INTRODUCTORY MATERNITY &
PEDIATRIC NURSING
5TH EDITION
• AUTHOR(S)NANCY HATFIELD;
CYNTHIA KINCHELOE
TEST BANK
1
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: A new graduate nurse is assigned to the postpartum unit
where several new mothers are learning infant-care skills before
discharge. One mother seems anxious, asks many questions,
and keeps checking her baby’s color and breathing. Which
nursing action best demonstrates family-centered care while
addressing the mother’s anxiety?
A. Tell the mother to stop worrying and focus on the teaching
,points.
B. Provide a brief explanation of normal newborn cues, validate
her concerns, and offer hands-on practice with follow-up
feedback.
C. Ask the charge nurse to move the mother to a private room
so she won’t bother others.
D. Hand the mother an infant-care pamphlet and say to read it
at home.
Correct Answer: B
Rationale — Correct: Option B validates the mother’s feelings,
provides developmentally appropriate education, and uses
hands-on practice—core elements of family-centered nursing
that build competence and confidence. This approach
addresses anxiety through teaching and support, consistent
with safe postpartum discharge preparation.
Rationale — Incorrect A: Dismissing her concerns is
unsupportive and may increase anxiety; it violates family-
centered care principles.
Rationale — Incorrect C: Relocating without addressing needs
avoids the problem and may isolate the family; not the priority
intervention.
Rationale — Incorrect D: Giving only written material is passive
and insufficient for a mother demonstrating anxiety and need
for practice.
Teaching Point: Validate concerns; combine teaching with
hands-on practice.
,Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
2
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: On a pediatric unit, the nurse notes that a 4-year-old
admitted for asthma is frightened when the parent leaves for a
brief test. Which action best reflects developmentally
appropriate, family-centered nursing?
A. Explain to the child that the parent will return soon and
leave.
B. Encourage the parent to stay with the child during
procedures and involve the parent in routine care.
C. Ask the parent to step out so the child will learn
independence.
D. Offer the child a toy and tell the parent to come back later.
Correct Answer: B
Rationale — Correct: Allowing the parent to remain and be
involved supports the child’s sense of security and aligns with
family-centered, developmentally appropriate care. Parental
presence reduces fear, improves cooperation, and promotes
better outcomes.
Rationale — Incorrect A: Simply saying will return may not
relieve separation anxiety and lacks parental involvement.
, Rationale — Incorrect C: Forcing separation is developmentally
inappropriate for preschoolers and may cause distress.
Rationale — Incorrect D: A toy alone doesn’t replace parental
support and may not address the child’s emotional needs.
Teaching Point: Parental presence reduces pediatric anxiety and
improves cooperation.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
3
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: A public-health nurse plans a home visit for a
primiparous mother who delivered via cesarean section 48
hours ago. Which assessment finding should prompt the nurse
to consult the provider immediately?
A. Incision edges approximated with scant serous drainage.
B. Temperature 38.3°C (100.9°F) and increased incision
tenderness.
C. Mild lochia rubra with small clots.
D. Mother reports taking walks around the house for short
periods.
Correct Answer: B
Rationale — Correct: Fever and increasing incision tenderness
suggest possible infection (endometritis or wound infection)
PEDIATRIC NURSING
5TH EDITION
• AUTHOR(S)NANCY HATFIELD;
CYNTHIA KINCHELOE
TEST BANK
1
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: A new graduate nurse is assigned to the postpartum unit
where several new mothers are learning infant-care skills before
discharge. One mother seems anxious, asks many questions,
and keeps checking her baby’s color and breathing. Which
nursing action best demonstrates family-centered care while
addressing the mother’s anxiety?
A. Tell the mother to stop worrying and focus on the teaching
,points.
B. Provide a brief explanation of normal newborn cues, validate
her concerns, and offer hands-on practice with follow-up
feedback.
C. Ask the charge nurse to move the mother to a private room
so she won’t bother others.
D. Hand the mother an infant-care pamphlet and say to read it
at home.
Correct Answer: B
Rationale — Correct: Option B validates the mother’s feelings,
provides developmentally appropriate education, and uses
hands-on practice—core elements of family-centered nursing
that build competence and confidence. This approach
addresses anxiety through teaching and support, consistent
with safe postpartum discharge preparation.
Rationale — Incorrect A: Dismissing her concerns is
unsupportive and may increase anxiety; it violates family-
centered care principles.
Rationale — Incorrect C: Relocating without addressing needs
avoids the problem and may isolate the family; not the priority
intervention.
Rationale — Incorrect D: Giving only written material is passive
and insufficient for a mother demonstrating anxiety and need
for practice.
Teaching Point: Validate concerns; combine teaching with
hands-on practice.
,Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
2
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: On a pediatric unit, the nurse notes that a 4-year-old
admitted for asthma is frightened when the parent leaves for a
brief test. Which action best reflects developmentally
appropriate, family-centered nursing?
A. Explain to the child that the parent will return soon and
leave.
B. Encourage the parent to stay with the child during
procedures and involve the parent in routine care.
C. Ask the parent to step out so the child will learn
independence.
D. Offer the child a toy and tell the parent to come back later.
Correct Answer: B
Rationale — Correct: Allowing the parent to remain and be
involved supports the child’s sense of security and aligns with
family-centered, developmentally appropriate care. Parental
presence reduces fear, improves cooperation, and promotes
better outcomes.
Rationale — Incorrect A: Simply saying will return may not
relieve separation anxiety and lacks parental involvement.
, Rationale — Incorrect C: Forcing separation is developmentally
inappropriate for preschoolers and may cause distress.
Rationale — Incorrect D: A toy alone doesn’t replace parental
support and may not address the child’s emotional needs.
Teaching Point: Parental presence reduces pediatric anxiety and
improves cooperation.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
3
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: A public-health nurse plans a home visit for a
primiparous mother who delivered via cesarean section 48
hours ago. Which assessment finding should prompt the nurse
to consult the provider immediately?
A. Incision edges approximated with scant serous drainage.
B. Temperature 38.3°C (100.9°F) and increased incision
tenderness.
C. Mild lochia rubra with small clots.
D. Mother reports taking walks around the house for short
periods.
Correct Answer: B
Rationale — Correct: Fever and increasing incision tenderness
suggest possible infection (endometritis or wound infection)
