Linnard-Palmer/Haile Coats 01-1
Safe Maternity and Pediatric Nursing Care, 3e Test Bank
Chapter 1: Introduction to Maternity and Pediatric Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A patient is admitted to the labor and delivery unit. Which member of the health-care team
develops a plan of care based on that patient’s needs?
1) Licensed practical nurse (LPN)/licensed vocational nurse (LVN)
2) Registered nurse (RN)
3) Nurse practitioner (NP)
4) Certified nurse midwife (CNM)
____ 2. How does a nurse practitioner’s (NP’s) role differ from that of a certified nurse midwife (CNM)
with regard to maternity care?
1) The NP does not usually deliver babies but cares for women before and after delivery.
2) The CNM cannot prescribe medications, but an NP does have prescribing privileges.
3) The CNM is hired by the hospital, whereas an NP practices independently and does not
have hospital privileges.
4) The CNM and the NP have very similar roles with little difference between the two.
____ 3. The health-care provider explains the need for an amniocentesis, but the patient declines the
procedure. The nurse supports the patient’s right to make this decision, demonstrating an
understanding of which ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
____ 4. The nurse joins a community outreach program to promote vaccination of children,
demonstrating which ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
____ 5. The nurse working in an acute care facility makes it a point to never look at the declaration page
showing the patient’s insurance or lack of insurance because of a belief that all patients should be
treated equally. This demonstrates which ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
____ 6. The nurse working on a pediatric medical–surgical unit is reviewing the clinical guidelines for
how to administer an intramuscular injection to a child. Which type of legal guideline is the
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, Linnard-Palmer/Haile Coats 01-2
Safe Maternity and Pediatric Nursing Care, 3e Test Bank
nurse using to inform their practice in this scenario?
1) Scope of practice
2) Standards of care
3) Ethical principles
4) Informed consent
____ 7. Which term describes assisting a family to feel supported, listened to, and competent?
1) Enabling
2) Empathy
3) Egocentric
4) Empowerment
___ 8. Which action would the nurse implement in order to apply the principles of family-centered care
in the hospital environment?
1) Implementing a strict visitation policy for siblings
2) Allowing a child to “cry it out” when parents leave the bedside
3) Encouraging parents to continue bedtime routines, such as reading a story
4) Discouraging cultural foods because they cannot be provided by the dietary department
____ 9. Which anatomical difference between adults and children places a pediatric patient at risk for
insensible losses?
1) Large body surface area
2) Obligatory nose breathing
3) Disproportionate head size
4) Poorly developed intercostal chest muscles
____ 10. Which anatomical factor increases the risk for respiratory failure in a pediatric patient?
1) Smaller airway
2) Obligatory nose breathing
3) Large posterior head bone (occiput)
4) Poorly developed intercostal chest muscles
____ 11. Which anatomical factor increases the risk for airway occlusion in a pediatric patient?
1) A large posterior head bone (occiput)
2) An increase in total body surface area
3) A decrease in circulatory blood volume
4) Poorly developed intercostal chest muscles
____ 12. The nurse is preparing an 8-year-old child for a procedure. Which statement is true of assent?
1) Feedback from the child is part of the agreement or assent.
2) All children 7 years or older can participate in assent.
3) Assent only applies to emancipated children.
4) The health-care team does not need to include the parent or guardian in assent.
____ 13. The nurse has many tasks to complete and is trying to ensure that they are all done in a timely
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, Linnard-Palmer/Haile Coats 01-3
Safe Maternity and Pediatric Nursing Care, 3e Test Bank
manner. What is the first step the nurse would take when delegating?
1) Review the legal standards of the task.
2) Decide whether the legal standards and specific activity of the task allow the task to be
delegated.
3) Clarify what the specific activity or task is by defining all aspects of the issue.
4) Model the established practice that is accepted as the correct way to provide care.
____ 14. What is the nurse’s responsibility with regard to informed consent?
1) Answer the patient’s questions about the procedure.
2) Explain what the health-care provider will be doing during the procedure.
3) Ensure that the consent is signed by the health-care provider and the patient before the
procedure.
4) Tell the patient all of the risks associated with the procedure.
____ 15. A 17-year-old in her first trimester visits the clinic for a prenatal appointment. She is upset
because her parents want her to have an abortion, but she does not want to terminate the
pregnancy. What question would the nurse ask to determine the emancipation status of the
patient?
1) “Are you married?”
2) “Do you have a lawyer?”
3) “Do you have a job?”
4) “Have you graduated high school?”
____ 16. The nurse is caring for a pediatric patient and gathers information to ensure that the child is
living in a safe home environment. Which children’s right is the nurse advocating for?
1) Right to participation
2) Right to decision-making
3) Right to protection
4) Right to provisions
____ 17. The nurse is uncomfortable with caring for a patient who is planning to undergo an abortion.
What action should the nurse take?
1) Continue to care for the patient.
2) Talk to the patient about her decision.
3) Notify the nurse manager.
4) Delegate care to unlicensed assistive personnel.
____ 18. The parents of a child with brain cancer are debating whether or not to proceed with a high-risk
surgery for their child. What is the best therapeutic response by the nurse?
1) “Why don’t you ask your child what they want?”
2) “The surgery has a 75% mortality rate.”
3) “What do you know about the surgery?”
4) “How can I help you with this decision?”
____ 19. What evaluation is challenging for nurses to conduct in young children?
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, Linnard-Palmer/Haile Coats 01-4
Safe Maternity and Pediatric Nursing Care, 3e Test Bank
1) Glasgow Coma Scale
2) Pain
3) Cardiovascular
4) Respiratory
____ 20. A nurse is explaining child development to expectant parents. How would the nurse explain the
proximal–distal aspect of development?
1) Infants have head control before they can walk.
2) Infants develop from the feet first, then up to the head.
3) Infants can move their arms before they can grasp objects.
4) Infants can crawl before they can walk.
____ 21. The nurse is caring for a pediatric patient who lives at home with their mother, father, and
grandmother. Which term would the nurse use to describe this family?
1) Nuclear family
2) Reconstituted family
3) Extended family
4) Communal family
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 22. The nurse working in the neonatal intensive care unit (NICU) sits with the family as the health-
care provider explains that the neonate has no hope of survival and recommends discontinuation
of life support. Which ethical dilemma(s) should the nurse identify in this situation? (Select all
that apply.)
1) Quality of life versus quantity of life
2) The cost of providing futile care
3) Euthanasia versus God’s will
4) Lack of support for decision-making
5) Knowledge deficit
____ 23. The nurse working in an obstetric clinic admits a woman who is 5 months pregnant and admits to
a heroin addiction. Which intervention(s) will be effective in meeting the nurse’s ethical
obligation to the unborn fetus? (Select all that apply.)
1) Reporting the patient’s heroin use to the police
2) Teaching the patient about the impacts to babies born to heroin addicts
3) Providing referrals to community resources for drug treatment
4) Discussing the option of abortion because the mother will be unable to care for the child
5) Determining whether the patient has family support during her pregnancy
____ 24. Which pediatric anatomical differences increase the child’s risk for developing respiratory
complications? (Select all that apply.)
1) Higher glucose needs
2) Obligate nose breathing
Copyright © 2025
Safe Maternity and Pediatric Nursing Care, 3e Test Bank
Chapter 1: Introduction to Maternity and Pediatric Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A patient is admitted to the labor and delivery unit. Which member of the health-care team
develops a plan of care based on that patient’s needs?
1) Licensed practical nurse (LPN)/licensed vocational nurse (LVN)
2) Registered nurse (RN)
3) Nurse practitioner (NP)
4) Certified nurse midwife (CNM)
____ 2. How does a nurse practitioner’s (NP’s) role differ from that of a certified nurse midwife (CNM)
with regard to maternity care?
1) The NP does not usually deliver babies but cares for women before and after delivery.
2) The CNM cannot prescribe medications, but an NP does have prescribing privileges.
3) The CNM is hired by the hospital, whereas an NP practices independently and does not
have hospital privileges.
4) The CNM and the NP have very similar roles with little difference between the two.
____ 3. The health-care provider explains the need for an amniocentesis, but the patient declines the
procedure. The nurse supports the patient’s right to make this decision, demonstrating an
understanding of which ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
____ 4. The nurse joins a community outreach program to promote vaccination of children,
demonstrating which ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
____ 5. The nurse working in an acute care facility makes it a point to never look at the declaration page
showing the patient’s insurance or lack of insurance because of a belief that all patients should be
treated equally. This demonstrates which ethical principle?
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
____ 6. The nurse working on a pediatric medical–surgical unit is reviewing the clinical guidelines for
how to administer an intramuscular injection to a child. Which type of legal guideline is the
Copyright © 2025
, Linnard-Palmer/Haile Coats 01-2
Safe Maternity and Pediatric Nursing Care, 3e Test Bank
nurse using to inform their practice in this scenario?
1) Scope of practice
2) Standards of care
3) Ethical principles
4) Informed consent
____ 7. Which term describes assisting a family to feel supported, listened to, and competent?
1) Enabling
2) Empathy
3) Egocentric
4) Empowerment
___ 8. Which action would the nurse implement in order to apply the principles of family-centered care
in the hospital environment?
1) Implementing a strict visitation policy for siblings
2) Allowing a child to “cry it out” when parents leave the bedside
3) Encouraging parents to continue bedtime routines, such as reading a story
4) Discouraging cultural foods because they cannot be provided by the dietary department
____ 9. Which anatomical difference between adults and children places a pediatric patient at risk for
insensible losses?
1) Large body surface area
2) Obligatory nose breathing
3) Disproportionate head size
4) Poorly developed intercostal chest muscles
____ 10. Which anatomical factor increases the risk for respiratory failure in a pediatric patient?
1) Smaller airway
2) Obligatory nose breathing
3) Large posterior head bone (occiput)
4) Poorly developed intercostal chest muscles
____ 11. Which anatomical factor increases the risk for airway occlusion in a pediatric patient?
1) A large posterior head bone (occiput)
2) An increase in total body surface area
3) A decrease in circulatory blood volume
4) Poorly developed intercostal chest muscles
____ 12. The nurse is preparing an 8-year-old child for a procedure. Which statement is true of assent?
1) Feedback from the child is part of the agreement or assent.
2) All children 7 years or older can participate in assent.
3) Assent only applies to emancipated children.
4) The health-care team does not need to include the parent or guardian in assent.
____ 13. The nurse has many tasks to complete and is trying to ensure that they are all done in a timely
Copyright © 2025
, Linnard-Palmer/Haile Coats 01-3
Safe Maternity and Pediatric Nursing Care, 3e Test Bank
manner. What is the first step the nurse would take when delegating?
1) Review the legal standards of the task.
2) Decide whether the legal standards and specific activity of the task allow the task to be
delegated.
3) Clarify what the specific activity or task is by defining all aspects of the issue.
4) Model the established practice that is accepted as the correct way to provide care.
____ 14. What is the nurse’s responsibility with regard to informed consent?
1) Answer the patient’s questions about the procedure.
2) Explain what the health-care provider will be doing during the procedure.
3) Ensure that the consent is signed by the health-care provider and the patient before the
procedure.
4) Tell the patient all of the risks associated with the procedure.
____ 15. A 17-year-old in her first trimester visits the clinic for a prenatal appointment. She is upset
because her parents want her to have an abortion, but she does not want to terminate the
pregnancy. What question would the nurse ask to determine the emancipation status of the
patient?
1) “Are you married?”
2) “Do you have a lawyer?”
3) “Do you have a job?”
4) “Have you graduated high school?”
____ 16. The nurse is caring for a pediatric patient and gathers information to ensure that the child is
living in a safe home environment. Which children’s right is the nurse advocating for?
1) Right to participation
2) Right to decision-making
3) Right to protection
4) Right to provisions
____ 17. The nurse is uncomfortable with caring for a patient who is planning to undergo an abortion.
What action should the nurse take?
1) Continue to care for the patient.
2) Talk to the patient about her decision.
3) Notify the nurse manager.
4) Delegate care to unlicensed assistive personnel.
____ 18. The parents of a child with brain cancer are debating whether or not to proceed with a high-risk
surgery for their child. What is the best therapeutic response by the nurse?
1) “Why don’t you ask your child what they want?”
2) “The surgery has a 75% mortality rate.”
3) “What do you know about the surgery?”
4) “How can I help you with this decision?”
____ 19. What evaluation is challenging for nurses to conduct in young children?
Copyright © 2025
, Linnard-Palmer/Haile Coats 01-4
Safe Maternity and Pediatric Nursing Care, 3e Test Bank
1) Glasgow Coma Scale
2) Pain
3) Cardiovascular
4) Respiratory
____ 20. A nurse is explaining child development to expectant parents. How would the nurse explain the
proximal–distal aspect of development?
1) Infants have head control before they can walk.
2) Infants develop from the feet first, then up to the head.
3) Infants can move their arms before they can grasp objects.
4) Infants can crawl before they can walk.
____ 21. The nurse is caring for a pediatric patient who lives at home with their mother, father, and
grandmother. Which term would the nurse use to describe this family?
1) Nuclear family
2) Reconstituted family
3) Extended family
4) Communal family
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 22. The nurse working in the neonatal intensive care unit (NICU) sits with the family as the health-
care provider explains that the neonate has no hope of survival and recommends discontinuation
of life support. Which ethical dilemma(s) should the nurse identify in this situation? (Select all
that apply.)
1) Quality of life versus quantity of life
2) The cost of providing futile care
3) Euthanasia versus God’s will
4) Lack of support for decision-making
5) Knowledge deficit
____ 23. The nurse working in an obstetric clinic admits a woman who is 5 months pregnant and admits to
a heroin addiction. Which intervention(s) will be effective in meeting the nurse’s ethical
obligation to the unborn fetus? (Select all that apply.)
1) Reporting the patient’s heroin use to the police
2) Teaching the patient about the impacts to babies born to heroin addicts
3) Providing referrals to community resources for drug treatment
4) Discussing the option of abortion because the mother will be unable to care for the child
5) Determining whether the patient has family support during her pregnancy
____ 24. Which pediatric anatomical differences increase the child’s risk for developing respiratory
complications? (Select all that apply.)
1) Higher glucose needs
2) Obligate nose breathing
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