SAFE MATERNITY AND PEDIATRIC
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
Reference
Ch. 1 — Introduction to Maternity and Pediatric Nursing: Roles
in Maternal–Child Nursing
Maternal–Child Nursing Question Stem
A newly graduated RN on a postpartum unit is assigned a stable
postpartum client who is breastfeeding and a mother–newborn
couplet who require routine observation. The RN is
concurrently asked to delegate teaching about newborn car
seat safety to a licensed practical nurse (LPN). Which action by
the RN best reflects appropriate role responsibility and
delegation?
,A. Assign the LPN to perform and document the entire newborn
discharge teaching independently.
B. Provide the LPN with written teaching points and ask the LPN
to return with documentation of teaching and client questions.
C. Decline to delegate any teaching; personally perform all
discharge teaching to ensure completeness.
D. Ask a nursing assistant to deliver the teaching because they
are available and familiar with the unit.
Correct Answer
B
Rationales
Correct (B): The RN retains overall accountability but may
delegate aspects of teaching to an LPN when the task is within
the LPN’s scope and competency. Providing written teaching
points and requiring documentation and reporting preserves
safety, ensures consistent content, and allows the RN to
evaluate understanding. This approach aligns with role
responsibility and safe delegation in maternal–child settings.
Incorrect (A): Having the LPN perform and document all
teaching without RN oversight neglects the RN’s accountability
for patient education and fails to verify competency.
Incorrect (C): Refusing to delegate all teaching creates
inefficiency and may not be necessary for routine, stable
teaching tasks appropriate for an LPN.
Incorrect (D): Nursing assistants are not licensed to provide
,health teaching; assigning teaching to them risks
misinformation and violates scope-of-practice boundaries.
Teaching Point
Delegate tasks within scope; RN remains accountable and must
verify competency and comprehension.
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: Interprofessional
Collaboration
Maternal–Child Nursing Question Stem
In a clinic visit, a 19-year-old primigravida with gestational
hypertension expresses anxiety about labor pain control and
requests consultation about epidural analgesia. The nurse
recognizes the client's concern and documents this. What is the
nurse’s best immediate action to support family-centered care
and interprofessional collaboration?
A. Inform the client that anesthesia will decide on epidural
eligibility at admission.
B. Record the request and immediately notify the obstetric
provider and anesthesia team.
C. Reassure the client that pain can be managed without
, interventions and schedule education for a later date.
D. Encourage the client to review online forums and make a
decision before the next appointment.
Correct Answer
B
Rationales
Correct (B): Promptly notifying the obstetric provider and
anesthesia team respects the client's preferences, supports
shared decision-making, and facilitates timely interprofessional
planning for labor analgesia. Early communication reduces
delays and ensures the plan is individualized and safe.
Incorrect (A): Deferring entirely to anesthesia at admission
delays informed decision-making and undermines collaborative
planning.
Incorrect (C): Postponing education disregards the client's
expressed concern and may increase anxiety; timely
information supports informed consent.
Incorrect (D): Directing the client to online forums risks
misinformation and does not substitute for professional
counseling or collaborative planning.
Teaching Point
Early interprofessional communication supports informed,
family-centered analgesia planning.
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
Reference
Ch. 1 — Introduction to Maternity and Pediatric Nursing: Roles
in Maternal–Child Nursing
Maternal–Child Nursing Question Stem
A newly graduated RN on a postpartum unit is assigned a stable
postpartum client who is breastfeeding and a mother–newborn
couplet who require routine observation. The RN is
concurrently asked to delegate teaching about newborn car
seat safety to a licensed practical nurse (LPN). Which action by
the RN best reflects appropriate role responsibility and
delegation?
,A. Assign the LPN to perform and document the entire newborn
discharge teaching independently.
B. Provide the LPN with written teaching points and ask the LPN
to return with documentation of teaching and client questions.
C. Decline to delegate any teaching; personally perform all
discharge teaching to ensure completeness.
D. Ask a nursing assistant to deliver the teaching because they
are available and familiar with the unit.
Correct Answer
B
Rationales
Correct (B): The RN retains overall accountability but may
delegate aspects of teaching to an LPN when the task is within
the LPN’s scope and competency. Providing written teaching
points and requiring documentation and reporting preserves
safety, ensures consistent content, and allows the RN to
evaluate understanding. This approach aligns with role
responsibility and safe delegation in maternal–child settings.
Incorrect (A): Having the LPN perform and document all
teaching without RN oversight neglects the RN’s accountability
for patient education and fails to verify competency.
Incorrect (C): Refusing to delegate all teaching creates
inefficiency and may not be necessary for routine, stable
teaching tasks appropriate for an LPN.
Incorrect (D): Nursing assistants are not licensed to provide
,health teaching; assigning teaching to them risks
misinformation and violates scope-of-practice boundaries.
Teaching Point
Delegate tasks within scope; RN remains accountable and must
verify competency and comprehension.
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: Interprofessional
Collaboration
Maternal–Child Nursing Question Stem
In a clinic visit, a 19-year-old primigravida with gestational
hypertension expresses anxiety about labor pain control and
requests consultation about epidural analgesia. The nurse
recognizes the client's concern and documents this. What is the
nurse’s best immediate action to support family-centered care
and interprofessional collaboration?
A. Inform the client that anesthesia will decide on epidural
eligibility at admission.
B. Record the request and immediately notify the obstetric
provider and anesthesia team.
C. Reassure the client that pain can be managed without
, interventions and schedule education for a later date.
D. Encourage the client to review online forums and make a
decision before the next appointment.
Correct Answer
B
Rationales
Correct (B): Promptly notifying the obstetric provider and
anesthesia team respects the client's preferences, supports
shared decision-making, and facilitates timely interprofessional
planning for labor analgesia. Early communication reduces
delays and ensures the plan is individualized and safe.
Incorrect (A): Deferring entirely to anesthesia at admission
delays informed decision-making and undermines collaborative
planning.
Incorrect (C): Postponing education disregards the client's
expressed concern and may increase anxiety; timely
information supports informed consent.
Incorrect (D): Directing the client to online forums risks
misinformation and does not substitute for professional
counseling or collaborative planning.
Teaching Point
Early interprofessional communication supports informed,
family-centered analgesia planning.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
