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
Stem: A newly graduated RN is assigned to a postpartum unit
caring for a birthing parent with mild preeclampsia and a stable
newborn. The RN notices the parent looks anxious about
breastfeeding and asks for more instruction. Which action best
reflects the RN’s professional role while ensuring patient safety
and family-centered care?
A. Tell the parent to watch an online breastfeeding video later
and chart the referral.
B. Pause discharge teaching, assess breastfeeding concerns,
,provide hands-on coaching, and arrange lactation follow-up.
C. Explain that breastfeeding is a personal choice and give a
pamphlet without further instruction.
D. Ask the parent’s partner to take over teaching so the RN can
complete medication administration.
Correct Answer: B
Rationale — Correct: Pausing other tasks to assess concerns,
providing hands-on coaching, and arranging follow-up meets
role expectations for education and safety, promotes successful
feeding, and reduces readmission risk. It integrates clinical
assessment with family-centered teaching.
Rationale — Incorrect A: Referring to a video without hands-on
support delays necessary skill-building and may jeopardize
feeding safety.
Rationale — Incorrect C: Giving a pamphlet only is passive and
doesn't address identified anxiety or technique problems.
Rationale — Incorrect D: Deferring teaching to a partner
removes professional responsibility and may miss clinical risks
requiring RN assessment.
Teaching Point: Provide tailored, hands-on education and
arrange follow-up for safety and family confidence.
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
Stem: A 19-year-old postpartum client with opioid use disorder
requests that the nurse not notify the newborn’s pediatrician
about the mother’s treatment. The nurse knows mandatory
reporting laws in the facility require documentation of
substance use in the maternal chart. What is the nurse’s best
action?
A. Honor the mother’s request and omit documentation to
respect privacy.
B. Explain the legal duty to document and notify the pediatric
team, then document and notify.
C. Tell the mother she will be reported to child protective
services immediately.
D. Delay documentation until discharge to avoid confronting the
mother.
Correct Answer: B
Rationale — Correct: Nurses must follow legal and facility
reporting requirements; explaining the duty promotes
transparency and preserves trust while ensuring newborn
safety through appropriate team notification.
Rationale — Incorrect A: Omitting mandated documentation
violates law and places the neonate at risk.
Rationale — Incorrect C: Immediate threat-level reporting
should follow legal criteria; prematurely threatening CPS may
damage therapeutic relationship and is legally inappropriate if
not indicated.
, Rationale — Incorrect D: Delaying documentation risks patient
safety and legal noncompliance.
Teaching Point: Follow mandatory reporting laws and explain
them to clients to maintain trust and safety.
Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
3
Reference: Ch. 1 — Informed Consent
Stem: A 15-year-old pregnant adolescent presents for a
prenatal visit. The adolescent requests an ultrasound but
refuses parental involvement. State law allows minors to
consent for pregnancy-related care. The clinic policy requires
parental notification for imaging. Which action best
demonstrates ethical and legal nursing practice?
A. Proceed with the ultrasound after obtaining the adolescent’s
informed consent per state law.
B. Refuse the ultrasound until a parent provides consent, per
clinic policy.
C. Call the parent and insist they come to authorize the
procedure.
D. Tell the adolescent to reschedule when a parent can attend.
Correct Answer: A
Rationale — Correct: When state law permits minors to
consent for pregnancy-related care, the nurse should honor the
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
Stem: A newly graduated RN is assigned to a postpartum unit
caring for a birthing parent with mild preeclampsia and a stable
newborn. The RN notices the parent looks anxious about
breastfeeding and asks for more instruction. Which action best
reflects the RN’s professional role while ensuring patient safety
and family-centered care?
A. Tell the parent to watch an online breastfeeding video later
and chart the referral.
B. Pause discharge teaching, assess breastfeeding concerns,
,provide hands-on coaching, and arrange lactation follow-up.
C. Explain that breastfeeding is a personal choice and give a
pamphlet without further instruction.
D. Ask the parent’s partner to take over teaching so the RN can
complete medication administration.
Correct Answer: B
Rationale — Correct: Pausing other tasks to assess concerns,
providing hands-on coaching, and arranging follow-up meets
role expectations for education and safety, promotes successful
feeding, and reduces readmission risk. It integrates clinical
assessment with family-centered teaching.
Rationale — Incorrect A: Referring to a video without hands-on
support delays necessary skill-building and may jeopardize
feeding safety.
Rationale — Incorrect C: Giving a pamphlet only is passive and
doesn't address identified anxiety or technique problems.
Rationale — Incorrect D: Deferring teaching to a partner
removes professional responsibility and may miss clinical risks
requiring RN assessment.
Teaching Point: Provide tailored, hands-on education and
arrange follow-up for safety and family confidence.
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
Stem: A 19-year-old postpartum client with opioid use disorder
requests that the nurse not notify the newborn’s pediatrician
about the mother’s treatment. The nurse knows mandatory
reporting laws in the facility require documentation of
substance use in the maternal chart. What is the nurse’s best
action?
A. Honor the mother’s request and omit documentation to
respect privacy.
B. Explain the legal duty to document and notify the pediatric
team, then document and notify.
C. Tell the mother she will be reported to child protective
services immediately.
D. Delay documentation until discharge to avoid confronting the
mother.
Correct Answer: B
Rationale — Correct: Nurses must follow legal and facility
reporting requirements; explaining the duty promotes
transparency and preserves trust while ensuring newborn
safety through appropriate team notification.
Rationale — Incorrect A: Omitting mandated documentation
violates law and places the neonate at risk.
Rationale — Incorrect C: Immediate threat-level reporting
should follow legal criteria; prematurely threatening CPS may
damage therapeutic relationship and is legally inappropriate if
not indicated.
, Rationale — Incorrect D: Delaying documentation risks patient
safety and legal noncompliance.
Teaching Point: Follow mandatory reporting laws and explain
them to clients to maintain trust and safety.
Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
3
Reference: Ch. 1 — Informed Consent
Stem: A 15-year-old pregnant adolescent presents for a
prenatal visit. The adolescent requests an ultrasound but
refuses parental involvement. State law allows minors to
consent for pregnancy-related care. The clinic policy requires
parental notification for imaging. Which action best
demonstrates ethical and legal nursing practice?
A. Proceed with the ultrasound after obtaining the adolescent’s
informed consent per state law.
B. Refuse the ultrasound until a parent provides consent, per
clinic policy.
C. Call the parent and insist they come to authorize the
procedure.
D. Tell the adolescent to reschedule when a parent can attend.
Correct Answer: A
Rationale — Correct: When state law permits minors to
consent for pregnancy-related care, the nurse should honor the
