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 and Pediatric Nursing
Maternal–Child Nursing Question Stem
A newly hired RN on the postpartum unit is caring for a stable
mother and newborn pair. The unit’s nursing assistant offers to
perform the newborn’s routine bath and the RN considers
delegating this task. Which action by the RN best reflects safe,
professional delegation consistent with maternal–child nursing
roles?
Options
A. Ask the nursing assistant to bathe the newborn while the RN
,completes documentation, since bathing is a basic care task.
B. Delegate the bath to the nursing assistant after confirming
competency, instructing the assistant to report any abnormal
findings immediately.
C. Refuse to delegate any newborn care and insist the RN
perform all tasks because newborns require RN-level
assessment.
D. Delegate the bath and instruct the assistant to call the RN
only if the baby appears “very sick.”
Correct Answer
B
Rationales
Correct (B): Delegation is appropriate when tasks are within the
assistant’s competency and when the RN provides clear
instructions and an expectation to report abnormal findings.
This supports safety by ensuring assessment triggers and timely
RN intervention for neonatal concerns.
A: Unsafe—delegating without confirming competency and
without specifying reportable findings risks missed
abnormalities.
C: Impractical and inefficient—prevents appropriate use of
team resources; RNs focus on tasks requiring their licensure.
D: Vague—“very sick” is subjective; failing to define specific
signs to report delays interventions for subtle neonatal
problems.
,Teaching Point
Confirm competency and specify reportable abnormalities
before delegation.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
2.
Reference
Ch. 1 — Legalities and Ethics
Maternal–Child Nursing Question Stem
A 17-year-old pregnant patient presents for prenatal care and
asks that no information be shared with her parents. Local law
allows minors to consent for prenatal care. The nurse is most
ethically and legally obligated to:
Options
A. Notify the parents because the patient is a minor and parents
have a right to know.
B. Respect the adolescent’s request for confidentiality and
provide prenatal education, documenting consent and
assessment.
C. Refuse to provide care until the adolescent’s parents arrive to
consent.
D. Encourage the adolescent to involve parents but proceed to
notify social services immediately if she refuses.
, Correct Answer
B
Rationales
Correct (B): When law permits minors to consent to prenatal
care, the nurse must respect confidentiality, provide care, and
document consent—this supports autonomy and legal
standards while protecting maternal–fetal safety.
A: Legally incorrect if statute permits minor consent; breaching
confidentiality violates trust and legal rights.
C: Denying care places patient and fetus at risk and is unethical
and unsafe.
D: Encouragement is appropriate, but immediate notification of
social services without cause breaches confidentiality and is
unnecessary.
Teaching Point
Honor lawful minor consent and confidentiality while
documenting care and teaching.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
3.
Reference
Ch. 1 — Informed Consent
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
1.
Reference
Ch. 1 — Roles in Maternal–Child and Pediatric Nursing
Maternal–Child Nursing Question Stem
A newly hired RN on the postpartum unit is caring for a stable
mother and newborn pair. The unit’s nursing assistant offers to
perform the newborn’s routine bath and the RN considers
delegating this task. Which action by the RN best reflects safe,
professional delegation consistent with maternal–child nursing
roles?
Options
A. Ask the nursing assistant to bathe the newborn while the RN
,completes documentation, since bathing is a basic care task.
B. Delegate the bath to the nursing assistant after confirming
competency, instructing the assistant to report any abnormal
findings immediately.
C. Refuse to delegate any newborn care and insist the RN
perform all tasks because newborns require RN-level
assessment.
D. Delegate the bath and instruct the assistant to call the RN
only if the baby appears “very sick.”
Correct Answer
B
Rationales
Correct (B): Delegation is appropriate when tasks are within the
assistant’s competency and when the RN provides clear
instructions and an expectation to report abnormal findings.
This supports safety by ensuring assessment triggers and timely
RN intervention for neonatal concerns.
A: Unsafe—delegating without confirming competency and
without specifying reportable findings risks missed
abnormalities.
C: Impractical and inefficient—prevents appropriate use of
team resources; RNs focus on tasks requiring their licensure.
D: Vague—“very sick” is subjective; failing to define specific
signs to report delays interventions for subtle neonatal
problems.
,Teaching Point
Confirm competency and specify reportable abnormalities
before delegation.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
2.
Reference
Ch. 1 — Legalities and Ethics
Maternal–Child Nursing Question Stem
A 17-year-old pregnant patient presents for prenatal care and
asks that no information be shared with her parents. Local law
allows minors to consent for prenatal care. The nurse is most
ethically and legally obligated to:
Options
A. Notify the parents because the patient is a minor and parents
have a right to know.
B. Respect the adolescent’s request for confidentiality and
provide prenatal education, documenting consent and
assessment.
C. Refuse to provide care until the adolescent’s parents arrive to
consent.
D. Encourage the adolescent to involve parents but proceed to
notify social services immediately if she refuses.
, Correct Answer
B
Rationales
Correct (B): When law permits minors to consent to prenatal
care, the nurse must respect confidentiality, provide care, and
document consent—this supports autonomy and legal
standards while protecting maternal–fetal safety.
A: Legally incorrect if statute permits minor consent; breaching
confidentiality violates trust and legal rights.
C: Denying care places patient and fetus at risk and is unethical
and unsafe.
D: Encouragement is appropriate, but immediate notification of
social services without cause breaches confidentiality and is
unnecessary.
Teaching Point
Honor lawful minor consent and confidentiality while
documenting care and teaching.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
3.
Reference
Ch. 1 — Informed Consent
