SAFE MATERNITY AND PEDIATRIC
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
Ch. 1 — Introduction to Maternity and Pediatric Nursing: Roles
in Maternal-Child and Pediatric Nursing
Stem: A new graduate nurse is assigned to the postpartum unit
and must plan care for a mother who expresses anxiety about
breastfeeding and feels unsure about infant care. The charge
nurse asks the new graduate to identify two appropriate
nursing roles to prioritize during the first 2 postpartum hours.
Which pair best reflects primary nursing responsibilities that
promote safety and family-centered care?
A. Advocate for breastfeeding education and coordinator for
lactation consult.
B. Documentation specialist and medication dispenser.
,C. Discharge planner and administrative liaison with insurance.
D. Laboratory requisitioner and dietary menu planner.
Correct Answer: A
Rationales:
• Correct (A): Prioritizing advocacy for breastfeeding
education and coordinating a lactation consult are direct
bedside nursing roles that enhance maternal-newborn
bonding, ensure safe feeding techniques, and reduce risk
for feeding problems. These roles align with family-
centered care and immediate postpartum safety priorities.
• Incorrect (B): While documentation and medication
administration are nursing tasks, focusing exclusively on
them during the immediate postpartum period neglects
education and support needed for safe infant feeding.
• Incorrect (C): Discharge planning and insurance liaison are
important but are not first-line roles during the immediate
postpartum hours when maternal education and feeding
safety are urgent.
• Incorrect (D): Ordering labs and planning menus are
ancillary tasks that do not address the mother’s expressed
anxiety or the newborn’s immediate feeding needs.
Teaching Point: Prioritize bedside advocacy and education for
immediate postpartum safety.
Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
,Ch. 1 — Roles in Maternal-Child and Pediatric Nursing
Stem: A pediatric nurse is caring for a 6-year-old child admitted
with asthma exacerbation. The nurse notices the parent gives
inconsistent inhaler technique instruction at home. Which role
should the nurse perform first to improve adherence and
safety?
A. Provide hands-on demonstration and coach parent with
return demonstration.
B. Document the inconsistency and notify the provider to
change medications.
C. Refer to social work for home environment assessment.
D. Wait until discharge to provide written instructions.
Correct Answer: A
Rationales:
• Correct (A): Immediate hands-on teaching with return
demonstration addresses the safety risk (incorrect
technique), improves adherence, and reduces risk of
repeat exacerbations. Teaching at point of care is a primary
nursing role.
• Incorrect (B): Documentation is necessary but passive;
notifying the provider to change medications without first
assessing technique may lead to unnecessary medication
changes.
, • Incorrect (C): Social work referral may be appropriate later,
but it does not immediately correct unsafe inhaler use.
• Incorrect (D): Delaying education until discharge misses a
critical opportunity to ensure safe administration and
reduce acute risk during hospitalization.
Teaching Point: Teach and verify caregiver technique
immediately to prevent repeated exacerbations.
Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
Ch. 1 — Legalities and Ethics
Stem: A laboring client with capacity refuses recommended
continuous external fetal monitoring despite risk factors for
fetal compromise. The client states she understands the risks
but declines. Which action by the nurse best balances
legal/ethical obligations and safety?
A. Respect the informed refusal, document discussion and offer
alternatives, notify the provider.
B. Override the refusal and apply monitoring because it’s for
fetal safety.
C. Dismiss the client’s concern and proceed without
documentation.
D. Ask family to persuade the client to accept monitoring.
Correct Answer: A
Rationales:
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
Ch. 1 — Introduction to Maternity and Pediatric Nursing: Roles
in Maternal-Child and Pediatric Nursing
Stem: A new graduate nurse is assigned to the postpartum unit
and must plan care for a mother who expresses anxiety about
breastfeeding and feels unsure about infant care. The charge
nurse asks the new graduate to identify two appropriate
nursing roles to prioritize during the first 2 postpartum hours.
Which pair best reflects primary nursing responsibilities that
promote safety and family-centered care?
A. Advocate for breastfeeding education and coordinator for
lactation consult.
B. Documentation specialist and medication dispenser.
,C. Discharge planner and administrative liaison with insurance.
D. Laboratory requisitioner and dietary menu planner.
Correct Answer: A
Rationales:
• Correct (A): Prioritizing advocacy for breastfeeding
education and coordinating a lactation consult are direct
bedside nursing roles that enhance maternal-newborn
bonding, ensure safe feeding techniques, and reduce risk
for feeding problems. These roles align with family-
centered care and immediate postpartum safety priorities.
• Incorrect (B): While documentation and medication
administration are nursing tasks, focusing exclusively on
them during the immediate postpartum period neglects
education and support needed for safe infant feeding.
• Incorrect (C): Discharge planning and insurance liaison are
important but are not first-line roles during the immediate
postpartum hours when maternal education and feeding
safety are urgent.
• Incorrect (D): Ordering labs and planning menus are
ancillary tasks that do not address the mother’s expressed
anxiety or the newborn’s immediate feeding needs.
Teaching Point: Prioritize bedside advocacy and education for
immediate postpartum safety.
Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
,Ch. 1 — Roles in Maternal-Child and Pediatric Nursing
Stem: A pediatric nurse is caring for a 6-year-old child admitted
with asthma exacerbation. The nurse notices the parent gives
inconsistent inhaler technique instruction at home. Which role
should the nurse perform first to improve adherence and
safety?
A. Provide hands-on demonstration and coach parent with
return demonstration.
B. Document the inconsistency and notify the provider to
change medications.
C. Refer to social work for home environment assessment.
D. Wait until discharge to provide written instructions.
Correct Answer: A
Rationales:
• Correct (A): Immediate hands-on teaching with return
demonstration addresses the safety risk (incorrect
technique), improves adherence, and reduces risk of
repeat exacerbations. Teaching at point of care is a primary
nursing role.
• Incorrect (B): Documentation is necessary but passive;
notifying the provider to change medications without first
assessing technique may lead to unnecessary medication
changes.
, • Incorrect (C): Social work referral may be appropriate later,
but it does not immediately correct unsafe inhaler use.
• Incorrect (D): Delaying education until discharge misses a
critical opportunity to ensure safe administration and
reduce acute risk during hospitalization.
Teaching Point: Teach and verify caregiver technique
immediately to prevent repeated exacerbations.
Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
Ch. 1 — Legalities and Ethics
Stem: A laboring client with capacity refuses recommended
continuous external fetal monitoring despite risk factors for
fetal compromise. The client states she understands the risks
but declines. Which action by the nurse best balances
legal/ethical obligations and safety?
A. Respect the informed refusal, document discussion and offer
alternatives, notify the provider.
B. Override the refusal and apply monitoring because it’s for
fetal safety.
C. Dismiss the client’s concern and proceed without
documentation.
D. Ask family to persuade the client to accept monitoring.
Correct Answer: A
Rationales:
