SAFE MATERNITY & PEDIATRIC NURSING CARE
BY LUANNE LINNARD-PALMER ACTUAL TEST
PAPER 2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A
◉ How does a NP's role differ from that of a certified nurse midwife
with regard to maternity care? Answer: The NP does not usually
deliver babies but cares for women before and after delivery.
◉ The provider explains the need for an amniocentesis, but the pt
declines the procedure. The nurse supports the pt's rights to make
this decision, demonstrating an understanding of which ethical
principle? Answer: Autonomy
◉ The nurse joins a community outreach program to promote
vaccination of children, demonstrating which ethical principle?
Answer: Beneficence
◉ The nurse working in an acute care facility makes it a point to
never look at the declaration page showing the pt's insurance or lack
of insurance because of a belief that all pt's should be treated
equally. This demonstrates which ethical principle? Answer: Justice
,◉ A pt asks the student nurse whether a medication is safe to take
during pregnancy. The student thinks it is an approved medication
during pregnancy. Which is the student's best response? Answer: "I
will ask your OB provider."
◉ Which term describes assisting a family to feel supported, listened
to, and competent? Answer: Empowerment
◉ Which action should the nurse implement in order to apply the
principles of family centered care in the hospital? Answer:
Encourage parents to continue bedtime routines, such as reading a
story.
◉ Which anatomical difference between adults and children places a
pediatric pt at risk for insensible losses? Answer: Large body surface
area
◉ Which pediatric anatomical factor increases the risk for
respiratory failure when care is provided to a child? Answer: Poorly
developed intercostal chest muscles
◉ Which pediatric anatomical factor increases the risk for airway
occlusion when care is provided to a child? Answer: A large
posterior head bone occiput
, ◉ The nurse is preparing an 8-year old child for a procedure. Which
statement is true of assent? Answer: Feedback from the child is part
of the agreement or assent.
◉ The nurse has many tasks to complete and is trying to ensure that
they are all done in a timely manner. What is the first step the nurse
should take when delegating? Answer: Clarify what the specific
activity or task is by defining all aspects of the issue.
◉ What is the nurse's responsibility in regard to informed consent?
Answer: Ensure that the consent is signed by the provider and the pt
prior to the procedure.
◉ A 17-year-old in her first trimester visits the clinic for a prenatal
appointment. She is upset because her parents want her to have an
abortion but she does not. What should the nurse ask to find out
about the emancipation of the pt? Answer: "Are you married?"
◉ Which of the following is not included in the children's rights?
Answer: Right to decision making
◉ The nurse is uncomfortable with caring for a pt who is planning to
undergo an abortion. What actions could the nurse take? Answer:
Notify the nurse manager
BY LUANNE LINNARD-PALMER ACTUAL TEST
PAPER 2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A
◉ How does a NP's role differ from that of a certified nurse midwife
with regard to maternity care? Answer: The NP does not usually
deliver babies but cares for women before and after delivery.
◉ The provider explains the need for an amniocentesis, but the pt
declines the procedure. The nurse supports the pt's rights to make
this decision, demonstrating an understanding of which ethical
principle? Answer: Autonomy
◉ The nurse joins a community outreach program to promote
vaccination of children, demonstrating which ethical principle?
Answer: Beneficence
◉ The nurse working in an acute care facility makes it a point to
never look at the declaration page showing the pt's insurance or lack
of insurance because of a belief that all pt's should be treated
equally. This demonstrates which ethical principle? Answer: Justice
,◉ A pt asks the student nurse whether a medication is safe to take
during pregnancy. The student thinks it is an approved medication
during pregnancy. Which is the student's best response? Answer: "I
will ask your OB provider."
◉ Which term describes assisting a family to feel supported, listened
to, and competent? Answer: Empowerment
◉ Which action should the nurse implement in order to apply the
principles of family centered care in the hospital? Answer:
Encourage parents to continue bedtime routines, such as reading a
story.
◉ Which anatomical difference between adults and children places a
pediatric pt at risk for insensible losses? Answer: Large body surface
area
◉ Which pediatric anatomical factor increases the risk for
respiratory failure when care is provided to a child? Answer: Poorly
developed intercostal chest muscles
◉ Which pediatric anatomical factor increases the risk for airway
occlusion when care is provided to a child? Answer: A large
posterior head bone occiput
, ◉ The nurse is preparing an 8-year old child for a procedure. Which
statement is true of assent? Answer: Feedback from the child is part
of the agreement or assent.
◉ The nurse has many tasks to complete and is trying to ensure that
they are all done in a timely manner. What is the first step the nurse
should take when delegating? Answer: Clarify what the specific
activity or task is by defining all aspects of the issue.
◉ What is the nurse's responsibility in regard to informed consent?
Answer: Ensure that the consent is signed by the provider and the pt
prior to the procedure.
◉ A 17-year-old in her first trimester visits the clinic for a prenatal
appointment. She is upset because her parents want her to have an
abortion but she does not. What should the nurse ask to find out
about the emancipation of the pt? Answer: "Are you married?"
◉ Which of the following is not included in the children's rights?
Answer: Right to decision making
◉ The nurse is uncomfortable with caring for a pt who is planning to
undergo an abortion. What actions could the nurse take? Answer:
Notify the nurse manager
