DAVIS ADVANTAGE FOR MATERNAL-
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
Stem
A 28-year-old G1 at 38 weeks arrives for a prenatal visit
reporting decreased fetal movement for the past 12 hours. Her
vitals are stable and fundal height is appropriate; NST in clinic is
pg. 1
,nonreactive. The client is anxious and asks what to do next.
Which nursing action is the highest priority?
A. Reassure the client that decreased movement is common at
term and arrange routine follow-up.
B. Instruct the client to return for a biophysical profile (BPP) or
repeat NST with fetal movement count immediately.
C. Teach the client kick-count techniques and advise her to call
if movements do not improve within 48 hours.
D. Refer the client to childbirth education for movement-
monitoring strategies.
Correct Answer: B
Rationale — Correct (3–4 sentences)
A nonreactive NST at 38 weeks with reported decreased fetal
movement is an urgent cue requiring immediate further
assessment to rule out fetal compromise. A BPP or repeat NST
(with stimulation and extended monitoring) provides direct
evaluation of fetal well-being. Prompt diagnostic testing can
identify hypoxia or acid–base disturbance earlier and guide
timely interventions.
pg. 2
,Rationale — Incorrect
A. Reassurance alone is unsafe because decreased movement +
nonreactive NST may indicate fetal compromise.
C. Waiting 48 hours delays evaluation of a potentially
compromised fetus.
D. Childbirth education is inadequate and not time-sensitive for
possible fetal compromise.
Teaching Point (≤20 words)
Nonreactive NST + decreased fetal movement requires
immediate diagnostic testing (BPP or repeat NST).
Citation
Scannell, M. (2025). Davis Advantage for Maternal-Child Nursing
Care (3rd ed.). Ch. 1.
2
Reference
Ch. 1 — Nursing Roles / Standards of Practice
pg. 3
, Stem
A new graduate APRN is preparing to lead a postpartum
discharge education session in the hospital’s mother–baby unit.
Which action best demonstrates professional role
accountability aligned with ANA standards?
A. Giving standardized printed materials and asking families to
read them at home.
B. Delivering tailored teaching, documenting comprehension
using teach-back, and coordinating follow-up resources.
C. Delegating all discharge teaching to a unit clerk to save time.
D. Providing verbal instructions only and documenting that
education was "completed."
Correct Answer: B
Rationale — Correct (3–4 sentences)
ANA standards require individualized, evidence-based
education, verification of learning, and coordination of care.
Using teach-back confirms comprehension; documentation and
arranging follow-up demonstrate accountability and continuity.
pg. 4
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
Stem
A 28-year-old G1 at 38 weeks arrives for a prenatal visit
reporting decreased fetal movement for the past 12 hours. Her
vitals are stable and fundal height is appropriate; NST in clinic is
pg. 1
,nonreactive. The client is anxious and asks what to do next.
Which nursing action is the highest priority?
A. Reassure the client that decreased movement is common at
term and arrange routine follow-up.
B. Instruct the client to return for a biophysical profile (BPP) or
repeat NST with fetal movement count immediately.
C. Teach the client kick-count techniques and advise her to call
if movements do not improve within 48 hours.
D. Refer the client to childbirth education for movement-
monitoring strategies.
Correct Answer: B
Rationale — Correct (3–4 sentences)
A nonreactive NST at 38 weeks with reported decreased fetal
movement is an urgent cue requiring immediate further
assessment to rule out fetal compromise. A BPP or repeat NST
(with stimulation and extended monitoring) provides direct
evaluation of fetal well-being. Prompt diagnostic testing can
identify hypoxia or acid–base disturbance earlier and guide
timely interventions.
pg. 2
,Rationale — Incorrect
A. Reassurance alone is unsafe because decreased movement +
nonreactive NST may indicate fetal compromise.
C. Waiting 48 hours delays evaluation of a potentially
compromised fetus.
D. Childbirth education is inadequate and not time-sensitive for
possible fetal compromise.
Teaching Point (≤20 words)
Nonreactive NST + decreased fetal movement requires
immediate diagnostic testing (BPP or repeat NST).
Citation
Scannell, M. (2025). Davis Advantage for Maternal-Child Nursing
Care (3rd ed.). Ch. 1.
2
Reference
Ch. 1 — Nursing Roles / Standards of Practice
pg. 3
, Stem
A new graduate APRN is preparing to lead a postpartum
discharge education session in the hospital’s mother–baby unit.
Which action best demonstrates professional role
accountability aligned with ANA standards?
A. Giving standardized printed materials and asking families to
read them at home.
B. Delivering tailored teaching, documenting comprehension
using teach-back, and coordinating follow-up resources.
C. Delegating all discharge teaching to a unit clerk to save time.
D. Providing verbal instructions only and documenting that
education was "completed."
Correct Answer: B
Rationale — Correct (3–4 sentences)
ANA standards require individualized, evidence-based
education, verification of learning, and coordination of care.
Using teach-back confirms comprehension; documentation and
arranging follow-up demonstrate accountability and continuity.
pg. 4
