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 28-year-old primiparous woman in early labor says she
is anxious because her partner must return to work in an hour.
The nurse observes moderate contractions every 4 minutes,
fetal heart rate (FHR) 140 bpm, maternal BP 118/76, and
,respirations 18. Which nursing action best reflects family-
centered, culturally sensitive care while ensuring safety?
A. Encourage immediate ambulation to distract the woman
from anxiety.
B. Offer a brief private meeting with the partner to plan support
after he leaves.
C. Arrange for a support person or doula and provide brief
coping coaching to the couple.
D. Tell the woman that anxiety slows labor and to focus only on
breathing.
Correct answer: C
Rationales — Correct (3–4 sentences):
Offering a support person/doula while providing coping
coaching integrates family-centered care and addresses the
patient’s anxiety without excluding the partner. This
intervention promotes safety (maintains stable vitals and FHR),
supports labor progress, and respects the family’s needs and
cultural preferences. It also equips both parents with strategies
they can use if the partner must leave, aligning with roles
described in Ch.1.
Incorrect options:
A. Ambulation may help labor progress but does not address
family concerns or provide targeted coping support; it ignores
family-centered principles.
B. A private meeting with the partner excludes the laboring
woman from shared planning and may fragment care.
,D. Telling the woman to “only focus on breathing” is dismissive,
doesn’t teach coping, and undermines therapeutic
communication.
Teaching Point: Prioritize family-centered support and practical
coping strategies during early labor.
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: A pediatric nurse in a community clinic sees a 6-month-
old infant for a well visit with parents who speak limited
English. The infant’s growth chart shows weight at the 10th
percentile, and the parents appear unsure about feeding
amounts. Which nursing approach best demonstrates culturally
competent, family-centered education?
A. Provide a written handout in English detailing formula
amounts and schedule.
B. Use an interpreter and collaboratively develop a feeding plan
that fits family routines.
C. Tell the parents to increase feeding frequency to move
weight to the 25th percentile.
D. Refer the family to a nutritionist and end the visit early to
schedule that appointment.
, Correct answer: B
Rationales — Correct (3–4 sentences):
Using an interpreter and collaboratively creating a feeding plan
respects cultural and language needs, improves
comprehension, and supports shared decision-making. This
approach addresses the infant’s nutrition while fitting
recommendations into the family’s routines—key components
of family-centered, culturally competent care emphasized in
Ch.1. It also promotes immediate, actionable support rather
than deferring care.
Incorrect options:
A. A written handout in English neglects language barriers and
is unlikely to be effective.
C. Recommending a specific percentile target without
assessment and family input is inappropriate and may cause
unrealistic expectations.
D. Referring out without initial education delays care and misses
an opportunity for immediate family-centered teaching.
Teaching Point: Use interpreters and collaborative planning for
culturally competent education.
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 28-year-old primiparous woman in early labor says she
is anxious because her partner must return to work in an hour.
The nurse observes moderate contractions every 4 minutes,
fetal heart rate (FHR) 140 bpm, maternal BP 118/76, and
,respirations 18. Which nursing action best reflects family-
centered, culturally sensitive care while ensuring safety?
A. Encourage immediate ambulation to distract the woman
from anxiety.
B. Offer a brief private meeting with the partner to plan support
after he leaves.
C. Arrange for a support person or doula and provide brief
coping coaching to the couple.
D. Tell the woman that anxiety slows labor and to focus only on
breathing.
Correct answer: C
Rationales — Correct (3–4 sentences):
Offering a support person/doula while providing coping
coaching integrates family-centered care and addresses the
patient’s anxiety without excluding the partner. This
intervention promotes safety (maintains stable vitals and FHR),
supports labor progress, and respects the family’s needs and
cultural preferences. It also equips both parents with strategies
they can use if the partner must leave, aligning with roles
described in Ch.1.
Incorrect options:
A. Ambulation may help labor progress but does not address
family concerns or provide targeted coping support; it ignores
family-centered principles.
B. A private meeting with the partner excludes the laboring
woman from shared planning and may fragment care.
,D. Telling the woman to “only focus on breathing” is dismissive,
doesn’t teach coping, and undermines therapeutic
communication.
Teaching Point: Prioritize family-centered support and practical
coping strategies during early labor.
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: A pediatric nurse in a community clinic sees a 6-month-
old infant for a well visit with parents who speak limited
English. The infant’s growth chart shows weight at the 10th
percentile, and the parents appear unsure about feeding
amounts. Which nursing approach best demonstrates culturally
competent, family-centered education?
A. Provide a written handout in English detailing formula
amounts and schedule.
B. Use an interpreter and collaboratively develop a feeding plan
that fits family routines.
C. Tell the parents to increase feeding frequency to move
weight to the 25th percentile.
D. Refer the family to a nutritionist and end the visit early to
schedule that appointment.
, Correct answer: B
Rationales — Correct (3–4 sentences):
Using an interpreter and collaboratively creating a feeding plan
respects cultural and language needs, improves
comprehension, and supports shared decision-making. This
approach addresses the infant’s nutrition while fitting
recommendations into the family’s routines—key components
of family-centered, culturally competent care emphasized in
Ch.1. It also promotes immediate, actionable support rather
than deferring care.
Incorrect options:
A. A written handout in English neglects language barriers and
is unlikely to be effective.
C. Recommending a specific percentile target without
assessment and family input is inappropriate and may cause
unrealistic expectations.
D. Referring out without initial education delays care and misses
an opportunity for immediate family-centered teaching.
Teaching Point: Use interpreters and collaborative planning for
culturally competent education.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
3
