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 newly hired ADN nurse on the postpartum unit is asked to
admit a stable postpartum client and complete the newborn’s
initial assessment while the RN is finishing another admission.
The RN asks the ADN nurse to complete both tasks
independently. Which action best reflects the ADN nurse’s
professional role and supports patient safety?
A. Accept both assignments and complete them sequentially to
help the team.
B. Accept only the postpartum admission and ask the RN to
,assign the newborn assessment to an RN.
C. Ask the RN to supervise while completing both tasks and
document supervision.
D. Refuse both tasks and request reassignment to another unit.
Correct Answer
B
Rationales
Correct Option (3–4 sentences): The ADN nurse should accept
duties within their scope of practice and delegate or request
that the newborn initial assessment—often requiring RN-level
competency—be assigned to an RN. This action prioritizes
safety by ensuring the newborn assessment is done by staff
with the appropriate scope and training, and it demonstrates
professional role clarity. It also maintains family-centered care
by ensuring competent, timely assessment.
Incorrect Options
A (1–2 sentences): Completing both independently risks
performing beyond scope and may miss important newborn
findings—unsafe and professionally inappropriate.
C (1–2 sentences): Asking for RN supervision while doing both
still implies performing a task beyond typical ADN scope;
supervision does not substitute for appropriate assignment.
D (1–2 sentences): Refusing both is not collaborative or
necessary when the correct action is to accept appropriate
assignment and request reassignment for the task beyond
scope.
,Teaching Point (≤20 words)
Accept assignments within scope; request RN assignment for
tasks requiring RN competencies.
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
Maternal–Child Nursing Question Stem
During a high-acuity shift in the pediatric unit, a nurse manager
asks a staff nurse to supervise a nursing student performing
medication administration for a child receiving chemotherapy.
The staff nurse has a full patient load. Which action best
demonstrates safe delegation and role responsibility?
A. Agree to supervise the student and add the tasks to the
nurse’s assignment.
B. Reassign one of the nurse’s patients to another nurse and
then supervise the student.
C. Decline to supervise and ask the manager to find alternative
supervision.
D. Supervise the student remotely by phone while completing
other direct-care tasks.
Correct Answer
B
, Rationales
Correct Option (3–4 sentences): Reassigning a patient preserves
safe nurse-to-patient ratios and allows direct, undistracted
supervision—essential during high-risk medication
administration. This reflects proper delegation and prioritization
to maintain patient safety and student learning. It also adheres
to professional responsibility by ensuring supervision is
provided without compromising care.
Incorrect Options
A (1–2 sentences): Taking on supervision without offloading
other responsibilities increases risk for errors during high-risk
chemotherapy administration.
C (1–2 sentences): Declining without proposing a safe
alternative fails to address immediate supervision needs and
patient safety.
D (1–2 sentences): Remote supervision is inadequate for high-
risk medication tasks requiring direct observation and
intervention.
Teaching Point (≤20 words)
Supervise students directly for high-risk tasks; reassign patient
load to maintain safe care.
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 newly hired ADN nurse on the postpartum unit is asked to
admit a stable postpartum client and complete the newborn’s
initial assessment while the RN is finishing another admission.
The RN asks the ADN nurse to complete both tasks
independently. Which action best reflects the ADN nurse’s
professional role and supports patient safety?
A. Accept both assignments and complete them sequentially to
help the team.
B. Accept only the postpartum admission and ask the RN to
,assign the newborn assessment to an RN.
C. Ask the RN to supervise while completing both tasks and
document supervision.
D. Refuse both tasks and request reassignment to another unit.
Correct Answer
B
Rationales
Correct Option (3–4 sentences): The ADN nurse should accept
duties within their scope of practice and delegate or request
that the newborn initial assessment—often requiring RN-level
competency—be assigned to an RN. This action prioritizes
safety by ensuring the newborn assessment is done by staff
with the appropriate scope and training, and it demonstrates
professional role clarity. It also maintains family-centered care
by ensuring competent, timely assessment.
Incorrect Options
A (1–2 sentences): Completing both independently risks
performing beyond scope and may miss important newborn
findings—unsafe and professionally inappropriate.
C (1–2 sentences): Asking for RN supervision while doing both
still implies performing a task beyond typical ADN scope;
supervision does not substitute for appropriate assignment.
D (1–2 sentences): Refusing both is not collaborative or
necessary when the correct action is to accept appropriate
assignment and request reassignment for the task beyond
scope.
,Teaching Point (≤20 words)
Accept assignments within scope; request RN assignment for
tasks requiring RN competencies.
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
Maternal–Child Nursing Question Stem
During a high-acuity shift in the pediatric unit, a nurse manager
asks a staff nurse to supervise a nursing student performing
medication administration for a child receiving chemotherapy.
The staff nurse has a full patient load. Which action best
demonstrates safe delegation and role responsibility?
A. Agree to supervise the student and add the tasks to the
nurse’s assignment.
B. Reassign one of the nurse’s patients to another nurse and
then supervise the student.
C. Decline to supervise and ask the manager to find alternative
supervision.
D. Supervise the student remotely by phone while completing
other direct-care tasks.
Correct Answer
B
, Rationales
Correct Option (3–4 sentences): Reassigning a patient preserves
safe nurse-to-patient ratios and allows direct, undistracted
supervision—essential during high-risk medication
administration. This reflects proper delegation and prioritization
to maintain patient safety and student learning. It also adheres
to professional responsibility by ensuring supervision is
provided without compromising care.
Incorrect Options
A (1–2 sentences): Taking on supervision without offloading
other responsibilities increases risk for errors during high-risk
chemotherapy administration.
C (1–2 sentences): Declining without proposing a safe
alternative fails to address immediate supervision needs and
patient safety.
D (1–2 sentences): Remote supervision is inadequate for high-
risk medication tasks requiring direct observation and
intervention.
Teaching Point (≤20 words)
Supervise students directly for high-risk tasks; reassign patient
load to maintain safe care.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
