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 newly hired ADN nurse on the mother–baby unit
notices a pattern of newborns being discharged with
incomplete feeding plans. The nurse believes this is a safety
issue that may lead to poor breastfeeding outcomes and
readmissions. Which action should the nurse take first?
A. Tell the charge nurse that the feeding plans are incomplete
and ask for new orders.
,B. Document one example of an incomplete plan in the chart
and notify the newborn’s pediatrician.
C. Raise the concern during the next unit quality-improvement
meeting and propose a standardized feeding-plan checklist.
D. Complete a feeding plan for the next shift’s newborns to
prevent further omissions.
Correct answer: C
Rationale — Correct: Proposing a unit quality-improvement
intervention (standardized checklist) addresses the system-level
cause and prevents future omissions. This aligns with the
nurse’s role in improving safety and quality of maternal–child
care. It uses evidence-based process change rather than single-
instance fixes.
Rationale — Incorrect A: Alerting the charge nurse is
appropriate, but asking only for new orders addresses individual
cases, not the systemic risk.
Rationale — Incorrect B: Documenting and notifying a
physician addresses one case but bypasses system
improvement and may not prevent recurrence.
Rationale — Incorrect D: Doing other nurses’ work creates
dependency and may obscure the root cause; it’s not
sustainable or proper delegation.
Teaching point: Prioritize system-level quality improvement to
prevent recurring safety issues.
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 postpartum home visit, a nurse finds a mother
tearful and overwhelmed; she says her partner must return to
work next week and she has no family nearby. The infant is
feeding normally. What is the nurse’s best initial nursing action?
A. Arrange immediate social-work referral for community
resources and respite care.
B. Teach the mother relaxation techniques to reduce
postpartum mood symptoms.
C. Screen the mother for postpartum depression using a
validated tool.
D. Suggest returning to the clinic for evaluation in one week.
Correct answer: C
Rationale — Correct: Screening with a validated postpartum
depression tool is the immediate assessment action that
identifies risk and guides further intervention. Because the
mother reports distress and social stressors, screening is
priority to determine level of risk and urgency.
Rationale — Incorrect A: Referral is appropriate but should
follow assessment results; immediate screening informs
urgency and appropriate referral.
Rationale — Incorrect B: Teaching coping strategies may help
but is secondary until assessment clarifies severity of mood
, disorder.
Rationale — Incorrect D: Delaying action risks missing
significant mood disorder; immediate assessment is safer.
Teaching point: Always screen when maternal mood concerns
or stressors are present.
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 uses telehealth for follow-up of well
infants. A nurse conducting a virtual visit notes jaundice and
poor tone in a 6-day-old. The family reports difficulty getting to
the clinic. What should the nurse do first?
A. Schedule an in-person clinic appointment for the following
week.
B. Advise immediate transfer to the ED and assist with arranging
transportation.
C. Provide reassurance and teach phototherapy techniques for
home use.
D. Ask the family to monitor feeds and report back in 48 hours.
Correct answer: B
Rationale — Correct: Signs of jaundice with poor tone in a 6-
day-old are potentially serious; immediate transfer to the ED for
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 newly hired ADN nurse on the mother–baby unit
notices a pattern of newborns being discharged with
incomplete feeding plans. The nurse believes this is a safety
issue that may lead to poor breastfeeding outcomes and
readmissions. Which action should the nurse take first?
A. Tell the charge nurse that the feeding plans are incomplete
and ask for new orders.
,B. Document one example of an incomplete plan in the chart
and notify the newborn’s pediatrician.
C. Raise the concern during the next unit quality-improvement
meeting and propose a standardized feeding-plan checklist.
D. Complete a feeding plan for the next shift’s newborns to
prevent further omissions.
Correct answer: C
Rationale — Correct: Proposing a unit quality-improvement
intervention (standardized checklist) addresses the system-level
cause and prevents future omissions. This aligns with the
nurse’s role in improving safety and quality of maternal–child
care. It uses evidence-based process change rather than single-
instance fixes.
Rationale — Incorrect A: Alerting the charge nurse is
appropriate, but asking only for new orders addresses individual
cases, not the systemic risk.
Rationale — Incorrect B: Documenting and notifying a
physician addresses one case but bypasses system
improvement and may not prevent recurrence.
Rationale — Incorrect D: Doing other nurses’ work creates
dependency and may obscure the root cause; it’s not
sustainable or proper delegation.
Teaching point: Prioritize system-level quality improvement to
prevent recurring safety issues.
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 postpartum home visit, a nurse finds a mother
tearful and overwhelmed; she says her partner must return to
work next week and she has no family nearby. The infant is
feeding normally. What is the nurse’s best initial nursing action?
A. Arrange immediate social-work referral for community
resources and respite care.
B. Teach the mother relaxation techniques to reduce
postpartum mood symptoms.
C. Screen the mother for postpartum depression using a
validated tool.
D. Suggest returning to the clinic for evaluation in one week.
Correct answer: C
Rationale — Correct: Screening with a validated postpartum
depression tool is the immediate assessment action that
identifies risk and guides further intervention. Because the
mother reports distress and social stressors, screening is
priority to determine level of risk and urgency.
Rationale — Incorrect A: Referral is appropriate but should
follow assessment results; immediate screening informs
urgency and appropriate referral.
Rationale — Incorrect B: Teaching coping strategies may help
but is secondary until assessment clarifies severity of mood
, disorder.
Rationale — Incorrect D: Delaying action risks missing
significant mood disorder; immediate assessment is safer.
Teaching point: Always screen when maternal mood concerns
or stressors are present.
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 uses telehealth for follow-up of well
infants. A nurse conducting a virtual visit notes jaundice and
poor tone in a 6-day-old. The family reports difficulty getting to
the clinic. What should the nurse do first?
A. Schedule an in-person clinic appointment for the following
week.
B. Advise immediate transfer to the ED and assist with arranging
transportation.
C. Provide reassurance and teach phototherapy techniques for
home use.
D. Ask the family to monitor feeds and report back in 48 hours.
Correct answer: B
Rationale — Correct: Signs of jaundice with poor tone in a 6-
day-old are potentially serious; immediate transfer to the ED for
