Which task is appropriate for delegation to a licensed practical/vocational nurse on a postpartum unit?

• A. Administration of Rhogam IM to a Rh- mother 24 hours after delivery
• B. Assist client with perineal hygiene and bathing first time after delivery
• C. Teach about breastfeeding
• D. Assess newborn reflexes

Answer: (B)

This item tests delegation and scope of practice for LPNs on a postpartum unit. Assisting a new mother with perineal hygiene and bathing after delivery is a straightforward, routine care task. It involves helping with basic self-care, ensuring privacy and comfort, and does not require independent nursing assessment, critical judgment, or formal teaching. Under supervision, this fits well within what an LPN can provide.

The other options require actions that are typically reserved for an RN. Teaching about breastfeeding involves structured, individualized patient education and assessment of learning needs. Assessing newborn reflexes requires clinical judgment and interpretation of findings. Administering Rhogam IM involves a medication process with specific safety checks and potential policy requirements that often require RN oversight.