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
Stem: A newly hired ADN nurse on the postpartum unit is
assigned a mother with a history of gestational diabetes and a
healthy newborn. The charge nurse asks the new nurse to
develop a plan of care that prioritizes safety for both mother
and neonate. Which action demonstrates the best initial step in
applying maternal-child nursing principles?
A. Begin routine newborn bathing and parent teaching about
bathing before assessing blood glucose trends.
B. Review the mother’s prenatal record for glycemic control and
confirm neonatal blood glucose screening plan.
,C. Start discharge teaching for the mother about diet and
insulin adjustments immediately.
D. Encourage extended skin-to-skin contact without checking
the neonatal blood glucose order.
Correct answer: B
Rationales
Correct (B): Reviewing prenatal glycemic control and confirming
neonatal blood glucose screening aligns with safety-first
maternal-child nursing. It identifies risk for neonatal
hypoglycemia and ensures monitoring is in place before
interventions. Early risk assessment guides timely prevention
and family teaching.
Incorrect (A): Bathing and bathing education are important but
premature before confirming neonatal monitoring — could
delay recognition of hypoglycemia.
Incorrect (C): Discharge teaching is necessary but immediate
priority is current risk assessment; teaching before stabilization
may miss critical changes.
Incorrect (D): Skin-to-skin benefits are important, but initiating
without confirming monitoring orders for a baby at risk for
hypoglycemia is unsafe.
Teaching point: Assess maternal and neonatal risk factors
before routine interventions.
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 triaging a 3-year-old with fever and
decreased oral intake. The family is anxious and asks whether to
go to the ED or wait for the clinic. Which nursing action best
demonstrates appropriate role-based triage and family-
centered care?
A. Tell the parents to wait at home unless the fever reaches
40°C.
B. Ask focused questions about symptom onset, fluid intake,
activity level, and provide guidance on red flags that require ED
care.
C. Immediately advise ED transfer for every febrile child under
five.
D. Recommend over-the-counter antipyretics and end the call,
trusting the parents to follow up as needed.
Correct answer: B
Rationales
Correct (B): Focused assessment questions and clear red-flag
guidance demonstrate the nurse’s triage role and family-
centered communication. This balances safety, resource use,
and parental involvement in decision making.
Incorrect (A): Using a single temperature threshold ignores
clinical context (e.g., activity, hydration, age) and may delay
care.
Incorrect (C): Universal ED referral is unsafe and not role-
appropriate; it may overuse resources and increase family
, stress.
Incorrect (D): Giving advice without assessment or red-flag
education risks missing urgent signs and undermines safety.
Teaching point: Use focused assessment and teach red flags
when triaging pediatric patients.
Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
Ch. 1 — Legalities and Ethics
Stem: While caring for a 15-year-old pregnant adolescent, the
nurse learns from the teen that she is being physically abused at
home but asks the nurse not to tell anyone. What is the nurse’s
safest, legally and ethically appropriate action?
A. Respect the teen’s request and document the disclosure only
in the chart.
B. Notify the appropriate child protective services and the
healthcare team per mandatory reporting laws.
C. Promise confidentiality and encourage the teen to leave
home without notifying authorities.
D. Tell the teen you will respect her wishes and only inform her
primary care provider.
Correct answer: B
Rationales
Correct (B): Mandatory reporting of suspected child or
adolescent abuse protects safety and fulfills legal obligations;
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
Ch. 1 — Introduction to Maternity and Pediatric Nursing
Stem: A newly hired ADN nurse on the postpartum unit is
assigned a mother with a history of gestational diabetes and a
healthy newborn. The charge nurse asks the new nurse to
develop a plan of care that prioritizes safety for both mother
and neonate. Which action demonstrates the best initial step in
applying maternal-child nursing principles?
A. Begin routine newborn bathing and parent teaching about
bathing before assessing blood glucose trends.
B. Review the mother’s prenatal record for glycemic control and
confirm neonatal blood glucose screening plan.
,C. Start discharge teaching for the mother about diet and
insulin adjustments immediately.
D. Encourage extended skin-to-skin contact without checking
the neonatal blood glucose order.
Correct answer: B
Rationales
Correct (B): Reviewing prenatal glycemic control and confirming
neonatal blood glucose screening aligns with safety-first
maternal-child nursing. It identifies risk for neonatal
hypoglycemia and ensures monitoring is in place before
interventions. Early risk assessment guides timely prevention
and family teaching.
Incorrect (A): Bathing and bathing education are important but
premature before confirming neonatal monitoring — could
delay recognition of hypoglycemia.
Incorrect (C): Discharge teaching is necessary but immediate
priority is current risk assessment; teaching before stabilization
may miss critical changes.
Incorrect (D): Skin-to-skin benefits are important, but initiating
without confirming monitoring orders for a baby at risk for
hypoglycemia is unsafe.
Teaching point: Assess maternal and neonatal risk factors
before routine interventions.
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 triaging a 3-year-old with fever and
decreased oral intake. The family is anxious and asks whether to
go to the ED or wait for the clinic. Which nursing action best
demonstrates appropriate role-based triage and family-
centered care?
A. Tell the parents to wait at home unless the fever reaches
40°C.
B. Ask focused questions about symptom onset, fluid intake,
activity level, and provide guidance on red flags that require ED
care.
C. Immediately advise ED transfer for every febrile child under
five.
D. Recommend over-the-counter antipyretics and end the call,
trusting the parents to follow up as needed.
Correct answer: B
Rationales
Correct (B): Focused assessment questions and clear red-flag
guidance demonstrate the nurse’s triage role and family-
centered communication. This balances safety, resource use,
and parental involvement in decision making.
Incorrect (A): Using a single temperature threshold ignores
clinical context (e.g., activity, hydration, age) and may delay
care.
Incorrect (C): Universal ED referral is unsafe and not role-
appropriate; it may overuse resources and increase family
, stress.
Incorrect (D): Giving advice without assessment or red-flag
education risks missing urgent signs and undermines safety.
Teaching point: Use focused assessment and teach red flags
when triaging pediatric patients.
Citation: Linnard-Palmer, L., & Coats, G. H. (2025). Safe
Maternity and Pediatric Nursing Care (3rd ed.). Ch. 1.
Ch. 1 — Legalities and Ethics
Stem: While caring for a 15-year-old pregnant adolescent, the
nurse learns from the teen that she is being physically abused at
home but asks the nurse not to tell anyone. What is the nurse’s
safest, legally and ethically appropriate action?
A. Respect the teen’s request and document the disclosure only
in the chart.
B. Notify the appropriate child protective services and the
healthcare team per mandatory reporting laws.
C. Promise confidentiality and encourage the teen to leave
home without notifying authorities.
D. Tell the teen you will respect her wishes and only inform her
primary care provider.
Correct answer: B
Rationales
Correct (B): Mandatory reporting of suspected child or
adolescent abuse protects safety and fulfills legal obligations;
