SAFE MATERNITY AND PEDIATRIC
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
Q1
Reference
Ch. 1 — Roles in Maternal–Child and Pediatric Nursing
Stem
A newly graduated RN is assigned to a postpartum unit with
mixed acuity: one mother with preeclampsia recovering after
delivery and two low-risk mothers and newborns. The charge
nurse asks the new RN to supervise a licensed practical nurse
(LPN) assigned to routine vital signs and feeding assistance.
Which action by the RN demonstrates appropriate role
performance and delegation?
,Options
A. Assign the LPN to perform medication administration for the
preeclamptic mother while the RN prepares discharge teaching
for the low-risk mothers.
B. Delegate routine vital signs and feeding assistance for the
stable postpartum mothers to the LPN and directly care for the
preeclamptic mother.
C. Ask the LPN to complete the initial comprehensive
postpartum assessment for the preeclamptic mother.
D. Allow the LPN to conduct discharge teaching independently
for all three mothers.
Correct answer
B
Rationales
Correct Option: Delegating routine vital signs and feeding
assistance for stable postpartum patients to an LPN while the
RN retains responsibility for the higher-acuity preeclamptic
mother is appropriate. It uses safe delegation principles:
matching task to skill level, ensuring supervision, and
prioritizing patient safety.
Incorrect A: Medication administration for a preeclamptic
mother (which may include IV antihypertensives or magnesium
sulfate) requires RN judgment and is not appropriate to
delegate.
Incorrect C: The initial comprehensive assessment for a high-
risk postpartum patient requires RN clinical judgment and
,cannot be delegated.
Incorrect D: Discharge teaching requires assessment and
evaluation of learning needs; delegating it entirely to an LPN for
all mothers risks missing teaching points and informed consent
issues.
Teaching point
Delegate stable, predictable tasks; retain assessments and high-
risk care requiring clinical judgment.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
Q2
Reference
Ch. 1 — Legalities and Ethics (Confidentiality)
Stem
A 17-year-old pregnant adolescent asks the nurse not to tell her
parents about her prenatal appointment. The adolescent
appears competent and understands risks and options. Which
action best aligns with legal/ethical responsibilities?
Options
A. Refuse and inform the adolescent that parental notification is
required by law for all minors.
B. Respect confidentiality, provide prenatal care, and discuss
options for support and resources, documenting the encounter.
, C. Notify Child Protective Services immediately because minors
cannot consent to prenatal care.
D. Insist the adolescent call her parents while the nurse stays in
the room to ensure disclosure.
Correct answer
B
Rationales
Correct Option: Many jurisdictions permit minors to consent to
pregnancy-related care; respecting confidentiality when the
adolescent demonstrates decision-making capacity is ethically
appropriate. Documenting the assessment of competence and
the care provided ensures legal protection and continuity.
Incorrect A: Blanket statements that parental notification is
always required are inaccurate and can harm access to care.
Incorrect C: Reporting to Child Protective Services is only
required when there is suspected abuse or neglect, not simply
due to minor status.
Incorrect D: Forcing disclosure or insisting on parental contact
violates confidentiality and autonomy.
Teaching point
Assess minor capacity; respect confidentiality for pregnancy
care when legally permitted.
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
Q1
Reference
Ch. 1 — Roles in Maternal–Child and Pediatric Nursing
Stem
A newly graduated RN is assigned to a postpartum unit with
mixed acuity: one mother with preeclampsia recovering after
delivery and two low-risk mothers and newborns. The charge
nurse asks the new RN to supervise a licensed practical nurse
(LPN) assigned to routine vital signs and feeding assistance.
Which action by the RN demonstrates appropriate role
performance and delegation?
,Options
A. Assign the LPN to perform medication administration for the
preeclamptic mother while the RN prepares discharge teaching
for the low-risk mothers.
B. Delegate routine vital signs and feeding assistance for the
stable postpartum mothers to the LPN and directly care for the
preeclamptic mother.
C. Ask the LPN to complete the initial comprehensive
postpartum assessment for the preeclamptic mother.
D. Allow the LPN to conduct discharge teaching independently
for all three mothers.
Correct answer
B
Rationales
Correct Option: Delegating routine vital signs and feeding
assistance for stable postpartum patients to an LPN while the
RN retains responsibility for the higher-acuity preeclamptic
mother is appropriate. It uses safe delegation principles:
matching task to skill level, ensuring supervision, and
prioritizing patient safety.
Incorrect A: Medication administration for a preeclamptic
mother (which may include IV antihypertensives or magnesium
sulfate) requires RN judgment and is not appropriate to
delegate.
Incorrect C: The initial comprehensive assessment for a high-
risk postpartum patient requires RN clinical judgment and
,cannot be delegated.
Incorrect D: Discharge teaching requires assessment and
evaluation of learning needs; delegating it entirely to an LPN for
all mothers risks missing teaching points and informed consent
issues.
Teaching point
Delegate stable, predictable tasks; retain assessments and high-
risk care requiring clinical judgment.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
Q2
Reference
Ch. 1 — Legalities and Ethics (Confidentiality)
Stem
A 17-year-old pregnant adolescent asks the nurse not to tell her
parents about her prenatal appointment. The adolescent
appears competent and understands risks and options. Which
action best aligns with legal/ethical responsibilities?
Options
A. Refuse and inform the adolescent that parental notification is
required by law for all minors.
B. Respect confidentiality, provide prenatal care, and discuss
options for support and resources, documenting the encounter.
, C. Notify Child Protective Services immediately because minors
cannot consent to prenatal care.
D. Insist the adolescent call her parents while the nurse stays in
the room to ensure disclosure.
Correct answer
B
Rationales
Correct Option: Many jurisdictions permit minors to consent to
pregnancy-related care; respecting confidentiality when the
adolescent demonstrates decision-making capacity is ethically
appropriate. Documenting the assessment of competence and
the care provided ensures legal protection and continuity.
Incorrect A: Blanket statements that parental notification is
always required are inaccurate and can harm access to care.
Incorrect C: Reporting to Child Protective Services is only
required when there is suspected abuse or neglect, not simply
due to minor status.
Incorrect D: Forcing disclosure or insisting on parental contact
violates confidentiality and autonomy.
Teaching point
Assess minor capacity; respect confidentiality for pregnancy
care when legally permitted.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
