Sarah, a nurse in a level IV neonatal intensive care unit (NICU), just arrived at the hospital for her night shift. She will be admitting a newborn with a diagnosis of hypoxic ischemic encephalopathy. The initial report from the charge nurse describes a severely ill infant who will need 1-on-1 care upon arrival. The infant is being transported from the delivery hospital via ambulance, and Sarah spends the first hour of her shift preparing for the admission. The transport team arrives, and Sarah receives a report from the transport nurse, Natalie, who provides relevant clinical details and laboratory values. The infant’s name is Yatzil, and Natalie recommends consulting a Spanish interpreter because the family speaks limited English. Natalie then adds, “The mother is quite young, and the family seems mentally slow even with the interpreter. You might have a difficult time with them.” Natalie states that Yatzil’s mother will remain...

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