SAFE MATERNITY AND PEDIATRIC
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
1.
Reference
Ch. 1 — Roles in Maternal–Child Nursing
Maternal–Child Nursing Question Stem
A newly licensed RN on the postpartum unit notices a newly
admitted mother who delivered vaginally 6 hours ago and who
is anxious because her partner is not present and the infant is
fretful. The RN is assigned as primary nurse but a student is
available to help with infant assessment. Which action best
reflects the nurse’s professional role while ensuring safe, family-
centered care?
,Options
A. Delegate the full newborn assessment to the student so the
RN can provide emotional support to the mother.
B. Perform the newborn assessment personally while coaching
the student and involve the partner by phone for family-
centered education.
C. Ask the student to console the infant while the RN completes
documentation and plans discharge teaching later.
D. Request the student to perform skin-to-skin care alone while
the RN supervises from the nurse’s station.
Correct Answer
B
Rationales
Correct (B): The RN retains primary responsibility for the
newborn assessment to ensure safety and accurate clinical
judgment, while using the student as a learning resource.
Coaching the student develops competence and involving the
partner (even by phone) supports family-centered care and
maternal emotional needs. This approach balances
accountability, teaching, and family inclusion.
Incorrect (A): Delegating the full assessment to a student
abdicates the RN’s accountability and risks missed findings;
emotional support should not compromise clinical safety.
Incorrect (C): Prioritizing documentation over immediate
assessment and parental engagement delays necessary
evaluation and neglects family-centered practice.
,Incorrect (D): Leaving the student unsupervised for skin-to-skin
care is unsafe; the RN should directly supervise clinical care
activities that impact safety.
Teaching Point
RN retains accountability, coaches students, and actively
involves family in care.
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
Maternal–Child Nursing Question Stem
On the pediatric unit, a staff nurse is planning assignments. One
infant requires frequent monitoring for hypoglycemia risk and
the other is a stable term newborn ready for feeding support. A
novice pediatric nurse requests a first-time assignment. Which
assignment decision best demonstrates appropriate role
delegation to ensure safe care and learning?
Options
A. Assign the novice nurse to the infant requiring frequent
hypoglycemia monitoring because it provides high learning
value.
B. Assign the novice nurse to the stable newborn for feeding
, support while an experienced nurse cares for the high-risk
infant.
C. Assign both infants to the novice nurse with the experienced
nurse available if needed to foster independence.
D. Reassign the novice nurse to administrative duties and
distribute both infants to experienced staff.
Correct Answer
B
Rationales
Correct (B): Assigning the novice nurse to the stable newborn
matches patient acuity to clinician skill while preserving the
experienced nurse for the high-risk infant; this supports safety
and graded learning.
Incorrect (A): Placing the novice with the high-risk infant
increases the likelihood of missed hypoglycemic episodes and
compromises safety.
Incorrect (C): Giving both infants to the novice overloads a
novice and risks delayed recognition of deterioration;
supervision must be explicit, not simply "available."
Incorrect (D): Removing clinical exposure unnecessarily limits
the novice’s learning; supervised, appropriate-level assignments
are preferable.
Teaching Point
Match assignment acuity to clinician skill; promote safe learning
with appropriate supervision.
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
1.
Reference
Ch. 1 — Roles in Maternal–Child Nursing
Maternal–Child Nursing Question Stem
A newly licensed RN on the postpartum unit notices a newly
admitted mother who delivered vaginally 6 hours ago and who
is anxious because her partner is not present and the infant is
fretful. The RN is assigned as primary nurse but a student is
available to help with infant assessment. Which action best
reflects the nurse’s professional role while ensuring safe, family-
centered care?
,Options
A. Delegate the full newborn assessment to the student so the
RN can provide emotional support to the mother.
B. Perform the newborn assessment personally while coaching
the student and involve the partner by phone for family-
centered education.
C. Ask the student to console the infant while the RN completes
documentation and plans discharge teaching later.
D. Request the student to perform skin-to-skin care alone while
the RN supervises from the nurse’s station.
Correct Answer
B
Rationales
Correct (B): The RN retains primary responsibility for the
newborn assessment to ensure safety and accurate clinical
judgment, while using the student as a learning resource.
Coaching the student develops competence and involving the
partner (even by phone) supports family-centered care and
maternal emotional needs. This approach balances
accountability, teaching, and family inclusion.
Incorrect (A): Delegating the full assessment to a student
abdicates the RN’s accountability and risks missed findings;
emotional support should not compromise clinical safety.
Incorrect (C): Prioritizing documentation over immediate
assessment and parental engagement delays necessary
evaluation and neglects family-centered practice.
,Incorrect (D): Leaving the student unsupervised for skin-to-skin
care is unsafe; the RN should directly supervise clinical care
activities that impact safety.
Teaching Point
RN retains accountability, coaches students, and actively
involves family in care.
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
Maternal–Child Nursing Question Stem
On the pediatric unit, a staff nurse is planning assignments. One
infant requires frequent monitoring for hypoglycemia risk and
the other is a stable term newborn ready for feeding support. A
novice pediatric nurse requests a first-time assignment. Which
assignment decision best demonstrates appropriate role
delegation to ensure safe care and learning?
Options
A. Assign the novice nurse to the infant requiring frequent
hypoglycemia monitoring because it provides high learning
value.
B. Assign the novice nurse to the stable newborn for feeding
, support while an experienced nurse cares for the high-risk
infant.
C. Assign both infants to the novice nurse with the experienced
nurse available if needed to foster independence.
D. Reassign the novice nurse to administrative duties and
distribute both infants to experienced staff.
Correct Answer
B
Rationales
Correct (B): Assigning the novice nurse to the stable newborn
matches patient acuity to clinician skill while preserving the
experienced nurse for the high-risk infant; this supports safety
and graded learning.
Incorrect (A): Placing the novice with the high-risk infant
increases the likelihood of missed hypoglycemic episodes and
compromises safety.
Incorrect (C): Giving both infants to the novice overloads a
novice and risks delayed recognition of deterioration;
supervision must be explicit, not simply "available."
Incorrect (D): Removing clinical exposure unnecessarily limits
the novice’s learning; supervised, appropriate-level assignments
are preferable.
Teaching Point
Match assignment acuity to clinician skill; promote safe learning
with appropriate supervision.
