# Using the facility-approved role descriptions in the scenario, identify the most appropriate team member for each postpartum task. > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=393405&lang=en > language: en > subject: Assignment/Delegation/Supervision > category: MOC ## Question Using the facility-approved role descriptions in the scenario, identify the most appropriate team member for each postpartum task. | | RN only | LPN eligible under stated policy | UAP eligible under stated policy | | --- | --- | --- | --- | | Assess a client 2 hours after birth who has a boggy fundus and heavy lochia | | | | | After RN verification of the order and relevant maternal and newborn data, administer prescribed intramuscular Rho(D) immune globulin to a stable client | | | | | Reinforce a breastfeeding latch technique after the RN completed the initial teaching | | | | | Obtain routine vital signs on a stable postpartum day 2 client and promptly report abnormal results | | | | | Provide first-time discharge teaching about postpartum hemorrhage and venous thromboembolism warning signs | | | | | Weigh a peripad for a stable client and report the measured amount without interpreting it | | | | ## Explanation The RN assesses the client with a boggy fundus and heavy lochia because the client may be unstable, and the RN provides first-time discharge teaching. Under the stated jurisdiction and facility policy, a competent LPN may administer the prescribed intramuscular Rho(D) immune globulin after the RN verifies the order and relevant data, and may reinforce prior breastfeeding teaching. A trained UAP may obtain routine vital signs and weigh a peripad on stable clients, then report the data without interpretation. Delegation and assignment always remain subject to the nurse practice act, facility policy, client condition, and staff competence. ## In-depth explanation Correct Answer RN only: assess the client with a boggy fundus and heavy lochia, and provide first-time discharge teaching. LPN eligible under the stated policy: administer verified intramuscular Rho(D) immune globulin to a stable client and reinforce prior breastfeeding teaching. UAP eligible: obtain routine vital signs and weigh and report a peripad for stable clients. Why It Fits Assignment depends on client stability, predictability, judgment, jurisdiction, facility policy, education, and demonstrated competence. The scenario explicitly supplies those boundaries. Clinical Picture Boggy fundus with heavy lochia may indicate postpartum hemorrhage and requires RN assessment and judgment. Verified medication administration and teaching reinforcement are predictable licensed-nurse activities when permitted. Data collection without interpretation may be assigned to trained assistive personnel for stable clients. Memory Link Assess instability, teach first, assign the predictable task, and verify local authority. NCLEX Rule Use the scope and policy given in the stem. Do not convert a local assignment rule into a universal statement about every LPN, UAP, state, or facility. Why the Alternatives Fail UAPs do not interpret postpartum findings or give medications. The LPN should not receive the unstable initial assessment or first-time teaching in this scenario. Saying Rho(D) immune globulin is always RN-only ignores jurisdiction, policy, education, and competence. Source 1NCSBN: Delegation 2NCSBN: Scope of Practice Decision-Making Framework 32026 NCLEX-RN Test Plan ## Clinical scenario The jurisdiction and facility permit competent LPNs to care for stable postpartum clients, administer scheduled intramuscular medications after RN verification, and reinforce prior teaching. Trained UAPs may obtain routine vital signs, measure intake and output, provide hygiene and supplies, and report data for stable clients. The RN retains initial and unstable assessment, clinical judgment, first-time teaching, and evaluation. ## Key concepts - **Assignment and delegation** — The nurse matches client condition and task requirements with jurisdiction, facility policy, education, demonstrated competence, communication, and supervision. - **Rho(D) immune globulin** — A prescribed medication used to reduce Rh sensitization risk. The authorized team member, verification steps, and timing follow the jurisdiction, facility policy, order, and client-specific maternal and newborn data. - **Stable versus unstable client** — Predictable data collection and routine care may be assigned according to policy, while new instability, initial assessment, interpretation, teaching, and evaluation require the licensed nurse whose scope covers the judgment. ## Related questions - [A 67-year-old client with chronic obstructive pulmonary disease attends a routine primary …](https://mymerci.kr/pages/nclex_q.php?qn_id=360522&lang=en) - [A registered nurse on a medical-surgical unit is delegating tasks at the start of shift. 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