SAFE MATERNITY AND PEDIATRIC
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
Reference: Ch. 1 — Introduction to Maternity and Pediatric
Nursing (Roles in Maternal–Child Nursing)
Stem: A newly hired RN on the newborn unit is assigned both a
stable term neonate and a postpartum mother with mild
preeclampsia. The RN must prioritize tasks for the next hour.
Which delegation and task-prioritization choice best reflects
safe maternal–child nursing practice?
A. Assign the experienced LPN to perform the newborn’s
bilirubin heel stick while the RN completes the mother’s
antihypertensive medication administration.
B. Have the nursing assistant obtain the mother’s blood
pressure and the RN perform the newborn assessment and
,teaching with the mother.
C. The RN should complete the RN-only tasks first by assessing
the mother and newborn while delegating vital signs to the
assistant.
D. Request the charge nurse to reassign one patient because
managing both is below safe staffing ratios.
Correct answer: C
Rationale — Correct (C): The RN-first approach to assessments
ensures that RN-scope activities (comprehensive maternal and
newborn assessment and teaching) are completed; delegation
of routine vital signs is appropriate and maintains safety
through continuous assessment and timely recognition of
complications. This prioritizes early recognition of maternal
hypertension complications and newborn transition problems.
Rationale — A: Unsafe because bilirubin heel sticks and
assessments require RN oversight; delegating the newborn
procedure to an LPN without RN assessment risks missing early
transition abnormalities.
Rationale — B: Unsafe because the nursing assistant should not
perform blood pressure on a patient with mild preeclampsia
without RN verification; the RN must assess maternal blood
pressure trends.
Rationale — D: Inappropriate for immediate management—
asking for reassignment delays urgent assessments and
teaching; initial triage and prioritization by the RN is required.
,Teaching point: RN completes initial assessments; delegate
routine tasks while maintaining oversight.
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: A pediatric nurse is caring for a 4-year-old admitted for
asthma exacerbation. The family prefers to remain at bedside
during treatments but the unit policy restricts bedside presence
during nebulization. How should the nurse proceed to balance
family-centered care and unit policy?
A. Enforce the policy strictly and offer the family an information
sheet about nebulizer safety outside the room.
B. Explain the policy, assess family understanding and concerns,
and offer alternatives (e.g., sit just outside the door with PPE or
observe via window).
C. Allow family at bedside without PPE to provide emotional
support; document the exception.
D. Ignore family preferences because clinical procedures take
precedence over family-centered care.
Correct answer: B
, Rationale — Correct (B): Respectful explanation, assessment of
concerns, and offering safe alternatives aligns with family-
centered care while maintaining safety and policy compliance;
shared decision-making reduces anxiety and supports
adherence to infection control.
Rationale — A: Unnecessarily authoritarian and undermines
family trust; passive handout does not address immediate
concerns.
Rationale — C: Unsafe—allowing bedside presence without PPE
violates infection control and unit policy, increasing risk to
patient and staff.
Rationale — D: Incorrect—family-centered care is a core
standard; dismissing family preferences jeopardizes partnership
and can increase safety risks from miscommunication.
Teaching point: Balance safety with family-centered alternatives
through clear explanation and shared decision-making.
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 (Consent and Scope of
Practice)
Stem: A 17-year-old pregnant adolescent presents in active
labor with her mother. The adolescent insists she wants labor
support only from her mother and refuses a pelvic exam. The
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
Reference: Ch. 1 — Introduction to Maternity and Pediatric
Nursing (Roles in Maternal–Child Nursing)
Stem: A newly hired RN on the newborn unit is assigned both a
stable term neonate and a postpartum mother with mild
preeclampsia. The RN must prioritize tasks for the next hour.
Which delegation and task-prioritization choice best reflects
safe maternal–child nursing practice?
A. Assign the experienced LPN to perform the newborn’s
bilirubin heel stick while the RN completes the mother’s
antihypertensive medication administration.
B. Have the nursing assistant obtain the mother’s blood
pressure and the RN perform the newborn assessment and
,teaching with the mother.
C. The RN should complete the RN-only tasks first by assessing
the mother and newborn while delegating vital signs to the
assistant.
D. Request the charge nurse to reassign one patient because
managing both is below safe staffing ratios.
Correct answer: C
Rationale — Correct (C): The RN-first approach to assessments
ensures that RN-scope activities (comprehensive maternal and
newborn assessment and teaching) are completed; delegation
of routine vital signs is appropriate and maintains safety
through continuous assessment and timely recognition of
complications. This prioritizes early recognition of maternal
hypertension complications and newborn transition problems.
Rationale — A: Unsafe because bilirubin heel sticks and
assessments require RN oversight; delegating the newborn
procedure to an LPN without RN assessment risks missing early
transition abnormalities.
Rationale — B: Unsafe because the nursing assistant should not
perform blood pressure on a patient with mild preeclampsia
without RN verification; the RN must assess maternal blood
pressure trends.
Rationale — D: Inappropriate for immediate management—
asking for reassignment delays urgent assessments and
teaching; initial triage and prioritization by the RN is required.
,Teaching point: RN completes initial assessments; delegate
routine tasks while maintaining oversight.
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: A pediatric nurse is caring for a 4-year-old admitted for
asthma exacerbation. The family prefers to remain at bedside
during treatments but the unit policy restricts bedside presence
during nebulization. How should the nurse proceed to balance
family-centered care and unit policy?
A. Enforce the policy strictly and offer the family an information
sheet about nebulizer safety outside the room.
B. Explain the policy, assess family understanding and concerns,
and offer alternatives (e.g., sit just outside the door with PPE or
observe via window).
C. Allow family at bedside without PPE to provide emotional
support; document the exception.
D. Ignore family preferences because clinical procedures take
precedence over family-centered care.
Correct answer: B
, Rationale — Correct (B): Respectful explanation, assessment of
concerns, and offering safe alternatives aligns with family-
centered care while maintaining safety and policy compliance;
shared decision-making reduces anxiety and supports
adherence to infection control.
Rationale — A: Unnecessarily authoritarian and undermines
family trust; passive handout does not address immediate
concerns.
Rationale — C: Unsafe—allowing bedside presence without PPE
violates infection control and unit policy, increasing risk to
patient and staff.
Rationale — D: Incorrect—family-centered care is a core
standard; dismissing family preferences jeopardizes partnership
and can increase safety risks from miscommunication.
Teaching point: Balance safety with family-centered alternatives
through clear explanation and shared decision-making.
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 (Consent and Scope of
Practice)
Stem: A 17-year-old pregnant adolescent presents in active
labor with her mother. The adolescent insists she wants labor
support only from her mother and refuses a pelvic exam. The
