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 hired nurse on the maternal–child unit is
assigned a postpartum patient experiencing mild uterine atony
after a vaginal delivery. The charge nurse asks the new nurse to
notify the provider and prepare medications if needed. Which
action best reflects the new nurse’s professional role while
maintaining patient safety?
A. Administer uterotonic medication immediately without
consulting the provider.
,B. Assess fundal tone and lochia, notify the provider of findings,
and prepare to implement prescribed uterotonic therapy.
C. Delegate assessment of the uterus to the nursing assistant
and document that the uterus is firm.
D. Wait 30 minutes to see whether the uterus firms on its own
before notifying anyone.
Correct Answer: B
Rationale — Correct: Option B shows role-appropriate
assessment, timely communication with the provider, and
preparation for evidence-based intervention, supporting early
recognition and prevention of hemorrhage.
Rationale — Incorrect A: Administering medication without an
order exceeds nursing scope and risks medication error and
legal consequences.
Rationale — Incorrect C: Delegating a focused assessment to an
unlicensed assistive personnel is unsafe; uterine assessment
requires licensed nurse clinical judgment.
Rationale — Incorrect D: Delaying communication risks
progression to significant hemorrhage and prevents timely
treatment.
Teaching Point: Timely assessment and provider notification
prevent postpartum complications.
Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
,2
Reference: Ch. 1 — Roles in Pediatric Nursing; Family-Centered
Care
Stem: A 4-year-old with bronchiolitis is admitted; parents
request to stay overnight and participate in care. The unit policy
allows parental presence. Which nursing action best supports
family-centered care while maintaining safety?
A. Ask the parents to leave at night to allow the child to rest and
for staff to complete tasks.
B. Welcome the parents, provide a brief orientation to
infection-control measures and how to assist safely with feeding
and comfort measures.
C. Permit the parents to stay without instruction and rely on
them to inform staff if the child’s condition changes.
D. Restrict parental visits to daytime hours only because the
child is on respiratory isolation.
Correct Answer: B
Rationale — Correct: Option B integrates family-centered
philosophy with safety—parents are included, oriented to
infection control, and instructed how to assist safely.
Rationale — Incorrect A: Excluding parents unnecessarily
undermines family-centered care and may increase child
distress.
, Rationale — Incorrect C: Allowing participation without
orientation jeopardizes infection control and safety.
Rationale — Incorrect D: Unnecessarily restricting visitation
conflicts with family-centered principles when policies permit
presence with precautions.
Teaching Point: Orient families to unit safety rules; include
them in care when appropriate.
Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
3
Reference: Ch. 1 — Legalities and Ethics: Informed Consent
Stem: A 17-year-old pregnant patient in active labor verbally
refuses a recommended episiotomy despite the provider’s
recommendation. The mother’s parents insist the procedure be
done. What should the nurse do first?
A. Obtain parental consent immediately since the patient is a
minor.
B. Respect the patient’s refusal and notify the provider to
document the patient’s decision; assess capacity and provide
support.
C. Proceed with the episiotomy because it is medically
necessary to ensure fetal safety.
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 hired nurse on the maternal–child unit is
assigned a postpartum patient experiencing mild uterine atony
after a vaginal delivery. The charge nurse asks the new nurse to
notify the provider and prepare medications if needed. Which
action best reflects the new nurse’s professional role while
maintaining patient safety?
A. Administer uterotonic medication immediately without
consulting the provider.
,B. Assess fundal tone and lochia, notify the provider of findings,
and prepare to implement prescribed uterotonic therapy.
C. Delegate assessment of the uterus to the nursing assistant
and document that the uterus is firm.
D. Wait 30 minutes to see whether the uterus firms on its own
before notifying anyone.
Correct Answer: B
Rationale — Correct: Option B shows role-appropriate
assessment, timely communication with the provider, and
preparation for evidence-based intervention, supporting early
recognition and prevention of hemorrhage.
Rationale — Incorrect A: Administering medication without an
order exceeds nursing scope and risks medication error and
legal consequences.
Rationale — Incorrect C: Delegating a focused assessment to an
unlicensed assistive personnel is unsafe; uterine assessment
requires licensed nurse clinical judgment.
Rationale — Incorrect D: Delaying communication risks
progression to significant hemorrhage and prevents timely
treatment.
Teaching Point: Timely assessment and provider notification
prevent postpartum complications.
Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
,2
Reference: Ch. 1 — Roles in Pediatric Nursing; Family-Centered
Care
Stem: A 4-year-old with bronchiolitis is admitted; parents
request to stay overnight and participate in care. The unit policy
allows parental presence. Which nursing action best supports
family-centered care while maintaining safety?
A. Ask the parents to leave at night to allow the child to rest and
for staff to complete tasks.
B. Welcome the parents, provide a brief orientation to
infection-control measures and how to assist safely with feeding
and comfort measures.
C. Permit the parents to stay without instruction and rely on
them to inform staff if the child’s condition changes.
D. Restrict parental visits to daytime hours only because the
child is on respiratory isolation.
Correct Answer: B
Rationale — Correct: Option B integrates family-centered
philosophy with safety—parents are included, oriented to
infection control, and instructed how to assist safely.
Rationale — Incorrect A: Excluding parents unnecessarily
undermines family-centered care and may increase child
distress.
, Rationale — Incorrect C: Allowing participation without
orientation jeopardizes infection control and safety.
Rationale — Incorrect D: Unnecessarily restricting visitation
conflicts with family-centered principles when policies permit
presence with precautions.
Teaching Point: Orient families to unit safety rules; include
them in care when appropriate.
Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
3
Reference: Ch. 1 — Legalities and Ethics: Informed Consent
Stem: A 17-year-old pregnant patient in active labor verbally
refuses a recommended episiotomy despite the provider’s
recommendation. The mother’s parents insist the procedure be
done. What should the nurse do first?
A. Obtain parental consent immediately since the patient is a
minor.
B. Respect the patient’s refusal and notify the provider to
document the patient’s decision; assess capacity and provide
support.
C. Proceed with the episiotomy because it is medically
necessary to ensure fetal safety.
