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 first-year ADN student is assigned to observe a postpartum
unit. The instructor asks the student to identify one immediate
priority when the nurse receives a woman who delivered
vaginally 30 minutes ago and is reporting “a lot of pressure” and
has saturated one peri-pad. Which action should the student
identify as the nurse’s immediate priority?
A. Ask the patient to void and document the amount.
B. Assess fundal height, firmness, and lochia flow.
,C. Reposition the patient and encourage ambulation.
D. Offer the patient a warm compress to the perineum.
Correct Answer
B. Assess fundal height, firmness, and lochia flow.
Rationale — Correct
Assessing the fundus and lochia immediately targets
postpartum hemorrhage risk, allowing early detection of
uterine atony or excessive bleeding. This assessment informs
rapid interventions (fundal massage, uterotonics) to prevent
hypovolemia and shock.
Rationale — Incorrect
A. Voiding is useful to assess bladder distention but delays
identification of active bleeding.
C. Ambulation with active bleeding could exacerbate
hemorrhage and is inappropriate before assessment.
D. Warm compresses are comfort measures and do not address
potentially life-threatening uterine atony.
Teaching Point
Immediately assess fundus and lochia to detect postpartum
hemorrhage early.
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
On a busy pediatric unit, an RN delegates medication
administration of a routine oral antibiotic to an experienced
LPN for a stable school-age child. The family asks questions
about side effects the LPN seems unsure about. What is the
RN’s best action to ensure safe delegation and family-centered
care?
A. Allow the LPN to answer and step in only if the family isn’t
satisfied.
B. Reassign the medication task back to the RN because family
questions were asked.
C. Support the LPN’s delegation by answering the family’s
questions and clarifying teaching points.
D. Ask the LPN to document that the family refused
information.
Correct Answer
C. Support the LPN’s delegation by answering the family’s
questions and clarifying teaching points.
Rationale — Correct
The RN retains accountability for assessment, education, and
delegation oversight. Answering questions ensures accurate
information, maintains family-centered care, and models
appropriate clinical supervision and interprofessional role use.
, Rationale — Incorrect
A. Waiting risks misinformation and fails RN supervisory duty.
B. Reassigning without addressing the knowledge gap ignores
teaching and teamwork opportunities.
D. Documenting refusal is inappropriate when family asked
questions and did not refuse information.
Teaching Point
RN remains accountable—supervise, clarify, and teach when
delegating tasks.
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
Stem
A 16-year-old pregnant adolescent requests contraceptive
counseling and birth control during a prenatal visit, but her
parent is present and insists on being involved in decisions. The
nurse knows state law allows minors to consent for
reproductive services. What is the nurse’s ethically and legally
appropriate response?
A. Defer counseling until the parent leaves the room and then
provide confidential counseling.
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 first-year ADN student is assigned to observe a postpartum
unit. The instructor asks the student to identify one immediate
priority when the nurse receives a woman who delivered
vaginally 30 minutes ago and is reporting “a lot of pressure” and
has saturated one peri-pad. Which action should the student
identify as the nurse’s immediate priority?
A. Ask the patient to void and document the amount.
B. Assess fundal height, firmness, and lochia flow.
,C. Reposition the patient and encourage ambulation.
D. Offer the patient a warm compress to the perineum.
Correct Answer
B. Assess fundal height, firmness, and lochia flow.
Rationale — Correct
Assessing the fundus and lochia immediately targets
postpartum hemorrhage risk, allowing early detection of
uterine atony or excessive bleeding. This assessment informs
rapid interventions (fundal massage, uterotonics) to prevent
hypovolemia and shock.
Rationale — Incorrect
A. Voiding is useful to assess bladder distention but delays
identification of active bleeding.
C. Ambulation with active bleeding could exacerbate
hemorrhage and is inappropriate before assessment.
D. Warm compresses are comfort measures and do not address
potentially life-threatening uterine atony.
Teaching Point
Immediately assess fundus and lochia to detect postpartum
hemorrhage early.
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
On a busy pediatric unit, an RN delegates medication
administration of a routine oral antibiotic to an experienced
LPN for a stable school-age child. The family asks questions
about side effects the LPN seems unsure about. What is the
RN’s best action to ensure safe delegation and family-centered
care?
A. Allow the LPN to answer and step in only if the family isn’t
satisfied.
B. Reassign the medication task back to the RN because family
questions were asked.
C. Support the LPN’s delegation by answering the family’s
questions and clarifying teaching points.
D. Ask the LPN to document that the family refused
information.
Correct Answer
C. Support the LPN’s delegation by answering the family’s
questions and clarifying teaching points.
Rationale — Correct
The RN retains accountability for assessment, education, and
delegation oversight. Answering questions ensures accurate
information, maintains family-centered care, and models
appropriate clinical supervision and interprofessional role use.
, Rationale — Incorrect
A. Waiting risks misinformation and fails RN supervisory duty.
B. Reassigning without addressing the knowledge gap ignores
teaching and teamwork opportunities.
D. Documenting refusal is inappropriate when family asked
questions and did not refuse information.
Teaching Point
RN remains accountable—supervise, clarify, and teach when
delegating tasks.
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
Stem
A 16-year-old pregnant adolescent requests contraceptive
counseling and birth control during a prenatal visit, but her
parent is present and insists on being involved in decisions. The
nurse knows state law allows minors to consent for
reproductive services. What is the nurse’s ethically and legally
appropriate response?
A. Defer counseling until the parent leaves the room and then
provide confidential counseling.
