SAFE MATERNITY AND PEDIATRIC
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
1
Reference
Ch. 1 — Introduction to Maternity and Pediatric Nursing: Roles
in Maternal–Child and Pediatric Nursing
Stem
A newly hired ADN nurse is assigned to a postpartum unit
caring for a primiparous client who had an uncomplicated
vaginal birth. The charge nurse asks the new nurse to begin first
newborn assessments and to teach the mother breastfeeding
latch techniques. Which action reflects the most appropriate
role-based priority for the new nurse under supervision?
,A. Perform the newborn assessment first, then teach the
mother breastfeeding techniques.
B. Begin breastfeeding teaching immediately and defer the
newborn assessment to later.
C. Ask the charge nurse to assign the newborn assessment to an
experienced nurse and proceed with teaching.
D. Ask the mother to practice latch while the nurse briefly
inspects the newborn for gross abnormalities.
Correct Answer
A
Rationales
Correct: Performing the newborn assessment first ensures
immediate safety evaluation (airway, color, tone,
responsiveness) before educational activities; teaching is
important but comes after confirming the neonate is stable and
safe. This aligns with role expectations for new nurses who
must prioritize assessment under supervision.
Incorrect B: Deferring initial newborn assessment risks missing
urgent findings (respiratory distress, poor tone) and
compromises safety.
Incorrect C: Delegation may be appropriate, but the new nurse
must first confirm assignment and is still responsible to ensure
assessment occurs promptly; shifting responsibility without
clarification is unsafe.
Incorrect D: Simultaneously teaching while only briefly
,inspecting the newborn may lead to incomplete assessment
and delayed recognition of problems.
Teaching Point
Immediate newborn assessment precedes teaching; safety
before education.
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 and Pediatric Nursing
Stem
On a pediatric unit, the RN delegates medication administration
for a stable 5-year-old with oral acetaminophen to an
experienced LPN. The RN reviews the medication order and
asks the LPN to administer while she documents. Later, the
child develops signs of toxicity from an inadvertent double
dose. Which aspect of the RN’s role most clearly contributed to
this adverse event?
A. Failure to perform a timely medication reconciliation and
independent double-check.
B. Delegating administration to an LPN rather than performing it
personally.
C. Not providing family-centered teaching prior to
, administration.
D. Documenting before administration rather than after.
Correct Answer
A
Rationales
Correct: The RN retained ultimate responsibility for medication
safety; failure to reconcile recent doses and perform
independent verification allowed a double dose. Effective role
performance includes systems checks and direct oversight when
necessary.
Incorrect B: Delegation to an LPN can be appropriate, but
delegation requires adequate verification systems; delegation
itself is not the primary error.
Incorrect C: Family teaching is important, but the immediate
cause was medication reconciliation failure, not lack of
education.
Incorrect D: Documenting before administration is a
documentation error but secondary to lack of dose verification
and reconciliation.
Teaching Point
RN oversight includes medication reconciliation and
independent safety checks.
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
1
Reference
Ch. 1 — Introduction to Maternity and Pediatric Nursing: Roles
in Maternal–Child and Pediatric Nursing
Stem
A newly hired ADN nurse is assigned to a postpartum unit
caring for a primiparous client who had an uncomplicated
vaginal birth. The charge nurse asks the new nurse to begin first
newborn assessments and to teach the mother breastfeeding
latch techniques. Which action reflects the most appropriate
role-based priority for the new nurse under supervision?
,A. Perform the newborn assessment first, then teach the
mother breastfeeding techniques.
B. Begin breastfeeding teaching immediately and defer the
newborn assessment to later.
C. Ask the charge nurse to assign the newborn assessment to an
experienced nurse and proceed with teaching.
D. Ask the mother to practice latch while the nurse briefly
inspects the newborn for gross abnormalities.
Correct Answer
A
Rationales
Correct: Performing the newborn assessment first ensures
immediate safety evaluation (airway, color, tone,
responsiveness) before educational activities; teaching is
important but comes after confirming the neonate is stable and
safe. This aligns with role expectations for new nurses who
must prioritize assessment under supervision.
Incorrect B: Deferring initial newborn assessment risks missing
urgent findings (respiratory distress, poor tone) and
compromises safety.
Incorrect C: Delegation may be appropriate, but the new nurse
must first confirm assignment and is still responsible to ensure
assessment occurs promptly; shifting responsibility without
clarification is unsafe.
Incorrect D: Simultaneously teaching while only briefly
,inspecting the newborn may lead to incomplete assessment
and delayed recognition of problems.
Teaching Point
Immediate newborn assessment precedes teaching; safety
before education.
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 and Pediatric Nursing
Stem
On a pediatric unit, the RN delegates medication administration
for a stable 5-year-old with oral acetaminophen to an
experienced LPN. The RN reviews the medication order and
asks the LPN to administer while she documents. Later, the
child develops signs of toxicity from an inadvertent double
dose. Which aspect of the RN’s role most clearly contributed to
this adverse event?
A. Failure to perform a timely medication reconciliation and
independent double-check.
B. Delegating administration to an LPN rather than performing it
personally.
C. Not providing family-centered teaching prior to
, administration.
D. Documenting before administration rather than after.
Correct Answer
A
Rationales
Correct: The RN retained ultimate responsibility for medication
safety; failure to reconcile recent doses and perform
independent verification allowed a double dose. Effective role
performance includes systems checks and direct oversight when
necessary.
Incorrect B: Delegation to an LPN can be appropriate, but
delegation requires adequate verification systems; delegation
itself is not the primary error.
Incorrect C: Family teaching is important, but the immediate
cause was medication reconciliation failure, not lack of
education.
Incorrect D: Documenting before administration is a
documentation error but secondary to lack of dose verification
and reconciliation.
Teaching Point
RN oversight includes medication reconciliation and
independent safety checks.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
