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 RN on the postpartum unit notices that a
mother appears confused about how to position her newborn
for feeding; the partner is at the bedside and seems anxious.
Vital signs are stable. The RN has a full assignment and one
experienced LPN who can assist with routine vitals. Which
action best reflects the nurse’s professional role?
,A. Ask the LPN to demonstrate positioning and then chart the
teaching was completed.
B. Interrupt medication administration to teach the mother how
to position the newborn for feeding.
C. Provide focused bedside teaching on positioning, enlist the
partner to observe, and document the teaching and response.
D. Wait until the next shift change to have lactation consult
teach the family.
Correct Answer: C
Rationales — Correct (C): Providing immediate, focused
bedside teaching addresses a timely safety and bonding need,
uses family-centered care by involving the partner, and is within
the RN’s scope. Documenting the teaching and the mother’s
response supports continuity of care and professional
accountability. This action balances patient education,
delegation, and workload.
Rationales — Incorrect:
A. Delegating the entire teaching to an LPN may exceed the
LPN’s scope for teaching complex breastfeeding positioning and
omits RN accountability.
B. Interrupting medication administration risks medication
safety and may create additional patient safety issues.
D. Waiting delays needed education and risks poor feeding and
maternal anxiety; immediate teaching is higher priority.
Teaching Point: Prioritize immediate, developmentally
appropriate teaching; document teaching and patient response.
,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: In a community clinic, a pediatric nurse encounters a
school-aged child whose immunizations are overdue. The
parent is hesitant and asks for more information. Time is limited
and another child is waiting. Which nursing action best
demonstrates professional advocacy and evidence-based
practice?
A. Tell the parent immunizations are required and schedule
them without further discussion.
B. Provide a brief, evidence-based explanation of vaccine
benefits and risks, offer printed materials, and arrange an
appointment.
C. Respect the parent’s hesitancy and document refusal without
offering further education.
D. Refer the parent to an online forum that supports vaccine
decision making.
Correct Answer: B
Rationales — Correct (B): Offering concise, evidence-based
teaching addresses parental concerns, demonstrates advocacy
for the child’s health, and supports informed decision making
, while ensuring access to follow-up. Scheduling and printed
materials support continuity and health promotion.
Rationales — Incorrect:
A. Scheduling without discussion removes informed consent
and can erode trust.
C. Simply documenting refusal fails to advocate for the child or
provide education.
D. Referring to an unvetted forum risks misinformation and is
not evidence-based.
Teaching Point: Advocate with brief, evidence-based education
and arrange accessible follow-up resources.
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 pediatric clinic nurse is preparing discharge teaching for
a toddler with newly diagnosed asthma. The caregiver reads
English poorly and seems overwhelmed. The nurse’s schedule is
tight. What is the best nursing action to ensure safe discharge
teaching?
A. Give a standard teaching packet in English and ask the
caregiver to read it at home.
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 RN on the postpartum unit notices that a
mother appears confused about how to position her newborn
for feeding; the partner is at the bedside and seems anxious.
Vital signs are stable. The RN has a full assignment and one
experienced LPN who can assist with routine vitals. Which
action best reflects the nurse’s professional role?
,A. Ask the LPN to demonstrate positioning and then chart the
teaching was completed.
B. Interrupt medication administration to teach the mother how
to position the newborn for feeding.
C. Provide focused bedside teaching on positioning, enlist the
partner to observe, and document the teaching and response.
D. Wait until the next shift change to have lactation consult
teach the family.
Correct Answer: C
Rationales — Correct (C): Providing immediate, focused
bedside teaching addresses a timely safety and bonding need,
uses family-centered care by involving the partner, and is within
the RN’s scope. Documenting the teaching and the mother’s
response supports continuity of care and professional
accountability. This action balances patient education,
delegation, and workload.
Rationales — Incorrect:
A. Delegating the entire teaching to an LPN may exceed the
LPN’s scope for teaching complex breastfeeding positioning and
omits RN accountability.
B. Interrupting medication administration risks medication
safety and may create additional patient safety issues.
D. Waiting delays needed education and risks poor feeding and
maternal anxiety; immediate teaching is higher priority.
Teaching Point: Prioritize immediate, developmentally
appropriate teaching; document teaching and patient response.
,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: In a community clinic, a pediatric nurse encounters a
school-aged child whose immunizations are overdue. The
parent is hesitant and asks for more information. Time is limited
and another child is waiting. Which nursing action best
demonstrates professional advocacy and evidence-based
practice?
A. Tell the parent immunizations are required and schedule
them without further discussion.
B. Provide a brief, evidence-based explanation of vaccine
benefits and risks, offer printed materials, and arrange an
appointment.
C. Respect the parent’s hesitancy and document refusal without
offering further education.
D. Refer the parent to an online forum that supports vaccine
decision making.
Correct Answer: B
Rationales — Correct (B): Offering concise, evidence-based
teaching addresses parental concerns, demonstrates advocacy
for the child’s health, and supports informed decision making
, while ensuring access to follow-up. Scheduling and printed
materials support continuity and health promotion.
Rationales — Incorrect:
A. Scheduling without discussion removes informed consent
and can erode trust.
C. Simply documenting refusal fails to advocate for the child or
provide education.
D. Referring to an unvetted forum risks misinformation and is
not evidence-based.
Teaching Point: Advocate with brief, evidence-based education
and arrange accessible follow-up resources.
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 pediatric clinic nurse is preparing discharge teaching for
a toddler with newly diagnosed asthma. The caregiver reads
English poorly and seems overwhelmed. The nurse’s schedule is
tight. What is the best nursing action to ensure safe discharge
teaching?
A. Give a standard teaching packet in English and ask the
caregiver to read it at home.
