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 22-year-old primiparous client at 38 weeks’ gestation
arrives to triage reporting intermittent contractions every 8
minutes and intact membranes. Her partner is anxious and
insists on admission. The triage nurse’s initial assessment shows
maternal BP 118/72, HR 86, fetal heart rate (FHR) 140 bpm, and
contractions 6–8 minutes, lasting 30 seconds. As the assigned
,nursing student asks to begin an intake history, what should the
RN do first?
A. Delegate the intake history to the nursing student so the
partner can be reassured.
B. Complete a focused maternal and fetal assessment before
delegating tasks.
C. Admit the client immediately to the labor unit because she’s
term.
D. Tell the partner to wait in the family lounge while the student
begins the intake.
Correct Answer: B
Rationale — Correct: Completing a focused maternal and fetal
assessment first identifies the clinical status and acuity
(contractions pattern, FHR, maternal vitals) and guides safe
delegation; this aligns with prioritization and the nurse’s role in
triage.
Rationale — A: Unsafe—delegation without the RN’s own
assessment risks missing acute changes; intake by student
before RN assessment may delay identification of
complications.
Rationale — C: Inappropriate—admission should follow
assessment and determination of labor progress/acuity; not all
term clients require immediate admission.
Rationale — D: Lower priority—while family support is
important, ensuring client/fetal stability takes precedence;
,excluding family before assessment may undermine family-
centered care without safety reason.
Teaching Point: RN completes clinical assessment before
delegating tasks; safety first.
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 clinic nurse working in a community health center
provides prenatal education to a Somali immigrant couple who
speak limited English. The wife nods but gives few verbal cues.
The nurse’s best next action is to:
A. Continue teaching using simple English words and gestures.
B. Use a professional medical interpreter and culturally
respectful teaching methods.
C. Ask the husband to translate since he speaks better English.
D. Provide a printed pamphlet in English and ask them to read it
at home.
Correct Answer: B
Rationale — Correct: Using a professional medical interpreter
ensures accurate communication and respects cultural and
safety considerations; culturally appropriate teaching improves
, understanding and care outcomes.
Rationale — A: Inadequate—simplifying English without an
interpreter risks misunderstandings, and gestures can be
misinterpreted across cultures.
Rationale — C: Unsafe—relying on family members for
interpretation risks errors, breaches confidentiality, and may
omit sensitive information.
Rationale — D: Low priority—written English materials may not
be understood; verbal, interpreted education is necessary
during the visit.
Teaching Point: Use professional interpreters for culturally
competent, safe teaching.
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 clinic nurse notes that immunization rates in
the local low-income neighborhood are below county targets.
As the lead nurse planning a quality improvement (QI) initiative,
which first step best aligns with nursing leadership
responsibilities?
A. Start community outreach clinics immediately on weekends.
B. Collect baseline data to identify barriers and target
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 22-year-old primiparous client at 38 weeks’ gestation
arrives to triage reporting intermittent contractions every 8
minutes and intact membranes. Her partner is anxious and
insists on admission. The triage nurse’s initial assessment shows
maternal BP 118/72, HR 86, fetal heart rate (FHR) 140 bpm, and
contractions 6–8 minutes, lasting 30 seconds. As the assigned
,nursing student asks to begin an intake history, what should the
RN do first?
A. Delegate the intake history to the nursing student so the
partner can be reassured.
B. Complete a focused maternal and fetal assessment before
delegating tasks.
C. Admit the client immediately to the labor unit because she’s
term.
D. Tell the partner to wait in the family lounge while the student
begins the intake.
Correct Answer: B
Rationale — Correct: Completing a focused maternal and fetal
assessment first identifies the clinical status and acuity
(contractions pattern, FHR, maternal vitals) and guides safe
delegation; this aligns with prioritization and the nurse’s role in
triage.
Rationale — A: Unsafe—delegation without the RN’s own
assessment risks missing acute changes; intake by student
before RN assessment may delay identification of
complications.
Rationale — C: Inappropriate—admission should follow
assessment and determination of labor progress/acuity; not all
term clients require immediate admission.
Rationale — D: Lower priority—while family support is
important, ensuring client/fetal stability takes precedence;
,excluding family before assessment may undermine family-
centered care without safety reason.
Teaching Point: RN completes clinical assessment before
delegating tasks; safety first.
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 clinic nurse working in a community health center
provides prenatal education to a Somali immigrant couple who
speak limited English. The wife nods but gives few verbal cues.
The nurse’s best next action is to:
A. Continue teaching using simple English words and gestures.
B. Use a professional medical interpreter and culturally
respectful teaching methods.
C. Ask the husband to translate since he speaks better English.
D. Provide a printed pamphlet in English and ask them to read it
at home.
Correct Answer: B
Rationale — Correct: Using a professional medical interpreter
ensures accurate communication and respects cultural and
safety considerations; culturally appropriate teaching improves
, understanding and care outcomes.
Rationale — A: Inadequate—simplifying English without an
interpreter risks misunderstandings, and gestures can be
misinterpreted across cultures.
Rationale — C: Unsafe—relying on family members for
interpretation risks errors, breaches confidentiality, and may
omit sensitive information.
Rationale — D: Low priority—written English materials may not
be understood; verbal, interpreted education is necessary
during the visit.
Teaching Point: Use professional interpreters for culturally
competent, safe teaching.
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 clinic nurse notes that immunization rates in
the local low-income neighborhood are below county targets.
As the lead nurse planning a quality improvement (QI) initiative,
which first step best aligns with nursing leadership
responsibilities?
A. Start community outreach clinics immediately on weekends.
B. Collect baseline data to identify barriers and target
