INTRODUCTORY MATERNITY &
PEDIATRIC NURSING
5TH EDITION
• AUTHOR(S)NANCY HATFIELD;
CYNTHIA KINCHELOE
TEST BANK
1
Reference
Ch. 1 — The Nurse’s Role in a Changing Maternal–Child
Healthcare Environment
Stem
A newly hired LPN on the postpartum unit reports that a new
mother says she plans to leave the hospital early despite the
infant’s transient tachypnea and the physician recommending
continued observation. The LPN asks you (the RN) for guidance.
Which action should you take first?
,A. Allow the mother to sign the discharge against medical
advice (AMA) form.
B. Explain to the mother the risks of early discharge and
document the teaching.
C. Notify the physician immediately and request an order to
prevent discharge.
D. Call social work to arrange home health follow-up and accept
the mother’s decision.
Correct Answer
B
Rationales
Correct (B): The RN’s first responsibility is to ensure informed
decision-making by explaining risks and documenting teaching;
this addresses safety, supports autonomy, and may change the
family’s decision through education. This aligns with the nurse’s
role in patient advocacy and education in a changing care
environment.
A: Letting the mother sign AMA without education ignores the
RN’s duty to provide information and fails to prioritize infant
safety.
C: Notifying the physician is appropriate if patient persists, but
immediate physician notification before attempting education
bypasses the RN’s role to counsel and document.
D: Calling social work is useful but insufficient as the initial step;
teaching and documentation must occur first.
,Teaching Point
Provide clear risk/benefit teaching and document before
escalation.
Citation
Hatfield, N., & Kincheloe, C. (2023). Introductory maternity &
pediatric nursing (5th ed.). Ch. 1.
2
Reference
Ch. 1 — The Nurse’s Role in a Changing Maternal–Child
Healthcare Environment
Stem
During a home visit, a pediatric nurse notes a language barrier
and that the grandmother is interpreting for the adolescent
mother. The nurse is concerned about accurate informed
consent for the infant’s immunizations. What is the most
appropriate nursing action?
A. Continue with teaching using the grandmother as interpreter
to respect family dynamics.
B. Postpone teaching until a professional interpreter arrives and
schedule a return visit.
C. Use picture materials and simplified English to explain, then
ask the grandmother to sign consent.
D. Telephone the clinic’s language line and use phone
interpretation for consent and teaching.
, Correct Answer
D
Rationales
Correct (D): Using a professional interpreter (including phone
interpreter services) ensures accurate, unbiased
communication and meets legal/ethical requirements for
informed consent and culturally competent care. It supports
patient safety and autonomy.
A: Family members may filter or inaccurately interpret
information; using them risks misunderstanding and breaches
confidentiality.
B: Postponing may delay needed care; immediate use of
telephonic interpreter is feasible and safer.
C: Simplified materials help but do not replace qualified
interpretation for consent and complex teaching.
Teaching Point
Use professional interpreters to protect accuracy and
confidentiality in consent.
Citation
Hatfield, N., & Kincheloe, C. (2023). Introductory maternity &
pediatric nursing (5th ed.). Ch. 1.
3
PEDIATRIC NURSING
5TH EDITION
• AUTHOR(S)NANCY HATFIELD;
CYNTHIA KINCHELOE
TEST BANK
1
Reference
Ch. 1 — The Nurse’s Role in a Changing Maternal–Child
Healthcare Environment
Stem
A newly hired LPN on the postpartum unit reports that a new
mother says she plans to leave the hospital early despite the
infant’s transient tachypnea and the physician recommending
continued observation. The LPN asks you (the RN) for guidance.
Which action should you take first?
,A. Allow the mother to sign the discharge against medical
advice (AMA) form.
B. Explain to the mother the risks of early discharge and
document the teaching.
C. Notify the physician immediately and request an order to
prevent discharge.
D. Call social work to arrange home health follow-up and accept
the mother’s decision.
Correct Answer
B
Rationales
Correct (B): The RN’s first responsibility is to ensure informed
decision-making by explaining risks and documenting teaching;
this addresses safety, supports autonomy, and may change the
family’s decision through education. This aligns with the nurse’s
role in patient advocacy and education in a changing care
environment.
A: Letting the mother sign AMA without education ignores the
RN’s duty to provide information and fails to prioritize infant
safety.
C: Notifying the physician is appropriate if patient persists, but
immediate physician notification before attempting education
bypasses the RN’s role to counsel and document.
D: Calling social work is useful but insufficient as the initial step;
teaching and documentation must occur first.
,Teaching Point
Provide clear risk/benefit teaching and document before
escalation.
Citation
Hatfield, N., & Kincheloe, C. (2023). Introductory maternity &
pediatric nursing (5th ed.). Ch. 1.
2
Reference
Ch. 1 — The Nurse’s Role in a Changing Maternal–Child
Healthcare Environment
Stem
During a home visit, a pediatric nurse notes a language barrier
and that the grandmother is interpreting for the adolescent
mother. The nurse is concerned about accurate informed
consent for the infant’s immunizations. What is the most
appropriate nursing action?
A. Continue with teaching using the grandmother as interpreter
to respect family dynamics.
B. Postpone teaching until a professional interpreter arrives and
schedule a return visit.
C. Use picture materials and simplified English to explain, then
ask the grandmother to sign consent.
D. Telephone the clinic’s language line and use phone
interpretation for consent and teaching.
, Correct Answer
D
Rationales
Correct (D): Using a professional interpreter (including phone
interpreter services) ensures accurate, unbiased
communication and meets legal/ethical requirements for
informed consent and culturally competent care. It supports
patient safety and autonomy.
A: Family members may filter or inaccurately interpret
information; using them risks misunderstanding and breaches
confidentiality.
B: Postponing may delay needed care; immediate use of
telephonic interpreter is feasible and safer.
C: Simplified materials help but do not replace qualified
interpretation for consent and complex teaching.
Teaching Point
Use professional interpreters to protect accuracy and
confidentiality in consent.
Citation
Hatfield, N., & Kincheloe, C. (2023). Introductory maternity &
pediatric nursing (5th ed.). Ch. 1.
3
