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
Stem
A newly graduated nurse is assigned to a postpartum unit caring
for multiple mothers and newborns. During handoff, the nurse
notes one mother is anxious about breastfeeding and another
has a high risk for postpartum hemorrhage. Which approach
best demonstrates prioritization and safe assignment by the
nurse manager?
Options
A. Assign both postpartum patients to the new nurse because
,exposure will accelerate competence.
B. Assign the new nurse the low-risk mother and newborn;
assign the high-risk mother to an experienced nurse.
C. Assign the high-risk mother to the new nurse but keep the
anxious mother nearby for support.
D. Rotate both patients between experienced nurses each shift
so no single nurse has complex care.
Correct Answer
B
Rationales
Correct: Assigning the new nurse a low-risk mother and
newborn while placing the high-risk mother with an
experienced nurse balances learning opportunities with patient
safety and appropriate supervision. It reduces risk of adverse
outcomes while supporting novice skill development.
A: Unsafe—placing both patients with a novice increases risk for
missed early warning signs and complications.
C: Unsafe—giving the high-risk patient to the novice can delay
recognition of hemorrhage and life-saving interventions.
D: Impractical—rotating complex patients frequently can
fragment care and increase communication errors.
Teaching Point
Match nurse competency to patient risk to ensure safety and
effective supervision.
,Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
2
Reference
Ch. 1 — Roles in Maternal-Child and Pediatric Nursing
Stem
During interdisciplinary rounds, a pediatric nurse notices
conflicting family requests about care goals for a medically
complex infant. The nurse believes additional family education
could align expectations. Which action best reflects the nurse’s
expanded role?
Options
A. Proceed with the current care plan without involving the
family further.
B. Request a family meeting, provide education, and facilitate
discussion with the team.
C. Tell the family to follow whatever the physician orders to
avoid conflict.
D. Document the family’s requests and leave resolution to social
work alone.
Correct Answer
B
, Rationales
Correct: Requesting and facilitating a family meeting to provide
education demonstrates the nurse’s role as advocate, educator,
and coordinator—essential in family-centered pediatric care to
improve understanding and shared decision-making.
A: Ignores family-centered principles and may worsen trust and
adherence.
C: Overrides family involvement and undermines collaborative
care.
D: Passing responsibility delays resolution; multidisciplinary
collaboration led by the nurse is preferable.
Teaching Point
Nurses lead education and coordination to support family-
centered decisions.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
3
Reference
Ch. 1 — Roles in Maternal-Child and Pediatric Nursing
Stem
A laboring client requests continuous one-to-one support from
a doula. The unit is short-staffed and the charge nurse suggests
the client forego the doula to simplify staffing. What is the
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
1
Reference
Ch. 1 — Introduction to Maternity and Pediatric Nursing
Stem
A newly graduated nurse is assigned to a postpartum unit caring
for multiple mothers and newborns. During handoff, the nurse
notes one mother is anxious about breastfeeding and another
has a high risk for postpartum hemorrhage. Which approach
best demonstrates prioritization and safe assignment by the
nurse manager?
Options
A. Assign both postpartum patients to the new nurse because
,exposure will accelerate competence.
B. Assign the new nurse the low-risk mother and newborn;
assign the high-risk mother to an experienced nurse.
C. Assign the high-risk mother to the new nurse but keep the
anxious mother nearby for support.
D. Rotate both patients between experienced nurses each shift
so no single nurse has complex care.
Correct Answer
B
Rationales
Correct: Assigning the new nurse a low-risk mother and
newborn while placing the high-risk mother with an
experienced nurse balances learning opportunities with patient
safety and appropriate supervision. It reduces risk of adverse
outcomes while supporting novice skill development.
A: Unsafe—placing both patients with a novice increases risk for
missed early warning signs and complications.
C: Unsafe—giving the high-risk patient to the novice can delay
recognition of hemorrhage and life-saving interventions.
D: Impractical—rotating complex patients frequently can
fragment care and increase communication errors.
Teaching Point
Match nurse competency to patient risk to ensure safety and
effective supervision.
,Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
2
Reference
Ch. 1 — Roles in Maternal-Child and Pediatric Nursing
Stem
During interdisciplinary rounds, a pediatric nurse notices
conflicting family requests about care goals for a medically
complex infant. The nurse believes additional family education
could align expectations. Which action best reflects the nurse’s
expanded role?
Options
A. Proceed with the current care plan without involving the
family further.
B. Request a family meeting, provide education, and facilitate
discussion with the team.
C. Tell the family to follow whatever the physician orders to
avoid conflict.
D. Document the family’s requests and leave resolution to social
work alone.
Correct Answer
B
, Rationales
Correct: Requesting and facilitating a family meeting to provide
education demonstrates the nurse’s role as advocate, educator,
and coordinator—essential in family-centered pediatric care to
improve understanding and shared decision-making.
A: Ignores family-centered principles and may worsen trust and
adherence.
C: Overrides family involvement and undermines collaborative
care.
D: Passing responsibility delays resolution; multidisciplinary
collaboration led by the nurse is preferable.
Teaching Point
Nurses lead education and coordination to support family-
centered decisions.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
3
Reference
Ch. 1 — Roles in Maternal-Child and Pediatric Nursing
Stem
A laboring client requests continuous one-to-one support from
a doula. The unit is short-staffed and the charge nurse suggests
the client forego the doula to simplify staffing. What is the
