What is the recommended approach to consent when parent and child are present in a pediatric visit?

• A. Interpret for the parent only.
• B. Interpret for both, use age-appropriate language with the child, and obtain assent from the child when appropriate.
• C. Interpret for the child only.
• D. Interpret only after the clinician completes the visit.

Answer: (B)

In pediatric care, both consent and the child's involvement matter. The main idea is that the interpreter should ensure clear communication with everyone present: interpret for the parent who is giving authorization and also engage the child in the conversation using language appropriate to the child’s developmental level. This means translating the clinician’s explanations into terms the child can understand, checking that the child understands, and inviting questions. When appropriate, obtain the child’s assent—an affirmative agreement to participate in the proposed care or discussion—especially for school-age children and older. This respects the child’s growing autonomy and helps build trust and understanding for the plan. The conversation should include both parties so decisions are made with full understanding, and it shouldn’t be delayed until after the visit or limited to only one listener.