Which task is most appropriate for the nurse to delegate to the unlicensed assistive personnel on a pediatric unit?

Weigh the diaper of an infant for output.

Assess the dressing of the infant that is two days post-operative.

Calculate the Morse Fall Scale for the preschool child.

Perform assessment of a child's developmental milestones.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Weighing an infant's diaper for output is a task suitable for unlicensed assistive personnel (UAP) because it involves data collection rather than clinical judgment or critical thinking. The results can be recorded and reported to the nurse for further assessment and interpretation.

Choice B rationale

Assessing a post-operative dressing requires clinical judgment to identify signs of infection, dehiscence, or other complications. This task is within the scope of a licensed nurse and should not be delegated to UAP to ensure patient safety.

Choice C rationale

Calculating the Morse Fall Scale involves understanding and interpreting risk factors, which requires critical thinking and clinical judgment. It is inappropriate for delegation to UAP, as they are not trained to analyze or interpret clinical data.

Choice D rationale

Performing an assessment of a child's developmental milestones requires knowledge of growth and development patterns, as well as clinical judgment to interpret findings. This task is outside the scope of UAP and must be performed by a licensed nurse.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale

Postpartum depression is more likely in individuals with a history of depression due to predisposing factors such as neurochemical imbalances and psychosocial stressors. Pregnancy and childbirth exacerbate these vulnerabilities through hormonal fluctuations, sleep deprivation, and new parenting stress. Early identification of at-risk populations is critical to prevent severe outcomes and promote maternal mental health.

Choice B rationale

Psychotic behavior is not a common feature of postpartum depression. It is more characteristic of postpartum psychosis, a rare and severe condition that requires immediate intervention. Postpartum depression primarily manifests as feelings of sadness, anxiety, and difficulty bonding with the infant, rather than psychotic symptoms like delusions or hallucinations.

Choice C rationale

Harming the infant is not the most common manifestation of postpartum depression. While intrusive thoughts may occur, the condition primarily presents with emotional symptoms such as hopelessness, guilt, and fatigue. Focused therapy can address these feelings and help prevent rare but severe outcomes involving harm.

Choice D rationale

Postpartum depression typically develops within 1–4 weeks after delivery, with symptoms often emerging gradually. The claim that it begins within 48 hours is inaccurate and more representative of the "baby blues," a transient and less severe condition. Accurate diagnosis involves monitoring symptom progression over time. .

A. Infrequent, inconsistent feedings. B. Cracks or fissures of the nipples. C. Gradual weaning of breastfeeding. D. Engorgement from oversupply of milk.

Correct Answer is C

Explanation

Choice A rationale

Infrequent or inconsistent feedings lead to milk stasis, providing an environment conducive to bacterial growth, which can result in mastitis. Proper breastfeeding frequency ensures milk drainage, reducing stasis and infection risk. Milk stasis is a primary contributor to the development of mastitis, emphasizing the importance of regular feeding practices.

Choice B rationale

Nipple cracks and fissures are a direct portal for bacterial entry, increasing the likelihood of infection in the lactiferous ducts. Staphylococcus aureus, commonly present on the skin, can invade through damaged tissue, resulting in mastitis. Proper nipple care and hygiene are essential in prevention.

Choice C rationale

Gradual weaning allows for a decrease in milk production, preventing engorgement and stasis, which reduces the risk of mastitis. Gradual weaning gives the mammary glands time to adapt. Mastitis is more commonly associated with abrupt changes in feeding patterns or milk stasis rather than controlled weaning processes.

Choice D rationale

Engorgement from oversupply creates increased intraductal pressure, which can lead to blocked ducts and milk stasis, creating conditions favorable for bacterial growth. Engorgement needs prompt management to prevent secondary infections such as mastitis, particularly in lactating individuals.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which task is most appropriate for the nurse to delegate to the unlicensed assistive personnel on a pediatric unit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing postpartum depression with a newly licensed nurse.Which of the following statements by the newly licensed nurse indicates an understanding of this condition?

Correct Answer is A

Explanation

The nurse knows that which of the following is not a cause of mastitis?

Correct Answer is C

Explanation

A nurse is assessing a postmature infant.Which of the following findings would the nurse expect? (Select all that apply.)

A nurse is assessing a child who is in sickle cell crisis.Which of the following findings should the nurse expect?

The nurse identifies the following assessment findings in a client who is 36 weeks' gestation.Which should be immediately reported to the provider?

Identify a complication resulting from a cleft palate, the anatomical changes that lead to the complication, and the priority interventions for care.

The nurse is caring for a laboring client who presents with ruptured membranes, frequent contractions, and bloody show.Which intervention should be performed first?

A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is contraindicated due to which of the following findings in the client's medical history?