ANSWERSHEET
Safe Maternity & Pediatric Nursing Care
3rd Edition • Luanne Linnard-Palmer
■ ✚ ■
1,000 Original NCLEX-Style Practice Questions
38 chapters • A–D choices • red correct answers • rationales • difficulty • NCLEX Client Needs • chapter
references
Original educational practice material for study and exam preparation; not an official publisher test bank.
Page 1
, ANSWERSHEET
Table of Contents
Chapter Topic Questions
1 Foundations of Maternity & Pediatric Nursing 25
2 Family-Centered Maternity & Pediatric Care 25
3 Reproductive Anatomy, Physiology & Conception 25
4 Genetics, Genomics & Prenatal Screening 25
5 Antepartum Assessment & Prenatal Care 25
6 Nutrition & Health Promotion During Pregnancy 25
7 Common Discomforts & Adaptations of Pregnancy 25
8 High-Risk Pregnancy: Maternal Conditions 25
9 High-Risk Pregnancy: Fetal Conditions 25
10 Pregnancy Complications & Emergencies 25
11 Labor: Physiology & Assessment 25
12 Labor Management & Comfort Measures 25
13 Fetal Assessment During Labor 25
14 Birth, Delivery & Immediate Newborn Care 25
15 Postpartum Physiologic Adaptation 25
16 Postpartum Nursing Assessment & Care 25
17 Postpartum Complications 25
18 Lactation & Infant Feeding 25
19 Newborn Transition & Comprehensive Assessment 25
20 Newborn Nutrition, Elimination & Care 25
21 Newborn Safety, Screening & Discharge 25
22 Growth & Development: Infancy 25
23 Growth & Development: Toddlerhood 25
24 Growth & Development: Preschool 25
25 Growth & Development: School Age 25
26 Growth & Development: Adolescence 25
27 Pediatric Health Assessment & Communication 25
28 Pediatric Safety & Injury Prevention 25
29 Pediatric Pain & Comfort 25
30 Pediatric Nutrition & Hydration 25
31 Pediatric Medication Administration 25
32 Respiratory Disorders in Children 25
33 Cardiovascular & Hematologic Disorders in Children 25
34 Neurologic & Sensory Disorders in Children 25
35 Endocrine & Metabolic Disorders in Children 25
36 GI, GU & Renal Disorders in Children 25
37 Musculoskeletal, Skin & Infectious Disorders in Children 25
38 Chronic Illness, Family Support & Palliative Care 25
— Cross-chapter integrative practice 50
Page 2
, ANSWERSHEET
Chapter 1: Foundations of Maternity & Pediatric Nursing
1. Which nursing action is most appropriate when caring for a client with family-centered care?
A. delay assessment until the next routine visit
B. document the concern without reassessing the client
C. provide the same intervention regardless of age or clinical status
D. perform a focused assessment before implementing the intervention
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Easy Client Needs: Health Promotion and Maintenance Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
2. Which statement by a family indicates correct understanding of therapeutic communication?
A. delay assessment until the next routine visit
B. support family participation while maintaining safety and privacy
C. document the concern without reassessing the client
D. provide the same intervention regardless of age or clinical status
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Moderate Client Needs: Safety and Infection Control Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
3. A client receiving care related to scope of practice reports a new concern. Which finding requires the priority response?
A. delay assessment until the next routine visit
B. provide the same intervention regardless of age or clinical status
C. prioritize airway, breathing, circulation, and acute safety concerns
D. document the concern without reassessing the client
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Hard Client Needs: Psychosocial Integrity Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
4. Which assessment finding is most consistent with expected care related to developmentally appropriate care?
A. provide the same intervention regardless of age or clinical status
B. delay assessment until the next routine visit
C. provide clear teaching using language appropriate to the client's developmental level
D. document the concern without reassessing the client
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Easy Client Needs: Health Promotion and Maintenance Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
5. Which teaching point should the nurse include when discussing family-centered care?
A. document the concern without reassessing the client
B. provide the same intervention regardless of age or clinical status
C. reassess the response after the intervention and document relevant findings
D. delay assessment until the next routine visit
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Moderate Client Needs: Safety and Infection Control Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
Page 3
, ANSWERSHEET
6. During care involving therapeutic communication, which intervention best supports safety and clinical judgment?
A. document the concern without reassessing the client
B. delay assessment until the next routine visit
C. provide the same intervention regardless of age or clinical status
D. reinforce follow-up instructions and warning signs requiring prompt evaluation
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Hard Client Needs: Psychosocial Integrity Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
7. The nurse observes a client during care related to scope of practice. Which finding should be addressed first?
A. provide the same intervention regardless of age or clinical status
B. delay assessment until the next routine visit
C. notify the appropriate clinician when the finding suggests a potential complication
D. document the concern without reassessing the client
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Easy Client Needs: Health Promotion and Maintenance Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
8. Which outcome best demonstrates effective nursing care for developmentally appropriate care?
A. document the concern without reassessing the client
B. provide the same intervention regardless of age or clinical status
C. compare the finding with expected age- or stage-specific physiology
D. delay assessment until the next routine visit
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Moderate Client Needs: Safety and Infection Control Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
9. Which nursing action is most appropriate when caring for a client with family-centered care?
A. perform a focused assessment before implementing the intervention
B. document the concern without reassessing the client
C. delay assessment until the next routine visit
D. provide the same intervention regardless of age or clinical status
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Hard Client Needs: Psychosocial Integrity Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
10. Which statement by a family indicates correct understanding of therapeutic communication?
A. support family participation while maintaining safety and privacy
B. provide the same intervention regardless of age or clinical status
C. delay assessment until the next routine visit
D. document the concern without reassessing the client
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Easy Client Needs: Health Promotion and Maintenance Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
Page 4
Safe Maternity & Pediatric Nursing Care
3rd Edition • Luanne Linnard-Palmer
■ ✚ ■
1,000 Original NCLEX-Style Practice Questions
38 chapters • A–D choices • red correct answers • rationales • difficulty • NCLEX Client Needs • chapter
references
Original educational practice material for study and exam preparation; not an official publisher test bank.
Page 1
, ANSWERSHEET
Table of Contents
Chapter Topic Questions
1 Foundations of Maternity & Pediatric Nursing 25
2 Family-Centered Maternity & Pediatric Care 25
3 Reproductive Anatomy, Physiology & Conception 25
4 Genetics, Genomics & Prenatal Screening 25
5 Antepartum Assessment & Prenatal Care 25
6 Nutrition & Health Promotion During Pregnancy 25
7 Common Discomforts & Adaptations of Pregnancy 25
8 High-Risk Pregnancy: Maternal Conditions 25
9 High-Risk Pregnancy: Fetal Conditions 25
10 Pregnancy Complications & Emergencies 25
11 Labor: Physiology & Assessment 25
12 Labor Management & Comfort Measures 25
13 Fetal Assessment During Labor 25
14 Birth, Delivery & Immediate Newborn Care 25
15 Postpartum Physiologic Adaptation 25
16 Postpartum Nursing Assessment & Care 25
17 Postpartum Complications 25
18 Lactation & Infant Feeding 25
19 Newborn Transition & Comprehensive Assessment 25
20 Newborn Nutrition, Elimination & Care 25
21 Newborn Safety, Screening & Discharge 25
22 Growth & Development: Infancy 25
23 Growth & Development: Toddlerhood 25
24 Growth & Development: Preschool 25
25 Growth & Development: School Age 25
26 Growth & Development: Adolescence 25
27 Pediatric Health Assessment & Communication 25
28 Pediatric Safety & Injury Prevention 25
29 Pediatric Pain & Comfort 25
30 Pediatric Nutrition & Hydration 25
31 Pediatric Medication Administration 25
32 Respiratory Disorders in Children 25
33 Cardiovascular & Hematologic Disorders in Children 25
34 Neurologic & Sensory Disorders in Children 25
35 Endocrine & Metabolic Disorders in Children 25
36 GI, GU & Renal Disorders in Children 25
37 Musculoskeletal, Skin & Infectious Disorders in Children 25
38 Chronic Illness, Family Support & Palliative Care 25
— Cross-chapter integrative practice 50
Page 2
, ANSWERSHEET
Chapter 1: Foundations of Maternity & Pediatric Nursing
1. Which nursing action is most appropriate when caring for a client with family-centered care?
A. delay assessment until the next routine visit
B. document the concern without reassessing the client
C. provide the same intervention regardless of age or clinical status
D. perform a focused assessment before implementing the intervention
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Easy Client Needs: Health Promotion and Maintenance Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
2. Which statement by a family indicates correct understanding of therapeutic communication?
A. delay assessment until the next routine visit
B. support family participation while maintaining safety and privacy
C. document the concern without reassessing the client
D. provide the same intervention regardless of age or clinical status
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Moderate Client Needs: Safety and Infection Control Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
3. A client receiving care related to scope of practice reports a new concern. Which finding requires the priority response?
A. delay assessment until the next routine visit
B. provide the same intervention regardless of age or clinical status
C. prioritize airway, breathing, circulation, and acute safety concerns
D. document the concern without reassessing the client
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Hard Client Needs: Psychosocial Integrity Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
4. Which assessment finding is most consistent with expected care related to developmentally appropriate care?
A. provide the same intervention regardless of age or clinical status
B. delay assessment until the next routine visit
C. provide clear teaching using language appropriate to the client's developmental level
D. document the concern without reassessing the client
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Easy Client Needs: Health Promotion and Maintenance Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
5. Which teaching point should the nurse include when discussing family-centered care?
A. document the concern without reassessing the client
B. provide the same intervention regardless of age or clinical status
C. reassess the response after the intervention and document relevant findings
D. delay assessment until the next routine visit
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Moderate Client Needs: Safety and Infection Control Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
Page 3
, ANSWERSHEET
6. During care involving therapeutic communication, which intervention best supports safety and clinical judgment?
A. document the concern without reassessing the client
B. delay assessment until the next routine visit
C. provide the same intervention regardless of age or clinical status
D. reinforce follow-up instructions and warning signs requiring prompt evaluation
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Hard Client Needs: Psychosocial Integrity Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
7. The nurse observes a client during care related to scope of practice. Which finding should be addressed first?
A. provide the same intervention regardless of age or clinical status
B. delay assessment until the next routine visit
C. notify the appropriate clinician when the finding suggests a potential complication
D. document the concern without reassessing the client
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Easy Client Needs: Health Promotion and Maintenance Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
8. Which outcome best demonstrates effective nursing care for developmentally appropriate care?
A. document the concern without reassessing the client
B. provide the same intervention regardless of age or clinical status
C. compare the finding with expected age- or stage-specific physiology
D. delay assessment until the next routine visit
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Moderate Client Needs: Safety and Infection Control Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
9. Which nursing action is most appropriate when caring for a client with family-centered care?
A. perform a focused assessment before implementing the intervention
B. document the concern without reassessing the client
C. delay assessment until the next routine visit
D. provide the same intervention regardless of age or clinical status
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Hard Client Needs: Psychosocial Integrity Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
10. Which statement by a family indicates correct understanding of therapeutic communication?
A. support family participation while maintaining safety and privacy
B. provide the same intervention regardless of age or clinical status
C. delay assessment until the next routine visit
D. document the concern without reassessing the client
Rationale: The safest response begins with focused assessment, prioritizes the highest-risk concern, uses age- and stage-appropriate care, and includes reassessment
and documentation.
Difficulty: Easy Client Needs: Health Promotion and Maintenance Reference: Safe Maternity & Pediatric Nursing Care, 3rd ed., Ch. 1
Page 4
