Which task could be appropriately assigned to the UAP working with you at the obstetric clinic?

• A. Checking the blood pressure of a patient who is 36 weeks pregnant and reports a headache
• B. Removing the adhesive skin closure strips of a patient who had a cesarean section 2 weeks ago
• C. Giving community resource information and emergency numbers to a prenatal patient whom you suspect is experiencing domestic violence
• D. Dispensing a breast pump with instruction to a lactating patient having trouble with milk supply 4 weeks postpartum

Answer: (A)

The key idea is delegating tasks that are routine data collection without requiring clinical judgment. In obstetric care, a UAP can accurately measure a patient’s vital signs and report the results to you, while you interpret what they mean and decide the next steps. Checking the blood pressure of a patient at 36 weeks who reports a headache fits this role because it involves obtaining objective data and escalation if needed, but does not require the UAP to assess, diagnose, or provide counseling.

If the blood pressure is elevated or if there are concerning signs, you would assess further and determine the appropriate intervention. The other tasks involve clinical assessment, risk evaluation, counseling, and education, which require the nurse’s judgment and cannot be safely delegated to a UAP.