INTRODUCTORY MATERNITY &
PEDIATRIC NURSING
5TH EDITION
• AUTHOR(S)NANCY HATFIELD;
CYNTHIA KINCHELOE
TEST BANK
1
Reference
Unit 1 — Overview of Maternal and Pediatric Health Care
Stem
A 3-day-postpartum mother requests that the nurse remove her
newborn’s pacifier while she sleeps because she’s worried
about SIDS. The newborn is term, stable, feeding well, and the
mother appears anxious and tearful. As the nurse assigned to
teach safe sleep and support maternal bonding, what is the
best immediate nursing action?
,Options
A. Remove the pacifier and explain that pacifiers prevent SIDS.
B. Leave the pacifier and observe the mother’s interactions
without comment.
C. Acknowledge the mother’s concerns, provide evidence-based
safe-sleep teaching, and discuss options for soothing.
D. Tell the mother to always keep the pacifier in while the baby
sleeps to reduce crying.
Correct Answer
C
Rationales
Correct (C): Acknowledging the mother’s concerns and
providing concise, evidence-based safe-sleep teaching supports
family-centered care, maternal education, and safety while
promoting bonding. The nurse’s role includes assessment,
teaching, and emotional support.
Incorrect (A): Saying pacifiers prevent SIDS is inaccurate and
directive without teaching; it disregards the mother’s anxiety.
Incorrect (B): Passive observation fails to address maternal
education needs and safety concerns—not an active nursing
approach.
Incorrect (D): Instructing to always keep the pacifier in is
prescriptive and not individualized; it ignores parental
autonomy and teaching.
,Teaching Point
Acknowledge concerns, teach evidence-based safety, and
involve the family in care decisions.
Citation
Hatfield, N., & Kincheloe, C. (2023). Introductory maternity &
pediatric nursing (5th ed.). Unit 1.
2
Reference
Ch. 1 — The Nurse’s Role in a Changing Maternal–Child
Healthcare Environment
Stem
On the medical-surgical floor, an LPN asks the RN to assign the
task of administering oral iron to a 7-month-old infant who is
being discharged tomorrow. The RN’s current assignments
include admission assessment for a postpartum mother and
teaching a breastfeeding class. Which action best reflects the
RN’s professional responsibility?
Options
A. Delegate the administration of oral iron to the LPN and
document the delegation.
B. Refuse delegation and personally give the iron because the
RN must perform all medication administration.
C. Assign the oral iron to unlicensed assistive personnel (UAP) to
free time for teaching.
, D. Tell the LPN to postpone the iron until after discharge
without documentation.
Correct Answer
A
Rationales
Correct (A): Delegation to the LPN for medication
administration that is within LPN scope is appropriate; the RN
retains accountability and must document the delegation,
ensure competence, and supervise. This reflects scope-of-
practice and leadership responsibilities.
Incorrect (B): RN performing every medication is inefficient and
unnecessary when delegation is permitted; accountability
differs from doing every task.
Incorrect (C): UAPs are not typically authorized to administer
medications; delegating to UAP would be unsafe and out of
scope.
Incorrect (D): Postponing without documentation or a plan is
unsafe and breaches continuity of care.
Teaching Point
Delegate within scope, supervise, and document—RN retains
accountability.
Citation
Hatfield, N., & Kincheloe, C. (2023). Introductory maternity &
pediatric nursing (5th ed.). Ch. 1.
PEDIATRIC NURSING
5TH EDITION
• AUTHOR(S)NANCY HATFIELD;
CYNTHIA KINCHELOE
TEST BANK
1
Reference
Unit 1 — Overview of Maternal and Pediatric Health Care
Stem
A 3-day-postpartum mother requests that the nurse remove her
newborn’s pacifier while she sleeps because she’s worried
about SIDS. The newborn is term, stable, feeding well, and the
mother appears anxious and tearful. As the nurse assigned to
teach safe sleep and support maternal bonding, what is the
best immediate nursing action?
,Options
A. Remove the pacifier and explain that pacifiers prevent SIDS.
B. Leave the pacifier and observe the mother’s interactions
without comment.
C. Acknowledge the mother’s concerns, provide evidence-based
safe-sleep teaching, and discuss options for soothing.
D. Tell the mother to always keep the pacifier in while the baby
sleeps to reduce crying.
Correct Answer
C
Rationales
Correct (C): Acknowledging the mother’s concerns and
providing concise, evidence-based safe-sleep teaching supports
family-centered care, maternal education, and safety while
promoting bonding. The nurse’s role includes assessment,
teaching, and emotional support.
Incorrect (A): Saying pacifiers prevent SIDS is inaccurate and
directive without teaching; it disregards the mother’s anxiety.
Incorrect (B): Passive observation fails to address maternal
education needs and safety concerns—not an active nursing
approach.
Incorrect (D): Instructing to always keep the pacifier in is
prescriptive and not individualized; it ignores parental
autonomy and teaching.
,Teaching Point
Acknowledge concerns, teach evidence-based safety, and
involve the family in care decisions.
Citation
Hatfield, N., & Kincheloe, C. (2023). Introductory maternity &
pediatric nursing (5th ed.). Unit 1.
2
Reference
Ch. 1 — The Nurse’s Role in a Changing Maternal–Child
Healthcare Environment
Stem
On the medical-surgical floor, an LPN asks the RN to assign the
task of administering oral iron to a 7-month-old infant who is
being discharged tomorrow. The RN’s current assignments
include admission assessment for a postpartum mother and
teaching a breastfeeding class. Which action best reflects the
RN’s professional responsibility?
Options
A. Delegate the administration of oral iron to the LPN and
document the delegation.
B. Refuse delegation and personally give the iron because the
RN must perform all medication administration.
C. Assign the oral iron to unlicensed assistive personnel (UAP) to
free time for teaching.
, D. Tell the LPN to postpone the iron until after discharge
without documentation.
Correct Answer
A
Rationales
Correct (A): Delegation to the LPN for medication
administration that is within LPN scope is appropriate; the RN
retains accountability and must document the delegation,
ensure competence, and supervise. This reflects scope-of-
practice and leadership responsibilities.
Incorrect (B): RN performing every medication is inefficient and
unnecessary when delegation is permitted; accountability
differs from doing every task.
Incorrect (C): UAPs are not typically authorized to administer
medications; delegating to UAP would be unsafe and out of
scope.
Incorrect (D): Postponing without documentation or a plan is
unsafe and breaches continuity of care.
Teaching Point
Delegate within scope, supervise, and document—RN retains
accountability.
Citation
Hatfield, N., & Kincheloe, C. (2023). Introductory maternity &
pediatric nursing (5th ed.). Ch. 1.
