SAFE MATERNITY AND PEDIATRIC
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
1.
Reference
Ch. 1 — Roles in Maternal-Child and Pediatric Nursing
Maternal–Child Nursing Question Stem
A registered nurse (RN) on a postpartum unit is assigned a
newly delivered client with stable vital signs who requests
breastfeeding instruction. A nursing assistant (NA) offers to
provide the teaching because the RN is managing two other
clients with postpartum hemorrhage risk. Which action by the
RN best demonstrates appropriate role delegation while
maintaining safe family-centered care?
,A. Ask the NA to perform the teaching while the RN completes
the other tasks.
B. Provide a brief demonstration, then delegate supervised
reinforcement to the NA.
C. Postpone breastfeeding instruction until the RN is free to
teach alone.
D. Have the NA give a pamphlet and document that teaching
was completed.
Correct Answer
B
Rationales
Correct (B): The RN provides the skill demonstration and
delegates reinforcement—this preserves the RN’s responsibility
for assessment and teaching competence, ensures safe,
consistent education, and supports family-centered care. It
matches delegation principles: assess complexity, match staff
competence, and provide oversight.
Incorrect (A): Delegating the entire teaching without RN
demonstration neglects the RN’s accountability for patient
education quality and may risk incorrect technique and poor
breastfeeding outcomes.
Incorrect (C): Postponing unnecessarily delays early
breastfeeding support when immediate instruction reduces risk
of feeding problems and maternal anxiety.
Incorrect (D): Giving a pamphlet alone is insufficient for skill
,acquisition and may jeopardize safety; documentation would be
inaccurate if meaningful teaching did not occur.
Teaching Point
RNs must teach complex skills themselves; delegate
reinforcement after demonstration and supervision.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
2.
Reference
Ch. 1 — Legalities and Ethics
Maternal–Child Nursing Question Stem
A 17-year-old pregnant adolescent arrives for prenatal care with
her mother. The adolescent asks the nurse in private whether
she can have prenatal visits without her parents being
informed. Which response reflects the nurse’s best legally and
ethically appropriate action?
A. Explain that parental consent is always required and refuse
the request.
B. Tell her that, because she is a minor, her mother must be
present for all visits.
C. Assess whether state law allows confidential prenatal care for
minors and honor confidentiality if permitted.
, D. Advise her to involve a trusted adult immediately; decline to
provide private care.
Correct Answer
C
Rationales
Correct (C): The nurse must assess applicable state law
regarding minors’ consent for prenatal services; many
jurisdictions permit confidential prenatal care. Respecting legal
confidentiality protects adolescent autonomy and promotes
safe access to care.
Incorrect (A): Stating parental consent is always required
ignores legal exceptions and may deter the adolescent from
seeking care.
Incorrect (B): Requiring the mother’s presence when law allows
confidential care violates the adolescent’s rights and may harm
access to care.
Incorrect (D): Advising but refusing private care without
checking law undermines trust and could lead to missed
prenatal visits.
Teaching Point
Verify local laws for minor consent; protect adolescent
confidentiality when legally permitted.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
1.
Reference
Ch. 1 — Roles in Maternal-Child and Pediatric Nursing
Maternal–Child Nursing Question Stem
A registered nurse (RN) on a postpartum unit is assigned a
newly delivered client with stable vital signs who requests
breastfeeding instruction. A nursing assistant (NA) offers to
provide the teaching because the RN is managing two other
clients with postpartum hemorrhage risk. Which action by the
RN best demonstrates appropriate role delegation while
maintaining safe family-centered care?
,A. Ask the NA to perform the teaching while the RN completes
the other tasks.
B. Provide a brief demonstration, then delegate supervised
reinforcement to the NA.
C. Postpone breastfeeding instruction until the RN is free to
teach alone.
D. Have the NA give a pamphlet and document that teaching
was completed.
Correct Answer
B
Rationales
Correct (B): The RN provides the skill demonstration and
delegates reinforcement—this preserves the RN’s responsibility
for assessment and teaching competence, ensures safe,
consistent education, and supports family-centered care. It
matches delegation principles: assess complexity, match staff
competence, and provide oversight.
Incorrect (A): Delegating the entire teaching without RN
demonstration neglects the RN’s accountability for patient
education quality and may risk incorrect technique and poor
breastfeeding outcomes.
Incorrect (C): Postponing unnecessarily delays early
breastfeeding support when immediate instruction reduces risk
of feeding problems and maternal anxiety.
Incorrect (D): Giving a pamphlet alone is insufficient for skill
,acquisition and may jeopardize safety; documentation would be
inaccurate if meaningful teaching did not occur.
Teaching Point
RNs must teach complex skills themselves; delegate
reinforcement after demonstration and supervision.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
2.
Reference
Ch. 1 — Legalities and Ethics
Maternal–Child Nursing Question Stem
A 17-year-old pregnant adolescent arrives for prenatal care with
her mother. The adolescent asks the nurse in private whether
she can have prenatal visits without her parents being
informed. Which response reflects the nurse’s best legally and
ethically appropriate action?
A. Explain that parental consent is always required and refuse
the request.
B. Tell her that, because she is a minor, her mother must be
present for all visits.
C. Assess whether state law allows confidential prenatal care for
minors and honor confidentiality if permitted.
, D. Advise her to involve a trusted adult immediately; decline to
provide private care.
Correct Answer
C
Rationales
Correct (C): The nurse must assess applicable state law
regarding minors’ consent for prenatal services; many
jurisdictions permit confidential prenatal care. Respecting legal
confidentiality protects adolescent autonomy and promotes
safe access to care.
Incorrect (A): Stating parental consent is always required
ignores legal exceptions and may deter the adolescent from
seeking care.
Incorrect (B): Requiring the mother’s presence when law allows
confidential care violates the adolescent’s rights and may harm
access to care.
Incorrect (D): Advising but refusing private care without
checking law undermines trust and could lead to missed
prenatal visits.
Teaching Point
Verify local laws for minor consent; protect adolescent
confidentiality when legally permitted.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
