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 community health nurse prepares discharge teaching
for a first-time mother after an uncomplicated vaginal birth. The
mother asks about infant-care resources and wants to ensure
culturally appropriate support at home. Which nursing action
best demonstrates family-centered, culturally competent care?
,A. Provide a standard hospital brochure and explain local
lactation clinic hours.
B. Ask the mother about family structure, cultural practices, and
preferred support, then tailor referrals.
C. Recommend online parenting forums that match the
hospital’s approved resources.
D. Emphasize that hospital routines are safest and advise the
mother to follow them strictly.
Correct answer: B
Rationale — Correct: B shows assessment of family context and
cultural practices, then tailors referrals—core to family-
centered, culturally competent nursing and patient advocacy. It
aligns with teaching, community referral, and respecting family
beliefs.
Rationale — Incorrect A: Providing standard materials without
exploring cultural needs is incomplete and may miss important
supports.
Rationale — Incorrect C: Online forums may be useful but are
not tailored and could contain unsafe advice; nurse should
prioritize verified, culturally appropriate resources.
Rationale — Incorrect D: Insisting on hospital routines without
negotiation undermines family-centered care and cultural
respect.
Teaching point: Ask about family beliefs and preferences before
giving referrals.
,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 home visit, a pediatric nurse notices older
siblings caring for a 3-day-old infant while the mother sleeps.
The family reports limited childcare and financial strain. Which
is the nurse’s priority action?
A. Leave information about community daycare centers and
financial assistance.
B. Report the family to child protective services immediately for
inadequate supervision.
C. Assess the infant’s immediate safety, ask about caregivers’
ability, and collaborate on a short-term plan.
D. Schedule routine follow-up visit in one month to reevaluate
family support.
Correct answer: C
Rationale — Correct: C follows nursing process: immediate
assessment of safety, evaluation of caregiver capability, and
collaborative planning—prioritizes infant safety while
respecting family and coordinating resources.
Rationale — Incorrect A: Providing resources is useful but
premature without assessing current safety needs.
, Rationale — Incorrect B: Immediate reporting may be
necessary in clear danger, but assessment is required first to
determine risk and appropriate action.
Rationale — Incorrect D: Waiting a month risks ongoing unsafe
conditions; timely intervention is needed.
Teaching point: Prioritize immediate safety assessment and
collaborative planning when risk is suspected.
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 charge nurse must assign tasks on a mixed unit with
both pediatric and postpartum patients. A newly licensed PN
expresses comfort with medication administration but limited
newborn-care experience. Which delegation is appropriate for
the RN to assign to the PN?
A. Teach a new mother how to breastfeed for the first time.
B. Administer routine oral medications to a stable postpartum
mother.
C. Perform the initial newborn assessment immediately after
delivery.
D. Discharge teaching for a mother with gestational diabetes.
Correct answer: B
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 community health nurse prepares discharge teaching
for a first-time mother after an uncomplicated vaginal birth. The
mother asks about infant-care resources and wants to ensure
culturally appropriate support at home. Which nursing action
best demonstrates family-centered, culturally competent care?
,A. Provide a standard hospital brochure and explain local
lactation clinic hours.
B. Ask the mother about family structure, cultural practices, and
preferred support, then tailor referrals.
C. Recommend online parenting forums that match the
hospital’s approved resources.
D. Emphasize that hospital routines are safest and advise the
mother to follow them strictly.
Correct answer: B
Rationale — Correct: B shows assessment of family context and
cultural practices, then tailors referrals—core to family-
centered, culturally competent nursing and patient advocacy. It
aligns with teaching, community referral, and respecting family
beliefs.
Rationale — Incorrect A: Providing standard materials without
exploring cultural needs is incomplete and may miss important
supports.
Rationale — Incorrect C: Online forums may be useful but are
not tailored and could contain unsafe advice; nurse should
prioritize verified, culturally appropriate resources.
Rationale — Incorrect D: Insisting on hospital routines without
negotiation undermines family-centered care and cultural
respect.
Teaching point: Ask about family beliefs and preferences before
giving referrals.
,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 home visit, a pediatric nurse notices older
siblings caring for a 3-day-old infant while the mother sleeps.
The family reports limited childcare and financial strain. Which
is the nurse’s priority action?
A. Leave information about community daycare centers and
financial assistance.
B. Report the family to child protective services immediately for
inadequate supervision.
C. Assess the infant’s immediate safety, ask about caregivers’
ability, and collaborate on a short-term plan.
D. Schedule routine follow-up visit in one month to reevaluate
family support.
Correct answer: C
Rationale — Correct: C follows nursing process: immediate
assessment of safety, evaluation of caregiver capability, and
collaborative planning—prioritizes infant safety while
respecting family and coordinating resources.
Rationale — Incorrect A: Providing resources is useful but
premature without assessing current safety needs.
, Rationale — Incorrect B: Immediate reporting may be
necessary in clear danger, but assessment is required first to
determine risk and appropriate action.
Rationale — Incorrect D: Waiting a month risks ongoing unsafe
conditions; timely intervention is needed.
Teaching point: Prioritize immediate safety assessment and
collaborative planning when risk is suspected.
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 charge nurse must assign tasks on a mixed unit with
both pediatric and postpartum patients. A newly licensed PN
expresses comfort with medication administration but limited
newborn-care experience. Which delegation is appropriate for
the RN to assign to the PN?
A. Teach a new mother how to breastfeed for the first time.
B. Administer routine oral medications to a stable postpartum
mother.
C. Perform the initial newborn assessment immediately after
delivery.
D. Discharge teaching for a mother with gestational diabetes.
Correct answer: B
