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 postpartum mother (G2P2) is preparing for discharge
24 hours after an uncomplicated vaginal birth. She expresses
worry about caring for her newborn because her partner
returns to work and she has limited family support. Vital signs
are stable; newborn is feeding well. As the admitting RN, which
is the most appropriate initial nursing action to promote safe
transition home?
,A. Arrange a home health nurse visit and provide written
discharge instructions.
B. Teach the mother step-by-step infant feeding and
demonstrate safe sleep before discharge.
C. Encourage the mother to accept help from neighbors and
schedule a follow-up clinic visit in one month.
D. Recommend the mother hire a babysitter to assist while she
adjusts.
Correct Answer: B
Rationales — Correct: Teaching and demonstration before
discharge address immediate parental competence and safety.
Demonstration allows assessment of the mother’s skills
(feeding, safe sleep) and identifies gaps needing correction — a
high priority for safe discharge. This aligns with the nurse’s role
in preparing families for transition and preventing readmission.
Rationales — Incorrect:
A. Home health and written instructions are helpful but do not
assess the mother’s competence immediately; home health
may not begin right away.
C. Encouraging neighbor help and a 1-month follow-up delays
necessary early assessment and support; follow-up should be
sooner if risk is present.
D. Recommending a babysitter without assessing needs, safety,
or the mother’s ability to care for the infant is premature and
not family-centered.
,Teaching Point: Assess and demonstrate parental skills before
discharge to ensure immediate home safety.
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: A 16-year-old pregnant adolescent arrives for prenatal
counseling with her mother present. The teen says she wants
confidential discussion about contraception options but asks
the nurse to keep details private from her mother. Which action
best reflects the nurse’s legal and ethical responsibilities?
A. Refuse confidentiality and include the mother in all
discussions because she is a minor.
B. Explain confidentiality limits, ask the adolescent to identify
what she wants kept private, and provide appropriate
counseling.
C. Encourage the adolescent to wait until she is an adult to
receive contraception counseling.
D. Provide contraceptive information only to the mother to
ensure parental oversight.
Correct Answer: B
, Rationales — Correct: Best practice is to respect adolescent
confidentiality when permitted by law and to clarify
confidentiality limits (e.g., danger to self/others). Asking what
the adolescent wants private promotes autonomy and creates a
therapeutic relationship. This balances legal/ethical duties and
family involvement consistent with family-centered care.
Rationales — Incorrect:
A. Automatically sharing violates adolescent privacy laws and
undermines trust unless required by law.
C. Delaying counseling jeopardizes timely care and is not
developmentally appropriate.
D. Giving information only to the parent removes the
adolescent’s voice and may breach confidentiality.
Teaching Point: Clarify confidentiality limits and counsel
adolescents directly when appropriate.
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: On a pediatric unit, an RN is delegating tasks to a licensed
practical nurse (LPN) and a nursing assistant (NA) for a well-
child admission. The RN must assign the following: initial head-
to-toe assessment, administration of routine oral
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 postpartum mother (G2P2) is preparing for discharge
24 hours after an uncomplicated vaginal birth. She expresses
worry about caring for her newborn because her partner
returns to work and she has limited family support. Vital signs
are stable; newborn is feeding well. As the admitting RN, which
is the most appropriate initial nursing action to promote safe
transition home?
,A. Arrange a home health nurse visit and provide written
discharge instructions.
B. Teach the mother step-by-step infant feeding and
demonstrate safe sleep before discharge.
C. Encourage the mother to accept help from neighbors and
schedule a follow-up clinic visit in one month.
D. Recommend the mother hire a babysitter to assist while she
adjusts.
Correct Answer: B
Rationales — Correct: Teaching and demonstration before
discharge address immediate parental competence and safety.
Demonstration allows assessment of the mother’s skills
(feeding, safe sleep) and identifies gaps needing correction — a
high priority for safe discharge. This aligns with the nurse’s role
in preparing families for transition and preventing readmission.
Rationales — Incorrect:
A. Home health and written instructions are helpful but do not
assess the mother’s competence immediately; home health
may not begin right away.
C. Encouraging neighbor help and a 1-month follow-up delays
necessary early assessment and support; follow-up should be
sooner if risk is present.
D. Recommending a babysitter without assessing needs, safety,
or the mother’s ability to care for the infant is premature and
not family-centered.
,Teaching Point: Assess and demonstrate parental skills before
discharge to ensure immediate home safety.
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: A 16-year-old pregnant adolescent arrives for prenatal
counseling with her mother present. The teen says she wants
confidential discussion about contraception options but asks
the nurse to keep details private from her mother. Which action
best reflects the nurse’s legal and ethical responsibilities?
A. Refuse confidentiality and include the mother in all
discussions because she is a minor.
B. Explain confidentiality limits, ask the adolescent to identify
what she wants kept private, and provide appropriate
counseling.
C. Encourage the adolescent to wait until she is an adult to
receive contraception counseling.
D. Provide contraceptive information only to the mother to
ensure parental oversight.
Correct Answer: B
, Rationales — Correct: Best practice is to respect adolescent
confidentiality when permitted by law and to clarify
confidentiality limits (e.g., danger to self/others). Asking what
the adolescent wants private promotes autonomy and creates a
therapeutic relationship. This balances legal/ethical duties and
family involvement consistent with family-centered care.
Rationales — Incorrect:
A. Automatically sharing violates adolescent privacy laws and
undermines trust unless required by law.
C. Delaying counseling jeopardizes timely care and is not
developmentally appropriate.
D. Giving information only to the parent removes the
adolescent’s voice and may breach confidentiality.
Teaching Point: Clarify confidentiality limits and counsel
adolescents directly when appropriate.
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: On a pediatric unit, an RN is delegating tasks to a licensed
practical nurse (LPN) and a nursing assistant (NA) for a well-
child admission. The RN must assign the following: initial head-
to-toe assessment, administration of routine oral
