SAFE MATERNITY AND PEDIATRIC
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
Reference
Ch. 1 — Roles in Maternal–Child Nursing
Maternal–Child Nursing Question Stem
A newly licensed RN is assigned to a postpartum unit with both
uncomplicated vaginal births and patients with cesarean births.
The RN notices one newly admitted mother with a cesarean
who is reporting increasing pain and a heart rate of 112
beats/min. The charge nurse asks whether the RN can perform
a focused assessment and notify the surgeon if needed. What is
the RN’s best first action?
Options
A. Perform the focused assessment, document findings, and
,notify the surgeon if clinical findings warrant.
B. Wait for the primary care provider to arrive on the unit
before performing any assessment to avoid overstepping
responsibilities.
C. Delegate the assessment to a nursing assistant and report
only the vital signs to the surgeon.
D. Administer PRN analgesic without assessing the incision
because pain is expected after surgery.
Correct Answer
A
Rationales
Correct Option (3–4 sentences): Performing a focused
assessment is within the RN’s scope of practice; it allows early
recognition of potential postoperative complications (e.g.,
hemorrhage, infection, or hypovolemia). Documenting and
communicating findings supports timely escalation to the
surgeon and patient safety. This action reflects professional
responsibility, clinical judgment, and delegation principles.
Incorrect Options (1–3 sentences each):
B. Waiting delays assessment and could postpone recognition of
a complication—unsafe.
C. Delegating the assessment to a nursing assistant is
inappropriate because assistants cannot perform focused
clinical assessments or interpret findings.
D. Administering analgesic without assessment risks masking
signs of complication and bypasses critical evaluation.
,Teaching Point (≤20 words)
RNs must assess, document, and escalate signs of
deterioration—delegate only tasks within others’ scope.
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 Nursing
Maternal–Child Nursing Question Stem
A pediatric nurse practitioner (PNP) working in an urgent-care
clinic evaluates a 3-year-old with fever and cough. The facility
asks the PNP to supervise new graduate RNs conducting triage.
Which supervisory behavior most appropriately demonstrates
the PNP’s professional role while ensuring safety?
Options
A. Allow the new graduates to triage independently and review
notes later to encourage autonomy.
B. Observe triage interactions, provide immediate corrective
feedback, and model clinical reasoning when needed.
C. Take over all triage duties personally because new graduates
are inexperienced.
D. Limit feedback to weekly group meetings to avoid
undermining new nurses’ confidence.
, Correct Answer
B
Rationales
Correct Option: Observation with immediate, constructive
feedback models clinical judgment and ensures patient safety
while supporting novice nurses’ skill development. This
balances delegation and supervision responsibilities inherent in
advanced practice roles.
Incorrect Options:
A. Reviewing later risks patient safety because errors during
triage may have immediate consequences.
C. Blanket takeover is inefficient and inhibits staff development;
appropriate supervision is preferred.
D. Delayed feedback misses teachable moments and can allow
unsafe practice to continue.
Teaching Point
Supervise clinically with real-time observation and corrective
feedback to ensure safe practice.
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: Scope of Practice
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
Reference
Ch. 1 — Roles in Maternal–Child Nursing
Maternal–Child Nursing Question Stem
A newly licensed RN is assigned to a postpartum unit with both
uncomplicated vaginal births and patients with cesarean births.
The RN notices one newly admitted mother with a cesarean
who is reporting increasing pain and a heart rate of 112
beats/min. The charge nurse asks whether the RN can perform
a focused assessment and notify the surgeon if needed. What is
the RN’s best first action?
Options
A. Perform the focused assessment, document findings, and
,notify the surgeon if clinical findings warrant.
B. Wait for the primary care provider to arrive on the unit
before performing any assessment to avoid overstepping
responsibilities.
C. Delegate the assessment to a nursing assistant and report
only the vital signs to the surgeon.
D. Administer PRN analgesic without assessing the incision
because pain is expected after surgery.
Correct Answer
A
Rationales
Correct Option (3–4 sentences): Performing a focused
assessment is within the RN’s scope of practice; it allows early
recognition of potential postoperative complications (e.g.,
hemorrhage, infection, or hypovolemia). Documenting and
communicating findings supports timely escalation to the
surgeon and patient safety. This action reflects professional
responsibility, clinical judgment, and delegation principles.
Incorrect Options (1–3 sentences each):
B. Waiting delays assessment and could postpone recognition of
a complication—unsafe.
C. Delegating the assessment to a nursing assistant is
inappropriate because assistants cannot perform focused
clinical assessments or interpret findings.
D. Administering analgesic without assessment risks masking
signs of complication and bypasses critical evaluation.
,Teaching Point (≤20 words)
RNs must assess, document, and escalate signs of
deterioration—delegate only tasks within others’ scope.
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 Nursing
Maternal–Child Nursing Question Stem
A pediatric nurse practitioner (PNP) working in an urgent-care
clinic evaluates a 3-year-old with fever and cough. The facility
asks the PNP to supervise new graduate RNs conducting triage.
Which supervisory behavior most appropriately demonstrates
the PNP’s professional role while ensuring safety?
Options
A. Allow the new graduates to triage independently and review
notes later to encourage autonomy.
B. Observe triage interactions, provide immediate corrective
feedback, and model clinical reasoning when needed.
C. Take over all triage duties personally because new graduates
are inexperienced.
D. Limit feedback to weekly group meetings to avoid
undermining new nurses’ confidence.
, Correct Answer
B
Rationales
Correct Option: Observation with immediate, constructive
feedback models clinical judgment and ensures patient safety
while supporting novice nurses’ skill development. This
balances delegation and supervision responsibilities inherent in
advanced practice roles.
Incorrect Options:
A. Reviewing later risks patient safety because errors during
triage may have immediate consequences.
C. Blanket takeover is inefficient and inhibits staff development;
appropriate supervision is preferred.
D. Delayed feedback misses teachable moments and can allow
unsafe practice to continue.
Teaching Point
Supervise clinically with real-time observation and corrective
feedback to ensure safe practice.
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: Scope of Practice
