations in Pediatric Nursing—Anatomical and Physiological
Differences Between Children and Adults
Integrated processes: Clinical Problem-Solving Process (Nursing Process)
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Growth and Development; Oxygenation
Difficulty: Easy
Feedback
A A large posterior head bone (occiput) increases the risk for airway occlusion in
pediatric patients.
B An increase in total body surface area results in greater heat loss and insensible
losses.
C A decrease in circulatory blood volume does not increase the risk for airway
occlusion.
D The poorly developed intercostal muscles of the chest increase the pediatric
patient’s risk for respiratory failure, not airway occlusion.
12. The nurse is preparing an 8-year-old child for a procedure. Which statement is true of assent?
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Test Bank - Safe Maternity and Pediatric Nursing Care, 3rd Edition (Linnard-Palmer, 2025)
a. Feedback from the child is part of the agreement or assent.
b. All children 7 years or older can participate in assent.
c. Assent only applies to emancipated children.
d. The health-care team does not need to include the parent or guardian in assent.
ANS: A
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 7. Analyze the purposes for and essential elements of informed
consent, including the concept of assent for school-aged children older than 7 and the
emancipated minor.
Chapter page reference: 5
Heading: Informed Consent—Assent
Integrated processes: Clinical Problem-Solving Process (Nursing Process)
Client need: Safe and Effective Care Environment: Coordinated Care
Cognitive level: Knowledge [Remembering]
Concept: Family Dynamics; Growth and Development
Difficulty: Easy
Feedback
A Feedback from the child is part of the agreement or assent. The child should be
asked whether they have any questions or concerns about the course of medical
treatment.
B Not all children 7 years or older can participate in assent. The health-care team
should evaluate the child for their ability to participate in this process.
C Assent allows a child to participate in the decision-making process with their
parent or guardian. Emancipation grants basic adult rights to children and allows
them to make decisions without a parent or guardian.
D Because the child is a minor, the parent or guardian is still involved in the
decision-making process. Only emancipated minors can make decisions without
their parent or guardian.
13. The nurse has many tasks to complete and is trying to ensure that they are all done in a timely
manner. What is the first step the nurse would take when delegating?
a. Review the legal standards of the task.
b. Decide whether the legal standards and specific activity of the task allow the task
to be delegated.
c. Clarify what the specific activity or task is by defining all aspects of the issue.
d. Model the established practice that is accepted as the correct way to provide care.
ANS: C
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 4. Discuss the legalities and ethics of nursing practice including
scope of practice, delegation, standards of care, and institutional policies.
Chapter page reference: 4
Heading: Legalities and Ethics—Legalities—Delegation
Integrated processes: Caring
Client need: Communication and Documentation
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Moderate
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Safe Maternity & Pediatric Nursing Care
Luanne Linnard-Palmer, and Gloria Haile Coats
3rd Edition
,Table of Contents
Chapter 01 Introduction to Maternity and Pediatric Nursing 1
Chapter 02 Culture 17
Chapter 03 Women’s Health Promotion Across the Life Span 33
Chapter 04 Human Reproduction and Fetal Development 48
Chapter 05 Physical and Psychological Changes of Pregnancy 63
Chapter 06 Nursing Care During Pregnancy 80
Chapter 07 Promoting a Healthy Pregnancy 96
Chapter 08 Nursing Care of the Woman With Complications During Pregnancy 111
Chapter 09 Nursing Care During Labor and Childbirth 127
Chapter 10 Nursing Care of the Woman With Complications During Labor and Birth 142
Chapter 11 Birth-Related Procedures 158
Chapter 12 Postpartum Nursing Care 173
Chapter 13 Postpartum Complications 189
Chapter 14 Physiological and Behavioral Adaptations of the Newborn 204
Chapter 15 Nursing Care of the Newborn 220
Chapter 16 Newborn Nutrition 236
Chapter 17 Nursing Care of the Newborn at Risk 252
Chapter 18 Health Promotion of the Infant-Birth to One Year 267
Chapter 19 Health Promotion of the Toddler 283
Chapter 20 Health Promotion of the Preschooler 299
Chapter 21 Health Promotion of the School-Aged Child 315
Chapter 22 Health Promotion of the Adolescent 331
Chapter 23 Nursing Care of the Hospitalized Child 347
Chapter 24 Acutely Ill Children and Their Needs 363
Chapter 25 Adapting to Chronic Illness and Supporting the Family Unit 379
Chapter 26 The Abused Child 396
Chapter 27 Child With a Neurological Condition 411
Chapter 28 Child With a Sensory Impairment 427
Chapter 29 Child With a Mental Health Condition 442
Chapter 30 Child With a Respiratory Condition 458
Chapter 31 Child With a Cardiac Condition 473
Chapter 32 Child With a Metabolic Condition 489
Chapter 33 Child With a Musculoskeletal Condition 504
Chapter 34 Child With a Gastrointestinal Condition 520
Chapter 35 Child With a Genitourinary Condition 535
Chapter 36 Child With a Skin Condition 550
Chapter 37 Child With a Communicable Disease 565
Chapter 38 Child With an Oncological or Hematological Condition 581
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Test Bank - Safe Maternity and Pediatric Nursing Care, 3rd Edition (Linnard-Palmer, 2025)
Chapter 1: Introduction to Maternity and Pediatric Nursing
MULTIPLE CHOICE
1. A patient is admitted to the labor and delivery unit. Which member of the health-care team
develops a plan of care based on that patient’s needs?
a. Licensed practical nurse (LPN)/licensed vocational nurse (LVN)
b. Registered nurse (RN)
c. Nurse practitioner (NP)
d. Certified nurse midwife (CNM)
ANS: B
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 3. Compare the roles of the licensed practical/vocational nurse
(LPN/LVN), registered nurse (RN), nurse practitioner (NP), clinical nurse specialist (CNS),
and certified nurse midwife (CNM).
Chapter page reference: 3–4
Heading: Roles in Maternal–Child and Pediatric Nursing
Integrated processes: Caring
Client need: Safe and Effective Care Environment: Coordinated Care
Cognitive level: Comprehension [Understanding]
Concept: Collaboration
Difficulty: Easy
Feedback
A The LPN/LVN is responsible for carrying out the plan of care but does not
develop the plan of care because independent care planning is not within their
scope of practice.
B The RN is responsible for developing the plan of care.
C NPs do not develop the plan of care but may contribute to the development if
they wish.
D CNMs do not develop the plan of care but may contribute to the development if
they wish.
2. How does a nurse practitioner’s (NP’s) role differ from that of a certified nurse midwife
(CNM) with regard to maternity care?
a. The NP does not usually deliver babies but cares for women before and after
delivery.
b. The CNM cannot prescribe medications, but an NP does have prescribing
privileges.
c. The CNM is hired by the hospital, whereas an NP practices independently and
does not have hospital privileges.
d. The CNM and the NP have very similar roles with little difference between the
two.
ANS: A
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
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Test Bank - Safe Maternity and Pediatric Nursing Care, 3rd Edition (Linnard-Palmer, 2025)
Chapter learning objective: 3. Compare the roles of the licensed practical/vocational nurse
(LPN/LVN), registered nurse (RN), nurse practitioner (NP), clinical nurse specialist (CNS),
and certified nurse midwife (CNM).
Chapter page reference: 3–4
Heading: Roles in Maternal–Child and Pediatric Nursing
Integrated processes: Caring
Client need: Coordinated Care
Cognitive level: Comprehension [Understanding]
Concept: Collaboration; Professionalism
Difficulty: Easy
Feedback
A Both the CNM and the NP care for women before and after delivery; however,
NPs do not take responsibility for delivering babies, whereas CNMs do deliver
babies.
B Both the NP and the CNM can prescribe medications.
C Either can be employed by a facility, but usually the CNM has an independent
practice with hospital privileges.
D There are significant differences between an NP and a CNM.
3. The health-care 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
ANS: A
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 5. Explain the ethical principles of autonomy, beneficence,
nonmaleficence, and justice as related to maternity and pediatric nursing.
Chapter page reference: 4
Heading: Legalities and Ethics—Ethics
Integrated processes: Clinical Problem-Solving Process (Nursing Process)
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Ante-/Intra-/Postpartum; Ethics
Difficulty: Moderate
Feedback
A The nurse demonstrates the ethical principle of autonomy by understanding the
importance of allowing the patient to make their own health decisions.
B Beneficence is doing good to benefit others and is not the principle involved in
this scenario.
C Nonmaleficence is doing no harm and is not the principle involved in the
scenario.
D Justice is treating people fairly and is not the principle demonstrated in this
scenario.
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Test Bank - Safe Maternity and Pediatric Nursing Care, 3rd Edition (Linnard-Palmer, 2025)
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
ANS: B
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 5. Explain the ethical principles of autonomy, beneficence,
nonmaleficence, and justice as related to maternity and pediatric nursing.
Chapter page reference: 4
Heading: Legalities and Ethics—Ethics
Integrated processes: Clinical Problem-Solving Process (Nursing Process)
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Ethics
Difficulty: Moderate
Feedback
A Autonomy is allowing patients to make their own decisions regarding health care
and is not the principle involved in this scenario.
B Beneficence is doing good to benefit others; it is the principle involved in this
scenario because the nurse is advocating for the health of children.
C Nonmaleficence is doing no harm and is not the principle involved in this
scenario.
D Justice is treating people fairly and is not the principle demonstrated in this
scenario.
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
ANS: D
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 5. Explain the ethical principles of autonomy, beneficence,
nonmaleficence, and justice as related to maternity and pediatric nursing.
Chapter page reference: 5
Heading: Legalities and Ethics—Ethics
Integrated processes: Clinical Problem-Solving Process (Nursing Process)
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Ethics
Difficulty: Moderate
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Test Bank - Safe Maternity and Pediatric Nursing Care, 3rd Edition (Linnard-Palmer, 2025)
Feedback
A Autonomy is allowing patients to make their own decisions regarding health care
and is not the principle involved in this scenario.
B Beneficence is doing good to benefit others and is not the principle involved in
this scenario.
C Nonmaleficence is doing no harm and is not the principle involved in this
scenario.
D Justice is treating people fairly; it is the principle demonstrated in this scenario
because the nurse is treating everyone equally, regardless of their health
insurance status.
6. The nurse working on a pediatric medical–surgical unit is reviewing the clinical guidelines for
how to administer an intramuscular injection to a child. Which type of legal guideline is the
nurse using to inform their practice in this scenario?
a. Scope of practice
b. Standards of care
c. Ethical principles
d. Informed consent
ANS: B
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 4. Discuss the legalities and ethics of nursing practice including
scope of practice, delegation, standards of care, and institutional policies.
Chapter page reference: 4
Heading: Legalities and Ethics—Legalities—Standards of Care
Integrated processes: Caring
Client need: Safe and Effective Care Environment: Coordinated Care
Cognitive level: Comprehension [Understanding]
Concept: Collaboration; Legal
Difficulty: Easy
Feedback
A The scope of practice is the legal outline of what a certain role (nurse
practitioner, registered nurse, licensed vocational nurse, etc.) can do according to
state laws. The nurse is reviewing clinical guidelines related to caring for the
patient, not legal guidelines about the nurse’s role.
B Standards of care refer to guidelines that show the correct way to provide care
for a patient. In this scenario, the nurse was reviewing guidelines that showed
the correct way to administer injections.
C Ethical principles are moral principles that guide behavior. Reviewing guidelines
about how to administer injections is not an example of ethical principles.
D Informed consent involves obtaining consent before a procedure or intervention,
provided that the patient has a full understanding of the procedure and its
associated risks and benefits. Although the nurse will need to obtain informed
consent before administering the injection, reviewing clinical guidelines about
how to perform the injection is not an example of informed consent.
7. Which term describes assisting a family to feel supported, listened to, and competent?
a. Enabling
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Test Bank - Safe Maternity and Pediatric Nursing Care, 3rd Edition (Linnard-Palmer, 2025)
b. Empathy
c. Egocentric
d. Empowerment
ANS: D
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 1. Define the key terms.
Chapter page reference: 7
Heading: Family-Centered Care—Definition of Family
Integrated processes: Caring
Client need: Safe and Effective Care Environment: Coordinated Care
Cognitive level: Knowledge [Remembering]
Concept: Family Dynamics; Patient-Centered Care
Difficulty: Easy
Feedback
A Enabling is defined as giving someone or something the authority or means to
do something.
B Empathy is defined as the ability to understand and share the feelings of another.
C Egocentric is defined as thinking only of oneself, without regard for the feelings
or desires of others; self-centered.
D Empowerment is defined as assisting a family to feel supported, listened to, and
competent.
8. Which action would the nurse implement in order to apply the principles of family-centered
care in the hospital environment?
a. Implementing a 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
ANS: C
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 9. Apply principles of family-centered care to families receiving
care in a hospital or home setting.
Chapter page reference: 7
Heading: Family-Centered Care—Definition of Family—Box 1.4: Family-Centered Care
Principles
Integrated processes: Caring
Client need: Psychosocial Integrity
Cognitive level: Application [Applying]
Concept: Family Dynamics
Difficulty: Moderate
Feedback
A Siblings and members of the extended family should be included in care
provision.
B Separation anxiety intensifies during hospitalization; therefore, the nurse should
provide comfort to the child when the parents leave the bedside.
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C Routines from home, such as bedtime routines, should be encouraged during
hospitalization when promoting the principles of family-centered care.
D 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. Disproportionate head size
d. Poorly developed intercostal chest muscles
ANS: A
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 11. Describe the anatomical, physiological, social, and emotional
differences between adults and children, emphasizing the critical components that are
pertinent to safe, emergent care of children across health-care settings.
Chapter page reference: 8
Heading: Special Considerations in Pediatric Nursing—Anatomical and Physiological
Differences Between Children and Adults
Integrated processes: Clinical Problem-Solving Process (Nursing Process)
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Growth and Development
Difficulty: Easy
Feedback
A A large body surface area places pediatric patients at risk for greater heat loss
and increased insensible losses.
B Newborns are obligatory nose breathers; however, this does not increase the risk
for heat loss and insensible losses.
C Although children’s heads are disproportionately large compared to those of
adults, it is not the reason for an increased risk for insensible losses.
D Poorly developed intercostal muscles place the pediatric patient at risk for
fatigue and respiratory failure, not insensible losses.
10. Which anatomical factor increases the risk for respiratory failure in a pediatric patient?
a. Smaller airway
b. Obligatory nose breathing
c. Large posterior head bone (occiput)
d. Poorly developed intercostal chest muscles
ANS: D
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 11. Describe the anatomical, physiological, social, and emotional
differences between adults and children, emphasizing the critical components that are
pertinent to safe, emergent care of children across health-care settings.
Chapter page reference: 8
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Test Bank - Safe Maternity and Pediatric Nursing Care, 3rd Edition (Linnard-Palmer, 2025)
Heading: Special Considerations in Pediatric Nursing—Anatomical and Physiological
Differences Between Children and Adults
Integrated processes: Clinical Problem-Solving Process (Nursing Process)
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Growth and Development; Oxygenation
Difficulty: Moderate
Feedback
A Although children do have smaller airways than adults, this is not an anatomical
difference that increases the risk for respiratory failure.
B Although younger infants are obligatory nose breathers, this is not an anatomical
difference that increases the risk for respiratory failure.
C Although pediatric patients do have a large posterior head bone (occiput), this
increases the risk of airway occlusion, not respiratory failure.
D The poorly developed intercostal muscles of the chest increase the pediatric
patient’s risk for fatigue, leading to respiratory failure.
11. Which anatomical factor increases the risk for airway occlusion in a pediatric patient?
a. A large posterior head bone (occiput)
b. An increase in total body surface area
c. A decrease in circulatory blood volume
d. Poorly developed intercostal chest muscles
ANS: A
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 11. Describe the anatomical, physiological, social, and emotional
differences between adults and children, emphasizing the critical components that are
pertinent to safe, emergent care of children across health-care settings.
Chapter page reference: 8
Heading: Special Considerations in Pediatric Nursing—Anatomical and Physiological
Differences Between Children and Adults
Integrated processes: Clinical Problem-Solving Process (Nursing Process)
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Growth and Development; Oxygenation
Difficulty: Easy
Feedback
A A large posterior head bone (occiput) increases the risk for airway occlusion in
pediatric patients.
B An increase in total body surface area results in greater heat loss and insensible
losses.
C A decrease in circulatory blood volume does not increase the risk for airway
occlusion.
D The poorly developed intercostal muscles of the chest increase the pediatric
patient’s risk for respiratory failure, not airway occlusion.
12. The nurse is preparing an 8-year-old child for a procedure. Which statement is true of assent?
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a. Feedback from the child is part of the agreement or assent.
b. All children 7 years or older can participate in assent.
c. Assent only applies to emancipated children.
d. The health-care team does not need to include the parent or guardian in assent.
ANS: A
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 7. Analyze the purposes for and essential elements of informed
consent, including the concept of assent for school-aged children older than 7 and the
emancipated minor.
Chapter page reference: 5
Heading: Informed Consent—Assent
Integrated processes: Clinical Problem-Solving Process (Nursing Process)
Client need: Safe and Effective Care Environment: Coordinated Care
Cognitive level: Knowledge [Remembering]
Concept: Family Dynamics; Growth and Development
Difficulty: Easy
Feedback
A Feedback from the child is part of the agreement or assent. The child should be
asked whether they have any questions or concerns about the course of medical
treatment.
B Not all children 7 years or older can participate in assent. The health-care team
should evaluate the child for their ability to participate in this process.
C Assent allows a child to participate in the decision-making process with their
parent or guardian. Emancipation grants basic adult rights to children and allows
them to make decisions without a parent or guardian.
D Because the child is a minor, the parent or guardian is still involved in the
decision-making process. Only emancipated minors can make decisions without
their parent or guardian.
13. The nurse has many tasks to complete and is trying to ensure that they are all done in a timely
manner. What is the first step the nurse would take when delegating?
a. Review the legal standards of the task.
b. Decide whether the legal standards and specific activity of the task allow the task
to be delegated.
c. Clarify what the specific activity or task is by defining all aspects of the issue.
d. Model the established practice that is accepted as the correct way to provide care.
ANS: C
Chapter number and title: 1: Introduction to Maternity and Pediatric Nursing
Chapter learning objective: 4. Discuss the legalities and ethics of nursing practice including
scope of practice, delegation, standards of care, and institutional policies.
Chapter page reference: 4
Heading: Legalities and Ethics—Legalities—Delegation
Integrated processes: Caring
Client need: Communication and Documentation
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Moderate
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