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 primigravida at 34 weeks gestation presents for a
routine prenatal visit. She reports decreased fetal movement
for the past 12 hours, and her fundal height is 3 cm less than
pg. 1
,expected; fetal heart rate tracing in clinic shows baseline 140
with intermittent variability. Which nursing action is the
priority?
A. Teach the patient daily fetal movement counting and
schedule follow-up in 48 hours.
B. Perform a formal nonstress test (NST) and initiate fetal kick
counts monitoring immediately.
C. Reassure the patient that baseline FHR 140 and intermittent
variability are normal and discharge home.
D. Arrange same-day ultrasound with biophysical profile (BPP)
and notify the provider of decreased movement.
Correct Answer
D
Rationale — Correct (3–4 sentences)
Decreased fetal movement with discrepant fundal height raises
concern for fetal compromise (growth restriction or
oligohydramnios). A same-day ultrasound with BPP provides
comprehensive assessment of fetal well-being (amniotic fluid,
fetal tone, movements) and helps guide urgent management.
pg. 2
,Notifying the provider ensures timely decision-making; this
prioritizes maternal–fetal safety.
Rationale — Incorrect
A. Delaying evaluation for 48 hours risks missing acute fetal
compromise.
B. NST is useful but a BPP/ultrasound offers broader assessment
when growth discrepancy exists; arranging imaging and
provider notification is superior.
C. Reassurance ignores the red flag of decreased movement and
abnormal fundal measurement; unsafe.
Teaching Point
Decreased fetal movement + growth discrepancy requires
same-day ultrasound/BPP and provider notification.
Citation
Scannell, M. (2025). Davis Advantage for Maternal-Child Nursing
Care (3rd ed.). Ch. 1.
2
pg. 3
, Reference
Ch. 1 — Nursing Roles / Standards of Practice
Stem
A new APRN joins the perinatal clinic and is uncertain about the
scope of practice for independent prenatal care. She asks
whether she may independently manage a patient with newly
diagnosed gestational diabetes requiring insulin. Which action
best reflects the nurse’s responsibility under standards of
practice and safe scope?
A. Begin insulin per standard clinic protocol without consulting
supervising physician.
B. Initiate teaching and glucose monitoring, document findings,
and consult collaborating provider for medication orders.
C. Refer the patient immediately to an endocrinologist and
avoid any management.
D. Schedule weekly phone follow-up and delay insulin initiation
until next in-person visit.
Correct Answer
B
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 primigravida at 34 weeks gestation presents for a
routine prenatal visit. She reports decreased fetal movement
for the past 12 hours, and her fundal height is 3 cm less than
pg. 1
,expected; fetal heart rate tracing in clinic shows baseline 140
with intermittent variability. Which nursing action is the
priority?
A. Teach the patient daily fetal movement counting and
schedule follow-up in 48 hours.
B. Perform a formal nonstress test (NST) and initiate fetal kick
counts monitoring immediately.
C. Reassure the patient that baseline FHR 140 and intermittent
variability are normal and discharge home.
D. Arrange same-day ultrasound with biophysical profile (BPP)
and notify the provider of decreased movement.
Correct Answer
D
Rationale — Correct (3–4 sentences)
Decreased fetal movement with discrepant fundal height raises
concern for fetal compromise (growth restriction or
oligohydramnios). A same-day ultrasound with BPP provides
comprehensive assessment of fetal well-being (amniotic fluid,
fetal tone, movements) and helps guide urgent management.
pg. 2
,Notifying the provider ensures timely decision-making; this
prioritizes maternal–fetal safety.
Rationale — Incorrect
A. Delaying evaluation for 48 hours risks missing acute fetal
compromise.
B. NST is useful but a BPP/ultrasound offers broader assessment
when growth discrepancy exists; arranging imaging and
provider notification is superior.
C. Reassurance ignores the red flag of decreased movement and
abnormal fundal measurement; unsafe.
Teaching Point
Decreased fetal movement + growth discrepancy requires
same-day ultrasound/BPP and provider notification.
Citation
Scannell, M. (2025). Davis Advantage for Maternal-Child Nursing
Care (3rd ed.). Ch. 1.
2
pg. 3
, Reference
Ch. 1 — Nursing Roles / Standards of Practice
Stem
A new APRN joins the perinatal clinic and is uncertain about the
scope of practice for independent prenatal care. She asks
whether she may independently manage a patient with newly
diagnosed gestational diabetes requiring insulin. Which action
best reflects the nurse’s responsibility under standards of
practice and safe scope?
A. Begin insulin per standard clinic protocol without consulting
supervising physician.
B. Initiate teaching and glucose monitoring, document findings,
and consult collaborating provider for medication orders.
C. Refer the patient immediately to an endocrinologist and
avoid any management.
D. Schedule weekly phone follow-up and delay insulin initiation
until next in-person visit.
Correct Answer
B
pg. 4
