INTRODUCTORY MATERNITY &
PEDIATRIC NURSING
5TH EDITION
• AUTHOR(S)NANCY HATFIELD;
CYNTHIA KINCHELOE
TEST BANK
Q1
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: A 19-year-old primiparous mother arrives at the clinic
with her newborn (2 days old). The mother appears anxious,
reports difficulty breastfeeding, and says she must return to
school in 2 days. Vital signs are normal; newborn is feeding but
has occasional fussiness. As the nurse coordinating discharge
teaching, which action best supports family-centered care and
safe transition home?
,A. Provide a printed breastfeeding handout and discharge as
planned.
B. Ask the mother if a family member can stay with the infant
while she returns to school.
C. Arrange a home-visiting nurse follow-up and schedule a
lactation consult before discharge.
D. Recommend formula supplementation to facilitate the
mother returning to school.
Correct Answer: C
Rationale — Correct: Arranging a home visit and an immediate
lactation consult addresses the mother’s breastfeeding difficulty
and ensures continuity of care — core principles of family-
centered, safe discharge planning. This coordinates community
resources and provides timely support during the transition
home.
Rationale — Incorrect:
A. Handouts alone are insufficient for a mother with active
concerns; they do not ensure skill mastery or timely support.
B. Asking about family help is appropriate, but it does not
proactively provide professional support or address
breastfeeding issues.
D. Recommending formula prematurely may undermine
breastfeeding without assessing and supporting lactation; it’s
not the highest priority.
Teaching Point: Coordinate professional follow-up (lactation +
home visits) for safe, family-centered discharge.
,Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
Q2
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: In a community health visit, a school-age child with
asthma and busy single parent reports missing clinic
appointments due to work. The child’s quick-relief inhaler is
expired. As the visiting nurse focused on access and advocacy,
which immediate action most appropriately addresses health
equity and safety?
A. Document the expired inhaler and advise the parent to
replace it at next scheduled visit.
B. Connect the family with the clinic’s sliding-scale pharmacy
voucher and replace the inhaler today.
C. Teach the parent to use alternative breathing techniques
instead of medication.
D. Refer the family to the emergency department for
replacement of the inhaler.
Correct Answer: B
Rationale — Correct: Replacing the inhaler immediately via
available community resources addresses safety (risk of acute
asthma exacerbation) and reduces access barriers — acting as
an advocate to promote health equity.
, Rationale — Incorrect:
A. Delaying replacement risks an acute event; documentation
alone is inadequate.
C. Breathing techniques may help adjunctively but cannot
replace prescribed rescue medication during an exacerbation.
D. ED referral for a routine replacement creates unnecessary
use of emergency services and may not address long-term
access issues.
Teaching Point: Advocate for immediate access to essential
medications; use community resources to reduce barriers.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
Q3
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: A pediatric unit nurse is delegating tasks to a licensed
practical nurse (LPN) and a nursing assistant (NA). A stable 3-
year-old is due for routine immunizations; a toddler with
suspected dehydration needs oral rehydration and frequent
assessment. Which delegation plan follows safe practice and
scope of practice?
A. LPN administers immunizations; NA provides oral rehydration
and documents intake.
B. LPN administers immunizations and monitors the toddler; NA
assists with oral rehydration under supervision.
PEDIATRIC NURSING
5TH EDITION
• AUTHOR(S)NANCY HATFIELD;
CYNTHIA KINCHELOE
TEST BANK
Q1
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: A 19-year-old primiparous mother arrives at the clinic
with her newborn (2 days old). The mother appears anxious,
reports difficulty breastfeeding, and says she must return to
school in 2 days. Vital signs are normal; newborn is feeding but
has occasional fussiness. As the nurse coordinating discharge
teaching, which action best supports family-centered care and
safe transition home?
,A. Provide a printed breastfeeding handout and discharge as
planned.
B. Ask the mother if a family member can stay with the infant
while she returns to school.
C. Arrange a home-visiting nurse follow-up and schedule a
lactation consult before discharge.
D. Recommend formula supplementation to facilitate the
mother returning to school.
Correct Answer: C
Rationale — Correct: Arranging a home visit and an immediate
lactation consult addresses the mother’s breastfeeding difficulty
and ensures continuity of care — core principles of family-
centered, safe discharge planning. This coordinates community
resources and provides timely support during the transition
home.
Rationale — Incorrect:
A. Handouts alone are insufficient for a mother with active
concerns; they do not ensure skill mastery or timely support.
B. Asking about family help is appropriate, but it does not
proactively provide professional support or address
breastfeeding issues.
D. Recommending formula prematurely may undermine
breastfeeding without assessing and supporting lactation; it’s
not the highest priority.
Teaching Point: Coordinate professional follow-up (lactation +
home visits) for safe, family-centered discharge.
,Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
Q2
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: In a community health visit, a school-age child with
asthma and busy single parent reports missing clinic
appointments due to work. The child’s quick-relief inhaler is
expired. As the visiting nurse focused on access and advocacy,
which immediate action most appropriately addresses health
equity and safety?
A. Document the expired inhaler and advise the parent to
replace it at next scheduled visit.
B. Connect the family with the clinic’s sliding-scale pharmacy
voucher and replace the inhaler today.
C. Teach the parent to use alternative breathing techniques
instead of medication.
D. Refer the family to the emergency department for
replacement of the inhaler.
Correct Answer: B
Rationale — Correct: Replacing the inhaler immediately via
available community resources addresses safety (risk of acute
asthma exacerbation) and reduces access barriers — acting as
an advocate to promote health equity.
, Rationale — Incorrect:
A. Delaying replacement risks an acute event; documentation
alone is inadequate.
C. Breathing techniques may help adjunctively but cannot
replace prescribed rescue medication during an exacerbation.
D. ED referral for a routine replacement creates unnecessary
use of emergency services and may not address long-term
access issues.
Teaching Point: Advocate for immediate access to essential
medications; use community resources to reduce barriers.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
Q3
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: A pediatric unit nurse is delegating tasks to a licensed
practical nurse (LPN) and a nursing assistant (NA). A stable 3-
year-old is due for routine immunizations; a toddler with
suspected dehydration needs oral rehydration and frequent
assessment. Which delegation plan follows safe practice and
scope of practice?
A. LPN administers immunizations; NA provides oral rehydration
and documents intake.
B. LPN administers immunizations and monitors the toddler; NA
assists with oral rehydration under supervision.
