INTRODUCTORY MATERNITY &
PEDIATRIC NURSING
5TH EDITION
• AUTHOR(S)NANCY HATFIELD;
CYNTHIA KINCHELOE
TEST BANK
Q1
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: A newly hired RN on the postpartum unit receives report
that a primiparous mother (24 hours postpartum) appears
anxious and is refusing to hold her newborn. Vital signs are T
37.1°C, HR 88, BP 118/72, RR 18. The partner tells the nurse,
“She’s overwhelmed and says she’s not ready.” As the nurse
responsible for initial assessment and support, what is the best
first action?
,A. Encourage skin-to-skin contact and stay with the couple to
model holding the newborn.
B. Document the mother’s refusal and notify the pediatrician to
evaluate bonding.
C. Provide a printed handout about newborn care and suggest
the partner hold the baby.
D. Ask the mother closed-ended questions to determine why
she feels overwhelmed.
Correct answer: A
Rationales
• Correct (A): Immediate, supportive skin-to-skin contact
with nurse presence addresses bonding, reduces maternal
anxiety, and promotes neonatal stabilization; the nurse’s
role includes providing bedside support and facilitating
family-centered care. Skin-to-skin is a therapeutic first-line
intervention that can reveal underlying barriers while
ensuring safety.
• Incorrect (B): Notifying a physician as the first action is
premature; documentation and escalation are appropriate
if safety concerns persist, but priority is bedside nursing
interventions.
• Incorrect (C): A printed handout is insufficient and not
timely; active bedside support is higher priority for
bonding and maternal coping.
, • Incorrect (D): Closed-ended questions may limit
information; open, empathetic dialogue is preferable after
initial supportive measures.
Teaching point: Facilitate immediate, supportive contact;
bedside nursing support often reduces anxiety.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
Q2
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: A school-age child with asthma visits the clinic for a
routine check. The mother is non-English speaking and appears
anxious. The nurse notes that clinic staff typically ask bilingual
volunteers to translate. The appointment is running behind and
no volunteer is available. Which action best upholds
professional, ethical, and legal responsibilities?
A. Proceed with the visit using the mother’s older child (teen) to
translate medical details.
B. Use a professional telephonic medical interpreter to conduct
the history and teach inhaler use.
C. Ask the mother to sign a form stating she understands the
information in English.
D. Delay the visit until a bilingual volunteer arrives.
Correct answer: B
, Rationales
• Correct (B): Using a professional telephonic interpreter
ensures accurate communication, informed consent, and
patient safety; it follows legal and ethical standards for
language access and prevents miscommunication.
• Incorrect (A): Using family members for medical
translation risks inaccuracies and breaches confidentiality;
not best practice.
• Incorrect (C): Having the mother sign an English form
without comprehension violates informed consent
principles.
• Incorrect (D): Unnecessary delay harms timely care;
professional interpretation services are an immediate,
appropriate resource.
Teaching point: Use professional interpreters to ensure
accurate, ethical, and legal communication.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
Q3
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: On a busy pediatric unit, an RN delegates administration
of an oral antibiotic to an experienced LPN for a stable 4-year-
PEDIATRIC NURSING
5TH EDITION
• AUTHOR(S)NANCY HATFIELD;
CYNTHIA KINCHELOE
TEST BANK
Q1
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: A newly hired RN on the postpartum unit receives report
that a primiparous mother (24 hours postpartum) appears
anxious and is refusing to hold her newborn. Vital signs are T
37.1°C, HR 88, BP 118/72, RR 18. The partner tells the nurse,
“She’s overwhelmed and says she’s not ready.” As the nurse
responsible for initial assessment and support, what is the best
first action?
,A. Encourage skin-to-skin contact and stay with the couple to
model holding the newborn.
B. Document the mother’s refusal and notify the pediatrician to
evaluate bonding.
C. Provide a printed handout about newborn care and suggest
the partner hold the baby.
D. Ask the mother closed-ended questions to determine why
she feels overwhelmed.
Correct answer: A
Rationales
• Correct (A): Immediate, supportive skin-to-skin contact
with nurse presence addresses bonding, reduces maternal
anxiety, and promotes neonatal stabilization; the nurse’s
role includes providing bedside support and facilitating
family-centered care. Skin-to-skin is a therapeutic first-line
intervention that can reveal underlying barriers while
ensuring safety.
• Incorrect (B): Notifying a physician as the first action is
premature; documentation and escalation are appropriate
if safety concerns persist, but priority is bedside nursing
interventions.
• Incorrect (C): A printed handout is insufficient and not
timely; active bedside support is higher priority for
bonding and maternal coping.
, • Incorrect (D): Closed-ended questions may limit
information; open, empathetic dialogue is preferable after
initial supportive measures.
Teaching point: Facilitate immediate, supportive contact;
bedside nursing support often reduces anxiety.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
Q2
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: A school-age child with asthma visits the clinic for a
routine check. The mother is non-English speaking and appears
anxious. The nurse notes that clinic staff typically ask bilingual
volunteers to translate. The appointment is running behind and
no volunteer is available. Which action best upholds
professional, ethical, and legal responsibilities?
A. Proceed with the visit using the mother’s older child (teen) to
translate medical details.
B. Use a professional telephonic medical interpreter to conduct
the history and teach inhaler use.
C. Ask the mother to sign a form stating she understands the
information in English.
D. Delay the visit until a bilingual volunteer arrives.
Correct answer: B
, Rationales
• Correct (B): Using a professional telephonic interpreter
ensures accurate communication, informed consent, and
patient safety; it follows legal and ethical standards for
language access and prevents miscommunication.
• Incorrect (A): Using family members for medical
translation risks inaccuracies and breaches confidentiality;
not best practice.
• Incorrect (C): Having the mother sign an English form
without comprehension violates informed consent
principles.
• Incorrect (D): Unnecessary delay harms timely care;
professional interpretation services are an immediate,
appropriate resource.
Teaching point: Use professional interpreters to ensure
accurate, ethical, and legal communication.
Citation: Hatfield, N., & Kincheloe, C. (2023). Introductory
maternity & pediatric nursing (5th ed.). Ch. 1.
Q3
Reference: Ch. 1 — The Nurse’s Role in a Changing Maternal–
Child Healthcare Environment
Stem: On a busy pediatric unit, an RN delegates administration
of an oral antibiotic to an experienced LPN for a stable 4-year-
