INTRODUCTORY MATERNITY &
PEDIATRIC NURSING
5TH EDITION
• AUTHOR(S)NANCY HATFIELD;
CYNTHIA KINCHELOE
TEST BANK
1)
Reference: Ch. 1 — Family-Centered Care & Communication
Stem: A 2-day-postpartum mother who is breastfeeding reports
anxiety about returning home alone with her newborn. She is
tearful, states she has no nearby family, and asks for help
deciding whether home health follow-up is needed. Vital signs
are stable. As the nurse assigned to discharge teaching, what is
your best immediate action?
A. Discharge the mother with standard written breastfeeding
,resources and advise follow-up with her primary care provider
in 1 week.
B. Arrange a same-day referral to community home-visiting
services and schedule a home health nurse visit within 24–48
hours.
C. Encourage the mother to call a postpartum support hotline if
she becomes more anxious after discharge.
D. Delay discharge and admit the mother for an additional 24
hours for observation.
Correct answer: B
Rationale — Correct: Arrange same-day referral and prompt
home health within 24–48 hours. Family-centered care includes
assessing social supports and arranging timely community
resources when the mother lacks support; prompt home visits
reduce readmission and support breastfeeding. This is an
appropriate, evidence-based nursing intervention that
addresses safety and psychosocial needs.
Rationale — A: Providing only written resources is insufficient
given expressed lack of support and anxiety; it fails to ensure
timely, practical help.
Rationale — C: A hotline is useful but should not replace
arranging proactive, in-person follow-up when immediate social
risk is identified.
Rationale — D: Unnecessary hospitalization increases costs and
is not indicated when vitals and clinical status are stable;
community referral is more appropriate.
,Teaching point: Assess support systems and arrange prompt
home follow-up when social risk is present.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
2)
Reference: Ch. 1 — Advocacy & Ethical Responsibilities
Stem: A 15-year-old pregnant patient requests that her prenatal
records not be shared with her parents. She says she fears being
kicked out if they find out. The nurse knows state law allows
minors to consent for prenatal care. What is the nurse’s best
next action?
A. Inform the parents immediately because they are legally
responsible for the minor.
B. Respect the adolescent’s request for confidentiality and
proceed with prenatal education and care.
C. Refuse care until parental consent is obtained.
D. Encourage the adolescent to tell her parents but disclose
information to parents if she refuses.
Correct answer: B
Rationale — Correct: Respect confidentiality when the law
permits minors to consent to prenatal care. The nurse should
proceed with care and provide education while also discussing
options for support and safety, consistent with advocacy and
adolescent privacy rights.
, Rationale — A: Unauthorized disclosure breaches
confidentiality and can harm the adolescent; parents are not
automatically entitled to this information.
Rationale — C: Refusing care for lack of parental consent is
unethical and unsafe when minors can legally consent.
Rationale — D: Encouraging disclosure is appropriate, but
threatening disclosure undermines trust and violates rights
when the adolescent lawfully consents.
Teaching point: Honor adolescent confidentiality in prenatal
care when law permits; support and safety planning are
essential.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
3)
Reference: Ch. 1 — Cultural Competence & Family Beliefs
Stem: A Latina family prefers herbal teas for an infant’s colic
and is reluctant to use the prescribed simethicone drops. The
father asks the nurse whether the tea is “safe.” How should the
nurse respond to promote culturally competent care?
A. Insist they stop all herbal remedies and use only prescribed
medication.
B. Dismiss herbal remedies as ineffective and only teach about
simethicone.
C. Ask about the specific herbal tea, discuss potential risks and
interactions, and collaborate on a safe plan that respects their
PEDIATRIC NURSING
5TH EDITION
• AUTHOR(S)NANCY HATFIELD;
CYNTHIA KINCHELOE
TEST BANK
1)
Reference: Ch. 1 — Family-Centered Care & Communication
Stem: A 2-day-postpartum mother who is breastfeeding reports
anxiety about returning home alone with her newborn. She is
tearful, states she has no nearby family, and asks for help
deciding whether home health follow-up is needed. Vital signs
are stable. As the nurse assigned to discharge teaching, what is
your best immediate action?
A. Discharge the mother with standard written breastfeeding
,resources and advise follow-up with her primary care provider
in 1 week.
B. Arrange a same-day referral to community home-visiting
services and schedule a home health nurse visit within 24–48
hours.
C. Encourage the mother to call a postpartum support hotline if
she becomes more anxious after discharge.
D. Delay discharge and admit the mother for an additional 24
hours for observation.
Correct answer: B
Rationale — Correct: Arrange same-day referral and prompt
home health within 24–48 hours. Family-centered care includes
assessing social supports and arranging timely community
resources when the mother lacks support; prompt home visits
reduce readmission and support breastfeeding. This is an
appropriate, evidence-based nursing intervention that
addresses safety and psychosocial needs.
Rationale — A: Providing only written resources is insufficient
given expressed lack of support and anxiety; it fails to ensure
timely, practical help.
Rationale — C: A hotline is useful but should not replace
arranging proactive, in-person follow-up when immediate social
risk is identified.
Rationale — D: Unnecessary hospitalization increases costs and
is not indicated when vitals and clinical status are stable;
community referral is more appropriate.
,Teaching point: Assess support systems and arrange prompt
home follow-up when social risk is present.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
2)
Reference: Ch. 1 — Advocacy & Ethical Responsibilities
Stem: A 15-year-old pregnant patient requests that her prenatal
records not be shared with her parents. She says she fears being
kicked out if they find out. The nurse knows state law allows
minors to consent for prenatal care. What is the nurse’s best
next action?
A. Inform the parents immediately because they are legally
responsible for the minor.
B. Respect the adolescent’s request for confidentiality and
proceed with prenatal education and care.
C. Refuse care until parental consent is obtained.
D. Encourage the adolescent to tell her parents but disclose
information to parents if she refuses.
Correct answer: B
Rationale — Correct: Respect confidentiality when the law
permits minors to consent to prenatal care. The nurse should
proceed with care and provide education while also discussing
options for support and safety, consistent with advocacy and
adolescent privacy rights.
, Rationale — A: Unauthorized disclosure breaches
confidentiality and can harm the adolescent; parents are not
automatically entitled to this information.
Rationale — C: Refusing care for lack of parental consent is
unethical and unsafe when minors can legally consent.
Rationale — D: Encouraging disclosure is appropriate, but
threatening disclosure undermines trust and violates rights
when the adolescent lawfully consents.
Teaching point: Honor adolescent confidentiality in prenatal
care when law permits; support and safety planning are
essential.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
3)
Reference: Ch. 1 — Cultural Competence & Family Beliefs
Stem: A Latina family prefers herbal teas for an infant’s colic
and is reluctant to use the prescribed simethicone drops. The
father asks the nurse whether the tea is “safe.” How should the
nurse respond to promote culturally competent care?
A. Insist they stop all herbal remedies and use only prescribed
medication.
B. Dismiss herbal remedies as ineffective and only teach about
simethicone.
C. Ask about the specific herbal tea, discuss potential risks and
interactions, and collaborate on a safe plan that respects their
