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 newly hired LPN on the postpartum unit reports to you
(RN) that a stable postpartum client requests earlier discharge
than planned because she must return home to care for her
three children. The client’s vital signs are stable, incision intact,
and newborn feeding well. As the RN responsible for discharge
planning, what is your best immediate nursing action?
,A. Approve the earlier discharge and provide brief discharge
teaching to expedite her departure.
B. Assess the client’s support system, home safety, and access
to follow-up care before deciding.
C. Notify the physician that the client insists on discharge and
ask for a discharge order.
D. Arrange for home health nursing to visit in two weeks and
discharge as scheduled.
Correct Answer: B
Rationales — Correct:
Assessing support, home safety, and access to follow-up
identifies risks and resources that determine safe discharge.
This aligns with the nurse’s role in care coordination, patient
advocacy, and ensuring continuity of maternal-child care.
Rationales — Incorrect:
A. Approving without assessment may jeopardize safety and
misses unmet needs.
C. Notifying the physician before a nursing assessment bypasses
the nursing responsibility to evaluate and prioritize safety.
D. Waiting two weeks for home health without immediate
assessment may leave the family unsupported; timing of follow-
up should match assessed needs.
Teaching point: Assess discharge readiness and supports before
approving early discharge.
,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: During a clinic visit, a 15-year-old pregnant adolescent
tells you she doesn’t want her parents informed about her
pregnancy and asks you to keep it confidential. She appears
emotionally distressed and says she will not seek prenatal care
if you tell anyone. What is the most appropriate nursing action?
A. Honor confidentiality and provide education about prenatal
care resources for adolescents.
B. Explain that you must inform her parents because she is a
minor and schedule an appointment with them.
C. Notify the clinic social worker and discuss mandatory
reporting requirements and confidentiality limits.
D. Refuse to provide services until she agrees to involve her
parents.
Correct Answer: C
Rationales — Correct:
Notifying the social worker and clarifying confidentiality limits
balances adolescent autonomy with legal/ethical obligations.
The nurse must assess safety concerns and discuss mandated
, reporting, while facilitating confidential access to adolescent
services when allowed by local law.
Rationales — Incorrect:
A. Unqualified assurance of confidentiality may be legally
incorrect; clinician should clarify limits.
B. Automatically informing parents violates the adolescent’s
rights without assessing legal/ethical requirements and safety.
D. Refusing care endangers the adolescent and is unethical; the
nurse must provide or arrange care.
Teaching point: Clarify confidentiality limits for adolescents;
involve social work/legal resources when uncertain.
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: In the newborn nursery, an experienced nursing assistant
(UAP) asks to weigh all healthy term newborns while you
concentrate on a new admission. Which task is appropriate to
delegate to the UAP?
A. Obtain the newborn’s first bath and weigh the infant.
B. Weigh stable, full-term newborns and report weights to the
RN.
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 newly hired LPN on the postpartum unit reports to you
(RN) that a stable postpartum client requests earlier discharge
than planned because she must return home to care for her
three children. The client’s vital signs are stable, incision intact,
and newborn feeding well. As the RN responsible for discharge
planning, what is your best immediate nursing action?
,A. Approve the earlier discharge and provide brief discharge
teaching to expedite her departure.
B. Assess the client’s support system, home safety, and access
to follow-up care before deciding.
C. Notify the physician that the client insists on discharge and
ask for a discharge order.
D. Arrange for home health nursing to visit in two weeks and
discharge as scheduled.
Correct Answer: B
Rationales — Correct:
Assessing support, home safety, and access to follow-up
identifies risks and resources that determine safe discharge.
This aligns with the nurse’s role in care coordination, patient
advocacy, and ensuring continuity of maternal-child care.
Rationales — Incorrect:
A. Approving without assessment may jeopardize safety and
misses unmet needs.
C. Notifying the physician before a nursing assessment bypasses
the nursing responsibility to evaluate and prioritize safety.
D. Waiting two weeks for home health without immediate
assessment may leave the family unsupported; timing of follow-
up should match assessed needs.
Teaching point: Assess discharge readiness and supports before
approving early discharge.
,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: During a clinic visit, a 15-year-old pregnant adolescent
tells you she doesn’t want her parents informed about her
pregnancy and asks you to keep it confidential. She appears
emotionally distressed and says she will not seek prenatal care
if you tell anyone. What is the most appropriate nursing action?
A. Honor confidentiality and provide education about prenatal
care resources for adolescents.
B. Explain that you must inform her parents because she is a
minor and schedule an appointment with them.
C. Notify the clinic social worker and discuss mandatory
reporting requirements and confidentiality limits.
D. Refuse to provide services until she agrees to involve her
parents.
Correct Answer: C
Rationales — Correct:
Notifying the social worker and clarifying confidentiality limits
balances adolescent autonomy with legal/ethical obligations.
The nurse must assess safety concerns and discuss mandated
, reporting, while facilitating confidential access to adolescent
services when allowed by local law.
Rationales — Incorrect:
A. Unqualified assurance of confidentiality may be legally
incorrect; clinician should clarify limits.
B. Automatically informing parents violates the adolescent’s
rights without assessing legal/ethical requirements and safety.
D. Refusing care endangers the adolescent and is unethical; the
nurse must provide or arrange care.
Teaching point: Clarify confidentiality limits for adolescents;
involve social work/legal resources when uncertain.
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: In the newborn nursery, an experienced nursing assistant
(UAP) asks to weigh all healthy term newborns while you
concentrate on a new admission. Which task is appropriate to
delegate to the UAP?
A. Obtain the newborn’s first bath and weigh the infant.
B. Weigh stable, full-term newborns and report weights to the
RN.
