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 3-day-old term newborn in the postpartum unit has
stable vitals (HR 140, RR 50, temp 37.0°C) but the mother
expresses anxiety about breastfeeding and asks for guidance
while her partner watches quietly. The nurse notes the
newborn latches intermittently and the mother’s nipples are
tender. What is the nurse’s best immediate action?
A. Encourage the mother to continue breastfeeding without
,interruption and offer written pamphlets.
B. Demonstrate a latch technique at the bedside, coach the
mother through one feeding, and observe.
C. Suggest formula supplementation while the mother practices
relaxation techniques.
D. Refer the mother to lactation services and schedule follow-
up in one week.
Correct Answer: B
Rationales:
Correct (B): Demonstrating and coaching a latch is an
immediate, evidence-based nursing intervention that addresses
a current safety and feeding concern, supports maternal
confidence, and uses teach-back while observing infant
tolerance (vitals stable). This aligns with the nurse’s role as
educator and advocate in family-centered care.
A: Providing pamphlets alone is passive and insufficient when
hands-on teaching is needed; new mothers benefit most from
direct demonstration and return demonstration.
C: Suggesting formula without ruling out latch problems
undermines breastfeeding support and may be premature given
stable infant vitals and modifiable latch technique.
D: Referring to lactation is appropriate but delaying active
bedside teaching misses the opportunity for immediate skill
building and assessment.
Teaching Point: Hands-on demonstration + observation boosts
breastfeeding success and maternal confidence.
,Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
2
Reference: Unit 1 — Overview of Maternal and Pediatric Health
Care
Stem: A 6-month-old infant is brought to a community clinic by
a single parent who reports the infant has had two ear
infections in the past month; current vitals show temp 37.8°C,
HR 120. The parent is tearful, citing difficulty with
transportation and work. Which nursing priority best addresses
both health and social needs?
A. Start antibiotics immediately and ask the parent to return if
symptoms worsen.
B. Provide ear infection teaching and recommend over-the-
counter pain relief.
C. Assess barriers to care, coordinate a home health referral,
and provide education on symptom recognition.
D. Schedule the infant for specialist referral and advise the
parent to miss work.
Correct Answer: C
Rationales:
Correct (C): Nurses assess clinical problems and social
determinants; identifying barriers, coordinating resources
(home health/social services), and providing symptom
, education addresses recurrent infections and systemic access
issues, aligning with family-centered, community-based care.
A: Starting antibiotics without assessing underlying causes or
access issues treats symptoms but ignores recurrence and the
parent’s social needs.
B: Teaching and recommending OTC meds alone is inadequate
for recurrent infections and doesn’t address access or follow-
up.
D: Immediate specialist referral may be unnecessary and
advising missed work without alternatives is not supportive or
feasible.
Teaching Point: Assess barriers to care and coordinate
resources when clinical issues recur.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Unit 1.
3
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: A 17-year-old pregnant adolescent at 32 weeks presents
to the clinic with BP 130/84, HR 88, and mild pedal edema. She
lives with her mother and expresses confusion about consent,
stating she wants decisions made by her mother. Which nursing
action best reflects legal/ethical responsibility while supporting
family dynamics?
A. Obtain written consent from the mother for all prenatal
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 3-day-old term newborn in the postpartum unit has
stable vitals (HR 140, RR 50, temp 37.0°C) but the mother
expresses anxiety about breastfeeding and asks for guidance
while her partner watches quietly. The nurse notes the
newborn latches intermittently and the mother’s nipples are
tender. What is the nurse’s best immediate action?
A. Encourage the mother to continue breastfeeding without
,interruption and offer written pamphlets.
B. Demonstrate a latch technique at the bedside, coach the
mother through one feeding, and observe.
C. Suggest formula supplementation while the mother practices
relaxation techniques.
D. Refer the mother to lactation services and schedule follow-
up in one week.
Correct Answer: B
Rationales:
Correct (B): Demonstrating and coaching a latch is an
immediate, evidence-based nursing intervention that addresses
a current safety and feeding concern, supports maternal
confidence, and uses teach-back while observing infant
tolerance (vitals stable). This aligns with the nurse’s role as
educator and advocate in family-centered care.
A: Providing pamphlets alone is passive and insufficient when
hands-on teaching is needed; new mothers benefit most from
direct demonstration and return demonstration.
C: Suggesting formula without ruling out latch problems
undermines breastfeeding support and may be premature given
stable infant vitals and modifiable latch technique.
D: Referring to lactation is appropriate but delaying active
bedside teaching misses the opportunity for immediate skill
building and assessment.
Teaching Point: Hands-on demonstration + observation boosts
breastfeeding success and maternal confidence.
,Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
2
Reference: Unit 1 — Overview of Maternal and Pediatric Health
Care
Stem: A 6-month-old infant is brought to a community clinic by
a single parent who reports the infant has had two ear
infections in the past month; current vitals show temp 37.8°C,
HR 120. The parent is tearful, citing difficulty with
transportation and work. Which nursing priority best addresses
both health and social needs?
A. Start antibiotics immediately and ask the parent to return if
symptoms worsen.
B. Provide ear infection teaching and recommend over-the-
counter pain relief.
C. Assess barriers to care, coordinate a home health referral,
and provide education on symptom recognition.
D. Schedule the infant for specialist referral and advise the
parent to miss work.
Correct Answer: C
Rationales:
Correct (C): Nurses assess clinical problems and social
determinants; identifying barriers, coordinating resources
(home health/social services), and providing symptom
, education addresses recurrent infections and systemic access
issues, aligning with family-centered, community-based care.
A: Starting antibiotics without assessing underlying causes or
access issues treats symptoms but ignores recurrence and the
parent’s social needs.
B: Teaching and recommending OTC meds alone is inadequate
for recurrent infections and doesn’t address access or follow-
up.
D: Immediate specialist referral may be unnecessary and
advising missed work without alternatives is not supportive or
feasible.
Teaching Point: Assess barriers to care and coordinate
resources when clinical issues recur.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Unit 1.
3
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: A 17-year-old pregnant adolescent at 32 weeks presents
to the clinic with BP 130/84, HR 88, and mild pedal edema. She
lives with her mother and expresses confusion about consent,
stating she wants decisions made by her mother. Which nursing
action best reflects legal/ethical responsibility while supporting
family dynamics?
A. Obtain written consent from the mother for all prenatal
