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 hired BSN nurse on the postpartum unit is assigned a
client who speaks limited English and whose partner insists on
translating for all discussions. The nurse must obtain consent
for a tubal ligation scheduled after birth. Which action best
demonstrates safe, ethical nursing practice?
A. Accept the partner as translator and proceed with the
consent discussion to avoid delay.
B. Request a professional medical interpreter and ensure the
client understands before obtaining consent.
,C. Ask a bilingual unit clerk to interpret because they are readily
available.
D. Rely on the physician to explain and sign the consent without
further nursing involvement.
Correct answer
B
Rationales
Correct (B): Requesting a professional medical interpreter
ensures accurate communication, respects the client’s
autonomy, and reduces risk of uninformed consent. Using
trained interpreters aligns with ethical and legal standards
protecting consent validity. This action supports safe maternal-
child decision making.
Incorrect (A): Using the partner risks coercion and inaccurate
translation, compromising voluntariness and informed consent.
Incorrect (C): Untrained staff may mistranslate clinical
information and breach confidentiality and accuracy.
Incorrect (D): The nurse retains responsibility to verify client
understanding and advocate for appropriate communication,
not defer entirely.
Teaching Point
Use professional medical interpreters to ensure valid, voluntary
informed consent.
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 a multidisciplinary team huddle about a newborn with
feeding difficulty, the staff nurse notes a subtle change in the
infant’s color after a procedure. The nurse believes this is
clinically important but is new to the unit. Which action best
reflects the nurse’s professional role?
A. Wait until the physician does rounds to report the finding.
B. Document the color change and notify the charge nurse
immediately.
C. Tell the parents privately and ask them to alert staff if it
worsens.
D. Assume it’s normal postprocedural variation and continue
routine care.
Correct answer
B
Rationales
Correct (B): Promptly notifying the charge nurse and
documenting the change demonstrates advocacy, timely
escalation, and appropriate interdisciplinary communication—
core roles of the maternal-child nurse. Early reporting supports
patient safety and collaborative decision making.
Incorrect (A): Delaying until physician rounds risks deterioration
, and fails to escalate appropriately.
Incorrect (C): Informing parents is important but does not
substitute professional escalation; it may create anxiety without
mobilizing care.
Incorrect (D): Assuming normal variation without assessment
risks missing an early sign of compromise.
Teaching Point
Escalate subtle clinical changes promptly to protect neonate
safety.
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 nurse on the pediatric unit witnesses a colleague verbally
berate a parent and threaten to withhold information about the
child’s pain plan. What is the nurse’s best ethical and legal
action?
A. Confront the colleague in front of the family to stop the
behavior.
B. Document the incident in the child’s chart as an occurrence.
C. Report the behavior to the unit manager and file an incident
report.
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 hired BSN nurse on the postpartum unit is assigned a
client who speaks limited English and whose partner insists on
translating for all discussions. The nurse must obtain consent
for a tubal ligation scheduled after birth. Which action best
demonstrates safe, ethical nursing practice?
A. Accept the partner as translator and proceed with the
consent discussion to avoid delay.
B. Request a professional medical interpreter and ensure the
client understands before obtaining consent.
,C. Ask a bilingual unit clerk to interpret because they are readily
available.
D. Rely on the physician to explain and sign the consent without
further nursing involvement.
Correct answer
B
Rationales
Correct (B): Requesting a professional medical interpreter
ensures accurate communication, respects the client’s
autonomy, and reduces risk of uninformed consent. Using
trained interpreters aligns with ethical and legal standards
protecting consent validity. This action supports safe maternal-
child decision making.
Incorrect (A): Using the partner risks coercion and inaccurate
translation, compromising voluntariness and informed consent.
Incorrect (C): Untrained staff may mistranslate clinical
information and breach confidentiality and accuracy.
Incorrect (D): The nurse retains responsibility to verify client
understanding and advocate for appropriate communication,
not defer entirely.
Teaching Point
Use professional medical interpreters to ensure valid, voluntary
informed consent.
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 a multidisciplinary team huddle about a newborn with
feeding difficulty, the staff nurse notes a subtle change in the
infant’s color after a procedure. The nurse believes this is
clinically important but is new to the unit. Which action best
reflects the nurse’s professional role?
A. Wait until the physician does rounds to report the finding.
B. Document the color change and notify the charge nurse
immediately.
C. Tell the parents privately and ask them to alert staff if it
worsens.
D. Assume it’s normal postprocedural variation and continue
routine care.
Correct answer
B
Rationales
Correct (B): Promptly notifying the charge nurse and
documenting the change demonstrates advocacy, timely
escalation, and appropriate interdisciplinary communication—
core roles of the maternal-child nurse. Early reporting supports
patient safety and collaborative decision making.
Incorrect (A): Delaying until physician rounds risks deterioration
, and fails to escalate appropriately.
Incorrect (C): Informing parents is important but does not
substitute professional escalation; it may create anxiety without
mobilizing care.
Incorrect (D): Assuming normal variation without assessment
risks missing an early sign of compromise.
Teaching Point
Escalate subtle clinical changes promptly to protect neonate
safety.
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 nurse on the pediatric unit witnesses a colleague verbally
berate a parent and threaten to withhold information about the
child’s pain plan. What is the nurse’s best ethical and legal
action?
A. Confront the colleague in front of the family to stop the
behavior.
B. Document the incident in the child’s chart as an occurrence.
C. Report the behavior to the unit manager and file an incident
report.
