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
and Scope
Stem
A newly hired BSN nurse on the postpartum unit is assigned a
patient who is 24 hours postpartum after a vaginal birth with an
uneventful labor. The nurse notices the mother’s pulse is 110
beats/min, she reports feeling light-headed when standing, and
the fundus is firm but displaced slightly above the umbilicus.
Which nursing action best reflects appropriate role
responsibility and initial clinical judgment?
,A. Document findings and recheck vital signs in 4 hours.
B. Assist the mother to lie flat, recheck the pulse and
orthostatic blood pressure, and encourage oral fluids.
C. Notify the provider immediately to request a CBC and IV
fluids.
D. Encourage ambulation to reduce risk of venous
thromboembolism.
Correct answer
B
Rationales
• Correct (B): Assisting the mother to lie down, rechecking
orthostatic vital signs, and encouraging oral fluids are
appropriate initial nursing actions that address tachycardia
and light-headedness—possible early hypovolemia or
orthostatic change—while the nurse monitors and
evaluates. This reflects the nurse’s scope in assessment,
immediate intervention, and reassessment.
• Incorrect (A): Waiting 4 hours delays evaluation of a
symptomatic tachycardia and dizziness; unsafe because
signs may indicate evolving hypovolemia.
• Incorrect (C): Notifying the provider may be necessary if
findings persist or worsen, but immediate basic nursing
interventions and reassessment should occur first;
provider notification without preliminary reassessment
misses nursing responsibilities.
, • Incorrect (D): Encouraging ambulation when the patient is
light-headed risks falls and is unsafe until orthostatic
causes are assessed and managed.
Teaching point
Perform immediate assessment and basic interventions before
escalating to provider notification.
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: Interdisciplinary
Collaboration
Stem
A 6-month-old infant with bronchiolitis is scheduled for
discharge, but the parents express anxiety about suctioning at
home. Which nursing action best demonstrates the nurse’s role
in family-centered, interdisciplinary care?
A. Provide a written handout about suctioning and discharge
the infant.
B. Demonstrate suctioning to the parents, observe return
demonstration, and arrange a visit from the community health
nurse.
C. Tell the parents to contact the pediatrician if they have
, problems once home.
D. Suggest the parents purchase an over-the-counter saline
nasal spray and call the pediatrician only if fever develops.
Correct answer
B
Rationales
• Correct (B): Demonstration with return demonstration
ensures competency; arranging community follow-up
reflects family-centered, interdisciplinary planning that
supports safety and continuity of care.
• Incorrect (A): A handout alone may not ensure skill
acquisition or parental confidence—insufficient for safe
home care.
• Incorrect (C): Deferring entirely to the pediatrician omits
nursing responsibility to teach and ensure family readiness
prior to discharge.
• Incorrect (D): Recommending OTC measures without
teaching and follow-up risks inadequate care and delayed
escalation of illness.
Teaching point
Use teach-back and arrange follow-up to ensure safe family-
centered discharge teaching.
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
and Scope
Stem
A newly hired BSN nurse on the postpartum unit is assigned a
patient who is 24 hours postpartum after a vaginal birth with an
uneventful labor. The nurse notices the mother’s pulse is 110
beats/min, she reports feeling light-headed when standing, and
the fundus is firm but displaced slightly above the umbilicus.
Which nursing action best reflects appropriate role
responsibility and initial clinical judgment?
,A. Document findings and recheck vital signs in 4 hours.
B. Assist the mother to lie flat, recheck the pulse and
orthostatic blood pressure, and encourage oral fluids.
C. Notify the provider immediately to request a CBC and IV
fluids.
D. Encourage ambulation to reduce risk of venous
thromboembolism.
Correct answer
B
Rationales
• Correct (B): Assisting the mother to lie down, rechecking
orthostatic vital signs, and encouraging oral fluids are
appropriate initial nursing actions that address tachycardia
and light-headedness—possible early hypovolemia or
orthostatic change—while the nurse monitors and
evaluates. This reflects the nurse’s scope in assessment,
immediate intervention, and reassessment.
• Incorrect (A): Waiting 4 hours delays evaluation of a
symptomatic tachycardia and dizziness; unsafe because
signs may indicate evolving hypovolemia.
• Incorrect (C): Notifying the provider may be necessary if
findings persist or worsen, but immediate basic nursing
interventions and reassessment should occur first;
provider notification without preliminary reassessment
misses nursing responsibilities.
, • Incorrect (D): Encouraging ambulation when the patient is
light-headed risks falls and is unsafe until orthostatic
causes are assessed and managed.
Teaching point
Perform immediate assessment and basic interventions before
escalating to provider notification.
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: Interdisciplinary
Collaboration
Stem
A 6-month-old infant with bronchiolitis is scheduled for
discharge, but the parents express anxiety about suctioning at
home. Which nursing action best demonstrates the nurse’s role
in family-centered, interdisciplinary care?
A. Provide a written handout about suctioning and discharge
the infant.
B. Demonstrate suctioning to the parents, observe return
demonstration, and arrange a visit from the community health
nurse.
C. Tell the parents to contact the pediatrician if they have
, problems once home.
D. Suggest the parents purchase an over-the-counter saline
nasal spray and call the pediatrician only if fever develops.
Correct answer
B
Rationales
• Correct (B): Demonstration with return demonstration
ensures competency; arranging community follow-up
reflects family-centered, interdisciplinary planning that
supports safety and continuity of care.
• Incorrect (A): A handout alone may not ensure skill
acquisition or parental confidence—insufficient for safe
home care.
• Incorrect (C): Deferring entirely to the pediatrician omits
nursing responsibility to teach and ensure family readiness
prior to discharge.
• Incorrect (D): Recommending OTC measures without
teaching and follow-up risks inadequate care and delayed
escalation of illness.
Teaching point
Use teach-back and arrange follow-up to ensure safe family-
centered discharge teaching.
