INTRODUCTORY MATERNITY &
PEDIATRIC NURSING
5TH EDITION
• AUTHOR(S)NANCY HATFIELD;
CYNTHIA KINCHELOE
TEST BANK
1)
Reference: Ch. 1 — The Nurse’s Role: Family-Centered Care and
Advocacy
Stem: A 22-year-old first-time mother, 24 hours postpartum
after an uncomplicated vaginal birth, requests that her partner
stay overnight with the newborn but the postpartum unit policy
limits visitors after 10 PM. The mother appears anxious and
tearful when told of the policy. Which action should the nurse
take first?
A. Enforce the unit policy and explain hospital visitation rules.
,B. Offer to contact the charge nurse to request an exception for
the partner.
C. Assess the mother’s anxiety level, reasons for wanting the
partner present, and family support needs.
D. Ask social work to arrange community support resources for
the family.
Correct Answer: C
Rationale — Correct (3–4 sentences):
Assessing the mother’s anxiety and the rationale for partner
presence is the priority because it guides family-centered
advocacy and immediate care planning. Understanding
emotional state and support needs directs whether an
exception, safety concern, or additional resources are required.
This aligns with nursing assessment → problem identification
before escalation.
Rationale — Incorrect:
A. Enforcing policy without assessment neglects family-
centered care and may worsen anxiety.
B. Requesting an exception before assessing need bypasses
prioritization and wastes resources if not indicated.
D. Referring to social work is appropriate later, but not the
initial priority when anxiety and immediate support needs exist.
Teaching Point: Assess family needs before escalating policy
exceptions.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
,2)
Reference: Ch. 1 — Interprofessional Collaboration and Care
Coordination
Stem: A newborn with suspected congenital cardiac anomaly is
being prepared for transport to a regional pediatric cardiac
center. The bedside nurse notes the infant’s oxygen saturation is
86% on room air and the mother is distraught and asking many
questions. What is the nurse’s best immediate action?
A. Begin discharge teaching because transfer will resolve
concerns.
B. Provide a brief, clear explanation of the reason for transfer,
the transport process, and what to expect, then arrange for
maternal presence during transport if safe.
C. Tell the mother to save questions for the transport team to
avoid delaying the transfer.
D. Leave the bedside to call the transport team while the
mother waits alone.
Correct Answer: B
Rationale — Correct (3–4 sentences):
Providing clear information supports family-centered care and
reduces anxiety; arranging maternal presence when safe
promotes bonding and informed consent. This simultaneous
communication and coordination with the transport process is
core to interprofessional collaboration and care coordination. It
balances urgent clinical needs (low SpO₂) with family support.
, Rationale — Incorrect:
A. Discharge teaching is inappropriate; the infant requires
urgent transfer.
C. Deferring all questions may increase maternal distress and
violate informed-care principles.
D. Leaving the mother unsupported is unsafe and undermines
family-centered practice.
Teaching Point: Communicate clearly and include family during
urgent care coordination.
Citation: Hatfield & Kincheloe (2023). Ch. 1.
3)
Reference: Ch. 1 — Cultural Competence and Respectful Care
Stem: A school-age child and mother from a cultural group that
traditionally prefers same-gender clinicians present for a well-
child visit. The assigned nurse is male and the mother appears
hesitant. What is the nurse’s most appropriate immediate
response?
A. Insist on proceeding because clinician availability is limited.
B. Acknowledge the mother’s hesitation, ask about her
preferences, and offer to arrange a female clinician if that
would increase comfort.
C. Ignore cultural preferences and continue the assessment to
avoid delay.
D. Tell the mother cultural preferences are not relevant in
clinical care.
PEDIATRIC NURSING
5TH EDITION
• AUTHOR(S)NANCY HATFIELD;
CYNTHIA KINCHELOE
TEST BANK
1)
Reference: Ch. 1 — The Nurse’s Role: Family-Centered Care and
Advocacy
Stem: A 22-year-old first-time mother, 24 hours postpartum
after an uncomplicated vaginal birth, requests that her partner
stay overnight with the newborn but the postpartum unit policy
limits visitors after 10 PM. The mother appears anxious and
tearful when told of the policy. Which action should the nurse
take first?
A. Enforce the unit policy and explain hospital visitation rules.
,B. Offer to contact the charge nurse to request an exception for
the partner.
C. Assess the mother’s anxiety level, reasons for wanting the
partner present, and family support needs.
D. Ask social work to arrange community support resources for
the family.
Correct Answer: C
Rationale — Correct (3–4 sentences):
Assessing the mother’s anxiety and the rationale for partner
presence is the priority because it guides family-centered
advocacy and immediate care planning. Understanding
emotional state and support needs directs whether an
exception, safety concern, or additional resources are required.
This aligns with nursing assessment → problem identification
before escalation.
Rationale — Incorrect:
A. Enforcing policy without assessment neglects family-
centered care and may worsen anxiety.
B. Requesting an exception before assessing need bypasses
prioritization and wastes resources if not indicated.
D. Referring to social work is appropriate later, but not the
initial priority when anxiety and immediate support needs exist.
Teaching Point: Assess family needs before escalating policy
exceptions.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
,2)
Reference: Ch. 1 — Interprofessional Collaboration and Care
Coordination
Stem: A newborn with suspected congenital cardiac anomaly is
being prepared for transport to a regional pediatric cardiac
center. The bedside nurse notes the infant’s oxygen saturation is
86% on room air and the mother is distraught and asking many
questions. What is the nurse’s best immediate action?
A. Begin discharge teaching because transfer will resolve
concerns.
B. Provide a brief, clear explanation of the reason for transfer,
the transport process, and what to expect, then arrange for
maternal presence during transport if safe.
C. Tell the mother to save questions for the transport team to
avoid delaying the transfer.
D. Leave the bedside to call the transport team while the
mother waits alone.
Correct Answer: B
Rationale — Correct (3–4 sentences):
Providing clear information supports family-centered care and
reduces anxiety; arranging maternal presence when safe
promotes bonding and informed consent. This simultaneous
communication and coordination with the transport process is
core to interprofessional collaboration and care coordination. It
balances urgent clinical needs (low SpO₂) with family support.
, Rationale — Incorrect:
A. Discharge teaching is inappropriate; the infant requires
urgent transfer.
C. Deferring all questions may increase maternal distress and
violate informed-care principles.
D. Leaving the mother unsupported is unsafe and undermines
family-centered practice.
Teaching Point: Communicate clearly and include family during
urgent care coordination.
Citation: Hatfield & Kincheloe (2023). Ch. 1.
3)
Reference: Ch. 1 — Cultural Competence and Respectful Care
Stem: A school-age child and mother from a cultural group that
traditionally prefers same-gender clinicians present for a well-
child visit. The assigned nurse is male and the mother appears
hesitant. What is the nurse’s most appropriate immediate
response?
A. Insist on proceeding because clinician availability is limited.
B. Acknowledge the mother’s hesitation, ask about her
preferences, and offer to arrange a female clinician if that
would increase comfort.
C. Ignore cultural preferences and continue the assessment to
avoid delay.
D. Tell the mother cultural preferences are not relevant in
clinical care.
