INTRODUCTORY MATERNITY &
PEDIATRIC NURSING
5TH EDITION
• AUTHOR(S)NANCY HATFIELD;
CYNTHIA KINCHELOE
TEST BANK
1
Reference
Unit 1, Ch. 1 — The Nurse’s Role in a Changing Maternal–Child
Healthcare Environment
Stem
A postpartum nurse on a busy unit receives report on a new
admission: a 19-year-old primipara who speaks limited English,
has inconsistent prenatal care, and expresses anxiety about
breastfeeding. The newborn is stable. Which action should the
,nurse prioritize first to promote family-centered care and
immediate safety?
A. Arrange a lactation consultant visit for the next morning.
B. Use a trained medical interpreter to assess the mother's
concerns and provide privacy for teaching.
C. Provide a packet of written breastfeeding instructions in
English.
D. Ask a multilingual nursing assistant to explain breastfeeding
basics right away.
Correct answer: B
Rationales
Correct (B): Using a trained medical interpreter to assess the
mother's concerns immediately supports accurate
communication, identifies safety or health needs, and respects
family-centered care. It enables informed decision-making and
prevents misunderstandings that can compromise newborn
feeding and maternal anxiety. This aligns with the nurse’s role
as patient advocate and communicator.
A: A lactation consultant is appropriate but waiting until the
next morning delays assessment and immediate support; initial
interpretation/teaching is higher priority.
C: Written English materials are inappropriate for limited-
English speakers and do not address immediate questions or
emotional support.
D: A multilingual nursing assistant may help informally, but
trained interpreters are required for clinical assessment and
,informed consent; delegation must match scope and
competency.
Teaching point: Use trained interpreters for clinical assessment
and teaching when language barriers exist.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
2
Reference
Unit 1, Ch. 1 — The Nurse’s Role in a Changing Maternal–Child
Healthcare Environment
Stem
A home-health nurse is planning discharge teaching for a
mother of a 3-year-old with newly diagnosed asthma. The
family reports low literacy and limited transportation. Which
nursing action best demonstrates care coordination and
prioritization?
A. Provide a standard asthma pamphlet and schedule a follow-
up in 6 weeks.
B. Arrange a community health worker visit, teach inhaler
technique in-home, and schedule an earlier clinic follow-up.
C. Ask the family to watch online inhaler videos and call the
clinic with questions.
D. Refer the family to the pediatric pulmonologist and
document the referral.
, Correct answer: B
Rationales
Correct (B): Arranging a community health worker visit and
providing in-home inhaler teaching directly addresses social
determinants (literacy, transport), supports safe medication
use, and schedules timely follow-up—core functions of care
coordination and family-centered nursing.
A: A standard pamphlet and delayed follow-up ignore literacy
and access barriers and risk poor adherence and exacerbation.
C: Relying on online videos assumes internet access and
reading/comprehension ability; it is not family-centered or safe.
D: Referral is important but passive; active coordination
(education and accessible follow-up) is higher priority for
immediate safety.
Teaching point: Coordinate resources to overcome barriers—
active planning > passive referral.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
3
Reference
Unit 1, Ch. 1 — The Nurse’s Role in a Changing Maternal–Child
Healthcare Environment
Stem
A nurse in a pediatric clinic is asked to delegate administration
PEDIATRIC NURSING
5TH EDITION
• AUTHOR(S)NANCY HATFIELD;
CYNTHIA KINCHELOE
TEST BANK
1
Reference
Unit 1, Ch. 1 — The Nurse’s Role in a Changing Maternal–Child
Healthcare Environment
Stem
A postpartum nurse on a busy unit receives report on a new
admission: a 19-year-old primipara who speaks limited English,
has inconsistent prenatal care, and expresses anxiety about
breastfeeding. The newborn is stable. Which action should the
,nurse prioritize first to promote family-centered care and
immediate safety?
A. Arrange a lactation consultant visit for the next morning.
B. Use a trained medical interpreter to assess the mother's
concerns and provide privacy for teaching.
C. Provide a packet of written breastfeeding instructions in
English.
D. Ask a multilingual nursing assistant to explain breastfeeding
basics right away.
Correct answer: B
Rationales
Correct (B): Using a trained medical interpreter to assess the
mother's concerns immediately supports accurate
communication, identifies safety or health needs, and respects
family-centered care. It enables informed decision-making and
prevents misunderstandings that can compromise newborn
feeding and maternal anxiety. This aligns with the nurse’s role
as patient advocate and communicator.
A: A lactation consultant is appropriate but waiting until the
next morning delays assessment and immediate support; initial
interpretation/teaching is higher priority.
C: Written English materials are inappropriate for limited-
English speakers and do not address immediate questions or
emotional support.
D: A multilingual nursing assistant may help informally, but
trained interpreters are required for clinical assessment and
,informed consent; delegation must match scope and
competency.
Teaching point: Use trained interpreters for clinical assessment
and teaching when language barriers exist.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
2
Reference
Unit 1, Ch. 1 — The Nurse’s Role in a Changing Maternal–Child
Healthcare Environment
Stem
A home-health nurse is planning discharge teaching for a
mother of a 3-year-old with newly diagnosed asthma. The
family reports low literacy and limited transportation. Which
nursing action best demonstrates care coordination and
prioritization?
A. Provide a standard asthma pamphlet and schedule a follow-
up in 6 weeks.
B. Arrange a community health worker visit, teach inhaler
technique in-home, and schedule an earlier clinic follow-up.
C. Ask the family to watch online inhaler videos and call the
clinic with questions.
D. Refer the family to the pediatric pulmonologist and
document the referral.
, Correct answer: B
Rationales
Correct (B): Arranging a community health worker visit and
providing in-home inhaler teaching directly addresses social
determinants (literacy, transport), supports safe medication
use, and schedules timely follow-up—core functions of care
coordination and family-centered nursing.
A: A standard pamphlet and delayed follow-up ignore literacy
and access barriers and risk poor adherence and exacerbation.
C: Relying on online videos assumes internet access and
reading/comprehension ability; it is not family-centered or safe.
D: Referral is important but passive; active coordination
(education and accessible follow-up) is higher priority for
immediate safety.
Teaching point: Coordinate resources to overcome barriers—
active planning > passive referral.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
3
Reference
Unit 1, Ch. 1 — The Nurse’s Role in a Changing Maternal–Child
Healthcare Environment
Stem
A nurse in a pediatric clinic is asked to delegate administration
