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
Maternal–Child Nursing Question Stem
A newly hired ADN nurse on the postpartum unit notes that a
mother who delivered vaginally 6 hours ago appears quiet,
keeps her eyes closed, and is slow to respond when the nurse
calls her name. The infant is calm in the bassinet. The mother’s
partner states she hasn’t been herself since delivery. Which
nursing action is the best first priority?
Options
A. Encourage the partner to sit with the mother while you
,complete routine postpartum teaching.
B. Assess the mother’s level of consciousness, orientation, and
vital signs immediately.
C. Document the mother’s behavior as “postpartum fatigue”
and return later to continue assessment.
D. Offer a warm beverage and schedule a one-on-one teaching
session for later today.
Correct Answer
B
Rationales
Correct (B): Immediate assessment of level of consciousness,
orientation, and vital signs identifies physiologic causes (e.g.,
hypotension, hemorrhage, medication effects) that can present
as decreased responsiveness; this prioritizes maternal safety
and immediate intervention.
Incorrect (A): While family presence can be supportive, it delays
vital physiologic assessment and may miss a rapidly evolving
complication.
Incorrect (C): Assuming “postpartum fatigue” is a common
cognitive error (premature closure) and risks missing dangerous
conditions; delaying assessment is unsafe.
Incorrect (D): Comfort measures and teaching are lower priority
until maternal physiologic stability and mental status are
confirmed.
,Teaching Point
Always assess maternal vital signs and neurologic status first
when responsiveness is altered.
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
A pediatric nurse working in an outpatient clinic notices that a
2-year-old’s immunization status is incomplete. The parent is
hesitant and asks the nurse for more information. Which
statement reflects the nurse’s best role in supporting the
family?
Options
A. Insist the child must receive all vaccines today or refuse to
schedule future visits.
B. Provide evidence-based information about vaccine benefits
and address parental concerns.
C. Avoid discussing vaccines to maintain rapport; let the
physician handle it.
D. Give the parent an informal opinion based on personal
beliefs to make a decision easier.
, Correct Answer
B
Rationales
Correct (B): The nurse’s role includes providing evidence-based
education, clarifying misconceptions, and supporting informed
parental decision-making while maintaining therapeutic
rapport.
Incorrect (A): Coercive approaches damage trust and are not
within the nurse’s scope—this may increase resistance.
Incorrect (C): Avoidance relinquishes an important educational
and advocacy role; nurses are key educators.
Incorrect (D): Sharing personal opinions risks biasing the family
and is unprofessional; information must be evidence-based.
Teaching Point
Nurses provide nonjudgmental, evidence-based education to
support family 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
Maternal–Child Nursing Question Stem
A 17-year-old pregnant client presents to triage requesting an
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
1.
Reference
Ch. 1 — Introduction to Maternity and Pediatric Nursing
Maternal–Child Nursing Question Stem
A newly hired ADN nurse on the postpartum unit notes that a
mother who delivered vaginally 6 hours ago appears quiet,
keeps her eyes closed, and is slow to respond when the nurse
calls her name. The infant is calm in the bassinet. The mother’s
partner states she hasn’t been herself since delivery. Which
nursing action is the best first priority?
Options
A. Encourage the partner to sit with the mother while you
,complete routine postpartum teaching.
B. Assess the mother’s level of consciousness, orientation, and
vital signs immediately.
C. Document the mother’s behavior as “postpartum fatigue”
and return later to continue assessment.
D. Offer a warm beverage and schedule a one-on-one teaching
session for later today.
Correct Answer
B
Rationales
Correct (B): Immediate assessment of level of consciousness,
orientation, and vital signs identifies physiologic causes (e.g.,
hypotension, hemorrhage, medication effects) that can present
as decreased responsiveness; this prioritizes maternal safety
and immediate intervention.
Incorrect (A): While family presence can be supportive, it delays
vital physiologic assessment and may miss a rapidly evolving
complication.
Incorrect (C): Assuming “postpartum fatigue” is a common
cognitive error (premature closure) and risks missing dangerous
conditions; delaying assessment is unsafe.
Incorrect (D): Comfort measures and teaching are lower priority
until maternal physiologic stability and mental status are
confirmed.
,Teaching Point
Always assess maternal vital signs and neurologic status first
when responsiveness is altered.
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
A pediatric nurse working in an outpatient clinic notices that a
2-year-old’s immunization status is incomplete. The parent is
hesitant and asks the nurse for more information. Which
statement reflects the nurse’s best role in supporting the
family?
Options
A. Insist the child must receive all vaccines today or refuse to
schedule future visits.
B. Provide evidence-based information about vaccine benefits
and address parental concerns.
C. Avoid discussing vaccines to maintain rapport; let the
physician handle it.
D. Give the parent an informal opinion based on personal
beliefs to make a decision easier.
, Correct Answer
B
Rationales
Correct (B): The nurse’s role includes providing evidence-based
education, clarifying misconceptions, and supporting informed
parental decision-making while maintaining therapeutic
rapport.
Incorrect (A): Coercive approaches damage trust and are not
within the nurse’s scope—this may increase resistance.
Incorrect (C): Avoidance relinquishes an important educational
and advocacy role; nurses are key educators.
Incorrect (D): Sharing personal opinions risks biasing the family
and is unprofessional; information must be evidence-based.
Teaching Point
Nurses provide nonjudgmental, evidence-based education to
support family 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
Maternal–Child Nursing Question Stem
A 17-year-old pregnant client presents to triage requesting an
