SAFE MATERNITY AND PEDIATRIC
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
Reference
Ch. 1 — Roles in Maternal–Child and Pediatric Nursing
Question Stem
A new graduate pediatric nurse is assigned to a postpartum unit
where an experienced LPN will perform routine maternal vitals
and an RN will manage discharge teaching and clinical decision-
making. The nurse manager asks the graduate to triage a
postpartum patient reporting heavy bleeding. Which action
best reflects appropriate role delegation and responsibility?
Options
A. Ask the LPN to assess the bleeding and call the RN only if the
bleeding worsens.
,B. Immediately perform a focused assessment and notify the
RN of findings requiring collaborative decisions.
C. Tell the new mother to rest while you wait for the RN to
arrive because discharge tasks are the RN’s priority.
D. Delegate the assessment to the LPN and document the
delegation without follow-up.
Correct Answer
B
Rationales
Correct (B): The RN/new graduate must take responsibility for
triage-level assessments and notify the RN for collaborative
decisions when findings suggest risk; this ensures timely
recognition and intervention for postpartum hemorrhage risk. It
reflects appropriate use of nursing judgment and scope of
practice.
Incorrect (A): Relying solely on the LPN delays RN-level
assessment and may miss early signs requiring immediate
intervention.
Incorrect (C): Waiting is unsafe—triage requires active
assessment when heavy bleeding is reported; discharge
priorities do not override urgent assessment.
Incorrect (D): Delegating without follow-up abdicates
responsibility and risks missed deterioration.
Teaching Point
RNs perform triage assessments and escalate abnormal findings
immediately.
,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
Question Stem
During a family-centered care conference, the pediatric nurse
realizes the parents speak limited English and are reluctant to
ask questions. The nurse wants to ensure safe, informed
participation in discharge planning. Which action is the best first
step?
Options
A. Provide written discharge instructions in English and ask the
parents to sign consent.
B. Use a family member as an interpreter for convenience and
speed.
C. Arrange for a professional medical interpreter and invite
parents to state concerns before decisions.
D. Continue the meeting and summarize key points slowly to
the parents.
Correct Answer
C
, Rationales
Correct (C): Using a professional medical interpreter and
inviting parental concerns ensures accurate communication,
informed participation in care planning, and legal/ethical
requirements for understanding. This supports family-centered,
safe discharge.
Incorrect (A): Written instructions in English do not ensure
comprehension; signed consent without understanding is
invalid.
Incorrect (B): Using family members risks errors, omissions, and
confidentiality breaches—professional interpretation is
standard.
Incorrect (D): Slowing speech does not guarantee
comprehension of complex clinical information; a qualified
interpreter is necessary.
Teaching Point
Use professional medical interpreters to ensure comprehension
and safe family-centered care.
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
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
Reference
Ch. 1 — Roles in Maternal–Child and Pediatric Nursing
Question Stem
A new graduate pediatric nurse is assigned to a postpartum unit
where an experienced LPN will perform routine maternal vitals
and an RN will manage discharge teaching and clinical decision-
making. The nurse manager asks the graduate to triage a
postpartum patient reporting heavy bleeding. Which action
best reflects appropriate role delegation and responsibility?
Options
A. Ask the LPN to assess the bleeding and call the RN only if the
bleeding worsens.
,B. Immediately perform a focused assessment and notify the
RN of findings requiring collaborative decisions.
C. Tell the new mother to rest while you wait for the RN to
arrive because discharge tasks are the RN’s priority.
D. Delegate the assessment to the LPN and document the
delegation without follow-up.
Correct Answer
B
Rationales
Correct (B): The RN/new graduate must take responsibility for
triage-level assessments and notify the RN for collaborative
decisions when findings suggest risk; this ensures timely
recognition and intervention for postpartum hemorrhage risk. It
reflects appropriate use of nursing judgment and scope of
practice.
Incorrect (A): Relying solely on the LPN delays RN-level
assessment and may miss early signs requiring immediate
intervention.
Incorrect (C): Waiting is unsafe—triage requires active
assessment when heavy bleeding is reported; discharge
priorities do not override urgent assessment.
Incorrect (D): Delegating without follow-up abdicates
responsibility and risks missed deterioration.
Teaching Point
RNs perform triage assessments and escalate abnormal findings
immediately.
,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
Question Stem
During a family-centered care conference, the pediatric nurse
realizes the parents speak limited English and are reluctant to
ask questions. The nurse wants to ensure safe, informed
participation in discharge planning. Which action is the best first
step?
Options
A. Provide written discharge instructions in English and ask the
parents to sign consent.
B. Use a family member as an interpreter for convenience and
speed.
C. Arrange for a professional medical interpreter and invite
parents to state concerns before decisions.
D. Continue the meeting and summarize key points slowly to
the parents.
Correct Answer
C
, Rationales
Correct (C): Using a professional medical interpreter and
inviting parental concerns ensures accurate communication,
informed participation in care planning, and legal/ethical
requirements for understanding. This supports family-centered,
safe discharge.
Incorrect (A): Written instructions in English do not ensure
comprehension; signed consent without understanding is
invalid.
Incorrect (B): Using family members risks errors, omissions, and
confidentiality breaches—professional interpretation is
standard.
Incorrect (D): Slowing speech does not guarantee
comprehension of complex clinical information; a qualified
interpreter is necessary.
Teaching Point
Use professional medical interpreters to ensure comprehension
and safe family-centered care.
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
