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 22-year-old postpartum mother (vaginal delivery 24 hours
ago) requests discharge teaching because she needs to return
to work tomorrow. She appears fatigued, has a blood pressure
of 110/70 mm Hg, pulse 96, and expresses worry about formula
preparation and breastfeeding. As the nurse assigned for
,discharge teaching, which action best demonstrates family-
centered, evidence-based care?
A. Tell her to bring the infant to the clinic for a lactation consult
and schedule discharge for tomorrow.
B. Provide a brief written handout on formula preparation and
encourage follow-up with her pediatrician.
C. Assess her priorities and barriers to learning, provide
targeted teaching, and arrange community lactation support.
D. Advise formula feeding because returning to work will make
exclusive breastfeeding unrealistic.
Correct answer: C
Rationale — Correct (3–4 sentences)
Option C is correct because family-centered care begins with
assessing the mother’s priorities and barriers (work schedule,
fatigue), then tailoring education and arranging realistic
supports (community lactation consultants). This aligns with the
nurse’s role in care coordination and health promotion. It uses
evidence-based practice by connecting the patient to resources
that increase breastfeeding success.
Rationale — Incorrect
A. Referring to a clinic without assessing barriers may delay
needed teaching and doesn’t ensure access or follow-through.
B. A handout alone is insufficient for individualized teaching,
especially when the mother is anxious and time-restricted.
D. Advising formula feeding prematurely imposes a value
judgment and removes shared decision-making.
,Teaching point (≤20 words)
Assess patient priorities first; link teaching to realistic supports
and community resources.
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 working in a community clinic identifies that
several infants of recent immigrant families missed well-child
visits. The nurse’s supervisor asks that she call families to
reschedule. Which nurse action best reflects advocacy and
cultural competence?
A. Call each family and insist on rescheduling at the clinic’s
standard hours.
B. Send a mailed letter in English urging attendance at the next
clinic day.
C. Contact community liaisons to learn barriers and offer
flexible appointment options with interpreter support.
D. Document missed visits and notify social services about
noncompliance.
, Correct answer: C
Rationale — Correct (3–4 sentences)
Option C demonstrates advocacy and cultural competence by
collaborating with community liaisons, identifying barriers
(transportation, language, work hours), and offering flexible,
interpreter-supported options. This approach respects family
context and promotes equitable access to preventive care—key
responsibilities in the evolving maternal-child nursing role.
Rationale — Incorrect
A. Insisting on standard hours ignores barriers and may worsen
access.
B. A mailed letter in English is unlikely to be effective for non-
English speaking families.
D. Notifying social services without addressing access or
communication first risks punitive action and violates advocacy
principles.
Teaching point (≤20 words)
Use community partnerships and interpreters to remove
barriers and improve equitable access.
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 22-year-old postpartum mother (vaginal delivery 24 hours
ago) requests discharge teaching because she needs to return
to work tomorrow. She appears fatigued, has a blood pressure
of 110/70 mm Hg, pulse 96, and expresses worry about formula
preparation and breastfeeding. As the nurse assigned for
,discharge teaching, which action best demonstrates family-
centered, evidence-based care?
A. Tell her to bring the infant to the clinic for a lactation consult
and schedule discharge for tomorrow.
B. Provide a brief written handout on formula preparation and
encourage follow-up with her pediatrician.
C. Assess her priorities and barriers to learning, provide
targeted teaching, and arrange community lactation support.
D. Advise formula feeding because returning to work will make
exclusive breastfeeding unrealistic.
Correct answer: C
Rationale — Correct (3–4 sentences)
Option C is correct because family-centered care begins with
assessing the mother’s priorities and barriers (work schedule,
fatigue), then tailoring education and arranging realistic
supports (community lactation consultants). This aligns with the
nurse’s role in care coordination and health promotion. It uses
evidence-based practice by connecting the patient to resources
that increase breastfeeding success.
Rationale — Incorrect
A. Referring to a clinic without assessing barriers may delay
needed teaching and doesn’t ensure access or follow-through.
B. A handout alone is insufficient for individualized teaching,
especially when the mother is anxious and time-restricted.
D. Advising formula feeding prematurely imposes a value
judgment and removes shared decision-making.
,Teaching point (≤20 words)
Assess patient priorities first; link teaching to realistic supports
and community resources.
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 working in a community clinic identifies that
several infants of recent immigrant families missed well-child
visits. The nurse’s supervisor asks that she call families to
reschedule. Which nurse action best reflects advocacy and
cultural competence?
A. Call each family and insist on rescheduling at the clinic’s
standard hours.
B. Send a mailed letter in English urging attendance at the next
clinic day.
C. Contact community liaisons to learn barriers and offer
flexible appointment options with interpreter support.
D. Document missed visits and notify social services about
noncompliance.
, Correct answer: C
Rationale — Correct (3–4 sentences)
Option C demonstrates advocacy and cultural competence by
collaborating with community liaisons, identifying barriers
(transportation, language, work hours), and offering flexible,
interpreter-supported options. This approach respects family
context and promotes equitable access to preventive care—key
responsibilities in the evolving maternal-child nursing role.
Rationale — Incorrect
A. Insisting on standard hours ignores barriers and may worsen
access.
B. A mailed letter in English is unlikely to be effective for non-
English speaking families.
D. Notifying social services without addressing access or
communication first risks punitive action and violates advocacy
principles.
Teaching point (≤20 words)
Use community partnerships and interpreters to remove
barriers and improve equitable access.
Citation
Hatfield, N., & Kincheloe, C. (2023). Introductory maternity &
pediatric nursing (5th ed.). Ch. 1.
3
