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 Health Care Environment
Stem: A 28-year-old postpartum woman (24 hours after vaginal
birth) expresses surprise that she is being discharged tomorrow.
She has stable vital signs, is ambulating with minimal assistance,
and is breastfeeding every 3–4 hours. Her husband works
evenings and she reports anxiety about caring for the newborn
alone at home. As the nurse preparing the discharge plan,
which action is the best priority?
,A. Provide a written handout about breastfeeding techniques.
B. Teach the mother newborn safety and warning signs before
discharge.
C. Suggest the mother delay discharge and stay longer in the
hospital.
D. Arrange a home health nurse visit and confirm community
resources.
Correct answer: D
Rationales — Correct:
Arranging a home health visit and community resources
addresses safety, continuity of care, and the family’s lack of
social support — key elements of family-centered, community-
based care. This intervention reduces readmission risk and
supports maternal confidence in the home environment. It
aligns with current trends toward early discharge plus enhanced
outpatient/community follow-up.
Rationales — Incorrect:
A. A written handout is useful but insufficient as the sole
intervention; it doesn’t address social support or ensure follow-
up.
B. Teaching safety signs is essential but arranging support and
follow-up is higher priority for this anxious, potentially
vulnerable dyad.
C. Suggesting a delayed discharge without evaluating barriers
(insurance, bed availability) and arranging supports is not the
most practical or system-based solution.
,Teaching point: Ensure early discharge includes community
follow-up when family support is limited.
Citation: Hatfield, N., & Kincheloe, C. (2021). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
2)
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Health Care Environment
Stem: On a pediatric unit, the charge LPN asks you (an RN) to
delegate feeding a 10-month-old infant who is recovering from
bronchiolitis to an experienced nursing assistant (UAP) while
you complete documentation. The infant has mild subcostal
retractions and an oxygen saturation of 94% on room air. Which
is the most appropriate response?
A. Agree and ask the UAP to give the infant the scheduled bottle
feeding without additional instructions.
B. Refuse and tell the charge LPN that only an RN may feed an
infant with any respiratory effort.
C. Agree but personally assess the infant’s respiratory status
first and provide specific feeding instructions to the UAP.
D. Delegate the feeding to the UAP and request the respiratory
therapist start oxygen if saturation drops.
Correct answer: C
, Rationales — Correct:
Safe delegation requires the delegator to assess the patient first
and provide clear instructions. The RN should determine the
infant’s feeding readiness given mild retractions and then
instruct the UAP about positioning, tolerance signs, and when
to stop and report — aligning with scope-of-practice and safety
principles.
Rationales — Incorrect:
A. Delegating without RN assessment or instructions risks
feeding an infant unable to tolerate oral intake.
B. Absolute refusal is unnecessary if the RN assesses and finds
feeding appropriate; delegation can be safe when supervised
and instructed.
D. Asking the UAP to call for oxygen initiation is beyond typical
UAP responsibilities; intervention decisions require licensed
assessment.
Teaching point: Assess first; delegate tasks only with clear
instructions and defined reporting triggers.
Citation: Hatfield, N., & Kincheloe, C. (2021). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
3)
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Health Care Environment
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 Health Care Environment
Stem: A 28-year-old postpartum woman (24 hours after vaginal
birth) expresses surprise that she is being discharged tomorrow.
She has stable vital signs, is ambulating with minimal assistance,
and is breastfeeding every 3–4 hours. Her husband works
evenings and she reports anxiety about caring for the newborn
alone at home. As the nurse preparing the discharge plan,
which action is the best priority?
,A. Provide a written handout about breastfeeding techniques.
B. Teach the mother newborn safety and warning signs before
discharge.
C. Suggest the mother delay discharge and stay longer in the
hospital.
D. Arrange a home health nurse visit and confirm community
resources.
Correct answer: D
Rationales — Correct:
Arranging a home health visit and community resources
addresses safety, continuity of care, and the family’s lack of
social support — key elements of family-centered, community-
based care. This intervention reduces readmission risk and
supports maternal confidence in the home environment. It
aligns with current trends toward early discharge plus enhanced
outpatient/community follow-up.
Rationales — Incorrect:
A. A written handout is useful but insufficient as the sole
intervention; it doesn’t address social support or ensure follow-
up.
B. Teaching safety signs is essential but arranging support and
follow-up is higher priority for this anxious, potentially
vulnerable dyad.
C. Suggesting a delayed discharge without evaluating barriers
(insurance, bed availability) and arranging supports is not the
most practical or system-based solution.
,Teaching point: Ensure early discharge includes community
follow-up when family support is limited.
Citation: Hatfield, N., & Kincheloe, C. (2021). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
2)
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Health Care Environment
Stem: On a pediatric unit, the charge LPN asks you (an RN) to
delegate feeding a 10-month-old infant who is recovering from
bronchiolitis to an experienced nursing assistant (UAP) while
you complete documentation. The infant has mild subcostal
retractions and an oxygen saturation of 94% on room air. Which
is the most appropriate response?
A. Agree and ask the UAP to give the infant the scheduled bottle
feeding without additional instructions.
B. Refuse and tell the charge LPN that only an RN may feed an
infant with any respiratory effort.
C. Agree but personally assess the infant’s respiratory status
first and provide specific feeding instructions to the UAP.
D. Delegate the feeding to the UAP and request the respiratory
therapist start oxygen if saturation drops.
Correct answer: C
, Rationales — Correct:
Safe delegation requires the delegator to assess the patient first
and provide clear instructions. The RN should determine the
infant’s feeding readiness given mild retractions and then
instruct the UAP about positioning, tolerance signs, and when
to stop and report — aligning with scope-of-practice and safety
principles.
Rationales — Incorrect:
A. Delegating without RN assessment or instructions risks
feeding an infant unable to tolerate oral intake.
B. Absolute refusal is unnecessary if the RN assesses and finds
feeding appropriate; delegation can be safe when supervised
and instructed.
D. Asking the UAP to call for oxygen initiation is beyond typical
UAP responsibilities; intervention decisions require licensed
assessment.
Teaching point: Assess first; delegate tasks only with clear
instructions and defined reporting triggers.
Citation: Hatfield, N., & Kincheloe, C. (2021). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
3)
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Health Care Environment
