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 mother of a 4-day-old infant tells the nurse she’s
overwhelmed and unsure about feeding and safe sleep. The
nurse is scheduling a home-visit follow-up and must decide
what to prioritize during the visit. Which action should the
nurse prioritize?
A. Provide written handouts on breastfeeding techniques.
B. Observe a feeding, assess maternal coping, and arrange
,community lactation support if needed.
C. Recommend switching to formula to reduce maternal stress.
D. Refer the family to financial assistance programs and leave
feeding education for the clinic visit.
Correct answer: B
Rationale — Correct (3–4 sentences): Observing a feeding and
assessing maternal coping applies family-centered care and
immediate safety assessment. It allows the nurse to identify
practical problems (latch, infant cues) and emotional needs, and
to link to community lactation support — all consistent with
care coordination described in Ch. 1. This approach addresses
both infant nutrition and maternal mental health, improving
outcomes.
Rationale — Incorrect:
A. Written handouts alone are insufficient for skill
demonstration or for assessing maternal coping.
C. Recommending formula without assessment removes
maternal choice and may not address the root causes of stress.
D. Financial referrals may be important, but delaying feeding
support misses immediate safety and bonding needs.
Teaching point: Prioritize direct assessment, safety, and linkage
to resources over passive education.
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: On a postpartum unit, a nurse learns that a postpartum
mother prefers to use traditional herbal remedies
recommended by her family. The nurse’s best initial response is
to:
A. Tell the mother that traditional remedies are unsafe and
must be stopped.
B. Document the remedy use and ignore it because it’s a
cultural preference.
C. Ask the mother to describe the remedies, assess for
interactions or safety concerns, and include the plan in the care
plan.
D. Notify social services immediately for culturally unsafe
practices.
Correct answer: C
Rationale — Correct (3–4 sentences): Ch. 1 emphasizes cultural
competence and family-centered care — the nurse should elicit
details, assess safety and possible interactions, and incorporate
culturally respectful education into the care plan. This balances
respect for cultural practices with patient safety. It also
enhances therapeutic rapport and shared decision-making.
Rationale — Incorrect:
A. Blanket prohibition is culturally insensitive and undermines
trust.
, B. Ignoring the practice risks missing safety issues (e.g., herb-
drug interactions).
D. Social services referral is inappropriate unless there is clear
evidence of harm or neglect.
Teaching point: Assess cultural practices for safety; respect and
integrate when possible.
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 nurse at a community clinic finds that
appointment no-show rates are high among teen mothers.
Using a quality-improvement lens, which first step should the
nurse take?
A. Increase the number of reminder calls without further
assessment.
B. Convene a multidisciplinary team to collect data on barriers
to attendance.
C. Start penalizing missed appointments with a fee.
D. Cancel appointments for families with two prior no-shows.
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 mother of a 4-day-old infant tells the nurse she’s
overwhelmed and unsure about feeding and safe sleep. The
nurse is scheduling a home-visit follow-up and must decide
what to prioritize during the visit. Which action should the
nurse prioritize?
A. Provide written handouts on breastfeeding techniques.
B. Observe a feeding, assess maternal coping, and arrange
,community lactation support if needed.
C. Recommend switching to formula to reduce maternal stress.
D. Refer the family to financial assistance programs and leave
feeding education for the clinic visit.
Correct answer: B
Rationale — Correct (3–4 sentences): Observing a feeding and
assessing maternal coping applies family-centered care and
immediate safety assessment. It allows the nurse to identify
practical problems (latch, infant cues) and emotional needs, and
to link to community lactation support — all consistent with
care coordination described in Ch. 1. This approach addresses
both infant nutrition and maternal mental health, improving
outcomes.
Rationale — Incorrect:
A. Written handouts alone are insufficient for skill
demonstration or for assessing maternal coping.
C. Recommending formula without assessment removes
maternal choice and may not address the root causes of stress.
D. Financial referrals may be important, but delaying feeding
support misses immediate safety and bonding needs.
Teaching point: Prioritize direct assessment, safety, and linkage
to resources over passive education.
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: On a postpartum unit, a nurse learns that a postpartum
mother prefers to use traditional herbal remedies
recommended by her family. The nurse’s best initial response is
to:
A. Tell the mother that traditional remedies are unsafe and
must be stopped.
B. Document the remedy use and ignore it because it’s a
cultural preference.
C. Ask the mother to describe the remedies, assess for
interactions or safety concerns, and include the plan in the care
plan.
D. Notify social services immediately for culturally unsafe
practices.
Correct answer: C
Rationale — Correct (3–4 sentences): Ch. 1 emphasizes cultural
competence and family-centered care — the nurse should elicit
details, assess safety and possible interactions, and incorporate
culturally respectful education into the care plan. This balances
respect for cultural practices with patient safety. It also
enhances therapeutic rapport and shared decision-making.
Rationale — Incorrect:
A. Blanket prohibition is culturally insensitive and undermines
trust.
, B. Ignoring the practice risks missing safety issues (e.g., herb-
drug interactions).
D. Social services referral is inappropriate unless there is clear
evidence of harm or neglect.
Teaching point: Assess cultural practices for safety; respect and
integrate when possible.
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 nurse at a community clinic finds that
appointment no-show rates are high among teen mothers.
Using a quality-improvement lens, which first step should the
nurse take?
A. Increase the number of reminder calls without further
assessment.
B. Convene a multidisciplinary team to collect data on barriers
to attendance.
C. Start penalizing missed appointments with a fee.
D. Cancel appointments for families with two prior no-shows.
Correct answer: B
