SAFE MATERNITY AND PEDIATRIC
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
Reference: Ch. 1 — Roles in Maternal–Child and Pediatric
Nursing
Stem: A newly hired ADN nurse is assigned to the postpartum
unit with a preceptor. During shift report, the nurse learns a
new mother has a history of preeclampsia and is scheduled for
discharge in the morning. The mother expresses anxiety about
caring for her newborn at home. Which nursing action best
reflects the ADN nurse’s role and responsibility in this
maternal–child setting?
A. Provide a full review of all maternal labs and blood pressure
trends so the mother understands her diagnosis.
B. Teach and demonstrate newborn safe-sleep practices,
observe the mother’s technique, and document teaching and
,competencies.
C. Tell the mother to call her obstetrician’s office tomorrow for
any concerns and chart that teaching was completed.
D. Delegate all discharge teaching to the preceptor because
teaching is an advanced practice responsibility.
Correct answer: B
Rationales
Correct Option: Teaching and demonstrating newborn safe-
sleep practices, observing the mother’s technique, and
documenting competencies is within the ADN nurse’s role—it
prioritizes safety, assesses learning needs, and verifies caregiver
competence before discharge. This action addresses family
education, prevents neonatal risk (SIDS, unsafe sleep), and
documents care.
Incorrect A: Reviewing maternal labs and trends is useful but
may overwhelm the mother and shifts focus from immediate
safety needs for the newborn; teaching should be prioritized.
Incorrect C: Telling the mother to call the obstetrician defers
responsibility and fails to assess and teach the mother now,
risking unsafe care at home.
Incorrect D: Delegating teaching to the preceptor abdicates a
core nursing responsibility; patient education is within the ADN
scope and essential to safe transitions.
Teaching point: Verify caregiver competence with teach-back
and document education before discharge.
,Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
Reference: Ch. 1 — Roles in Maternal–Child and Pediatric
Nursing
Stem: On the pediatric unit, a licensed practical nurse (LPN)
offers to change the IV tubing for a 2-week-old neonate
receiving IV fluids. The RN is supervising and must determine
delegation. Which decision best demonstrates appropriate
delegation consistent with safe maternal–child nursing
practice?
A. Allow the LPN to change the tubing because it is a routine
task and frees the RN for assessments.
B. Have the RN change tubing because neonatal IV access
requires RN-level competency and assessment.
C. Ask the LPN to change the tubing while the RN gives
medication to another patient.
D. Assign the tubing change to the LPN and request the
neonatologist be notified after the task is done.
Correct answer: B
Rationales
Correct Option: The RN should perform/neonatal IV tubing
changes because neonatal vascular access and ongoing
assessment require RN-level competence; this decision
prioritizes patient safety and proper assessment of
complications.
, Incorrect A: Treating it as routine underestimates the
specialized assessment needs of neonates and risks delayed
recognition of infiltration or infection.
Incorrect C: Delegation while the RN is occupied reduces
supervision and may compromise immediate assessment if
complications occur.
Incorrect D: Assigning without RN involvement and delaying
communication is unsafe; immediate RN responsibility is
indicated.
Teaching point: Delegate based on complexity and required
assessment—neonatal IV care often requires RN responsibility.
Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
Reference: Ch. 1 — Roles in Maternal–Child and Pediatric
Nursing
Stem: A community health nurse preparing a prenatal class
must decide which topics to include to fulfill the role of
population-focused maternal–child nursing. Which plan best
reflects the nurse’s role in preventive care?
A. Focus exclusively on labor pain management options and
birthing center amenities.
B. Include immunization schedules for infants, safe sleep,
breastfeeding basics, and local support resources.
C. Provide advanced genetic counseling information for all
attendees regardless of risk.
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
Reference: Ch. 1 — Roles in Maternal–Child and Pediatric
Nursing
Stem: A newly hired ADN nurse is assigned to the postpartum
unit with a preceptor. During shift report, the nurse learns a
new mother has a history of preeclampsia and is scheduled for
discharge in the morning. The mother expresses anxiety about
caring for her newborn at home. Which nursing action best
reflects the ADN nurse’s role and responsibility in this
maternal–child setting?
A. Provide a full review of all maternal labs and blood pressure
trends so the mother understands her diagnosis.
B. Teach and demonstrate newborn safe-sleep practices,
observe the mother’s technique, and document teaching and
,competencies.
C. Tell the mother to call her obstetrician’s office tomorrow for
any concerns and chart that teaching was completed.
D. Delegate all discharge teaching to the preceptor because
teaching is an advanced practice responsibility.
Correct answer: B
Rationales
Correct Option: Teaching and demonstrating newborn safe-
sleep practices, observing the mother’s technique, and
documenting competencies is within the ADN nurse’s role—it
prioritizes safety, assesses learning needs, and verifies caregiver
competence before discharge. This action addresses family
education, prevents neonatal risk (SIDS, unsafe sleep), and
documents care.
Incorrect A: Reviewing maternal labs and trends is useful but
may overwhelm the mother and shifts focus from immediate
safety needs for the newborn; teaching should be prioritized.
Incorrect C: Telling the mother to call the obstetrician defers
responsibility and fails to assess and teach the mother now,
risking unsafe care at home.
Incorrect D: Delegating teaching to the preceptor abdicates a
core nursing responsibility; patient education is within the ADN
scope and essential to safe transitions.
Teaching point: Verify caregiver competence with teach-back
and document education before discharge.
,Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
Reference: Ch. 1 — Roles in Maternal–Child and Pediatric
Nursing
Stem: On the pediatric unit, a licensed practical nurse (LPN)
offers to change the IV tubing for a 2-week-old neonate
receiving IV fluids. The RN is supervising and must determine
delegation. Which decision best demonstrates appropriate
delegation consistent with safe maternal–child nursing
practice?
A. Allow the LPN to change the tubing because it is a routine
task and frees the RN for assessments.
B. Have the RN change tubing because neonatal IV access
requires RN-level competency and assessment.
C. Ask the LPN to change the tubing while the RN gives
medication to another patient.
D. Assign the tubing change to the LPN and request the
neonatologist be notified after the task is done.
Correct answer: B
Rationales
Correct Option: The RN should perform/neonatal IV tubing
changes because neonatal vascular access and ongoing
assessment require RN-level competence; this decision
prioritizes patient safety and proper assessment of
complications.
, Incorrect A: Treating it as routine underestimates the
specialized assessment needs of neonates and risks delayed
recognition of infiltration or infection.
Incorrect C: Delegation while the RN is occupied reduces
supervision and may compromise immediate assessment if
complications occur.
Incorrect D: Assigning without RN involvement and delaying
communication is unsafe; immediate RN responsibility is
indicated.
Teaching point: Delegate based on complexity and required
assessment—neonatal IV care often requires RN responsibility.
Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
Reference: Ch. 1 — Roles in Maternal–Child and Pediatric
Nursing
Stem: A community health nurse preparing a prenatal class
must decide which topics to include to fulfill the role of
population-focused maternal–child nursing. Which plan best
reflects the nurse’s role in preventive care?
A. Focus exclusively on labor pain management options and
birthing center amenities.
B. Include immunization schedules for infants, safe sleep,
breastfeeding basics, and local support resources.
C. Provide advanced genetic counseling information for all
attendees regardless of risk.
