CHILD NURSING CARE
3RD EDITION
• AUTHOR(S)MEREDITH SCANNELL
TEST BANK
1
Reference: Ch. 1 — Core Concepts of Maternal and Pediatric
Health Care Across the Continuum — Family-Centered Care
Stem: A 3-day postpartum mother expresses concern that
hospital staff plan infant care tasks without asking her
preferences; she reports feeling excluded from decision-making.
Which nursing action best demonstrates family-centered care?
A. Explain hospital policy that nurses will manage routine infant
care for efficiency.
pg. 1
,B. Ask the mother which caregiving tasks she wants to perform
and negotiate a plan.
C. Encourage the mother to observe until she feels comfortable
before participating.
D. Schedule an early discharge to let the mother provide all
infant care at home.
Correct answer: B
Correct rationale: Asking which tasks the mother wants and
negotiating a plan actively involves the family in decision-
making, respects parental role, and supports bonding. Family-
centered care prioritizes partnership, shared decision-making,
and individualized care plans. Negotiation also allows staff to
provide education and safety oversight while honoring parent
preferences.
Incorrect A rationale: Explaining policy as directive dismisses
family input and undermines partnership; not family-centered.
Incorrect C rationale: Passive encouragement delays
partnership and misses opportunity to assess readiness and
provide teaching immediately.
pg. 2
,Incorrect D rationale: Early discharge may be unsafe and avoids
addressing the communication issue rather than fostering
family involvement.
Teaching point: Family-centered care = partnership, shared
decisions, and negotiated caregiving roles.
Citation: Scannell, M. (2025). Davis Advantage for Maternal-
Child Nursing Care (3rd ed.). Ch. 1.
2
Reference: Ch. 1 — Nursing Roles — Standards of Practice
Stem: An outpatient prenatal nurse recognizes that a patient
with limited English proficiency (LEP) is asked to sign consent
forms without an interpreter. What action best reflects the
nurse's responsibility under standards of practice?
A. Ask a bilingual family member to translate so care isn't
delayed.
B. Proceed with the visit and document the patient refused an
interpreter.
C. Request a professional interpreter before obtaining consent
pg. 3
, and delay signature until present.
D. Use a telephone interpreter only if the patient approves of
family translation.
Correct answer: C
Correct rationale: Standards of practice and informed consent
require communication the patient understands; a professional
interpreter ensures accurate information exchange and
legal/ethical validity. Requesting an interpreter protects patient
rights and supports safe, ethical practice.
Incorrect A rationale: Family members may introduce bias,
errors, and confidentiality breaches; not acceptable for
informed consent.
Incorrect B rationale: Documenting refusal is inappropriate if
interpreter not offered; patient may not understand without
one.
Incorrect D rationale: Telephone interpreters are acceptable if
professional; relying on family is not.
Teaching point: Use professional interpreters for informed
consent and critical education.
pg. 4