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 — Nursing Roles
Stem: A postpartum RN receives report on a 24-hour
postpartum client who is breastfeeding and reports increasing
uterine cramping and dizziness when standing. The RN must
decide priorities while preparing discharge teaching. Which
nursing role should the RN prioritize to ensure safe transition to
home?
pg. 1
,A. Educator — provide comprehensive breastfeeding technique
review prior to discharge.
B. Advocate — ensure the client's pain relief needs are met
before discharge.
C. Case manager — arrange home health follow-up for
breastfeeding support.
D. Caregiver — perform a focused assessment of uterine
involution and orthostatic symptoms.
Correct answer: D
Rationale (correct): The caregiver role requires direct
assessment to identify potential causes of dizziness and
increased cramping (e.g., orthostatic hypotension, excessive
bleeding, retained placenta). Immediate focused assessment
informs safety decisions such as delaying discharge.
Incorrect rationales:
A. Education is important but premature if the client has
unassessed physiologic instability.
B. Advocacy for pain relief is relevant but assessing cause of
dizziness and cramping comes first.
pg. 2
,C. Case management is valuable for follow-up but arranging
services should follow stabilization.
Teaching point: Always assess physiologic cues before teaching
or arranging services.
Citation: Scannell, M. (2025). Davis Advantage for Maternal-
Child Nursing Care (3rd ed.). Ch. 1.
2)
Reference: Ch. 1 — Standards of Practice — Standards & Scope
Stem: An LPN working in the postpartum unit is asked by the
RN to perform a fundal exam on a client 12 hours after vaginal
birth. The LPN is uncertain if this is within scope. Which action
best demonstrates adherence to standards of practice?
A. Perform the fundal exam and document findings since the
RN delegated it.
B. Refuse to perform the exam and notify the charge nurse
immediately.
C. Clarify scope with facility policy, perform the exam if listed as
permitted, and report findings to RN.
pg. 3
, D. Ask the client if they prefer the RN and then perform the
exam if the client agrees.
Correct answer: C
Rationale (correct): Standards require checking delegation rules
and facility policy before accepting clinical tasks. Clarifying
scope and communicating findings ensures safe, legal practice.
Incorrect rationales:
A. Blindly performing delegated tasks without confirming scope
may violate standards.
B. Immediate refusal without checking policy may delay care
and is unnecessary.
D. Client preference doesn’t replace legal scope and policy
verification.
Teaching point: Verify delegation and facility policy before
accepting clinical tasks.
Citation: Scannell, M. (2025). Davis Advantage for Maternal-
Child Nursing Care (3rd ed.). Ch. 1.
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 — Nursing Roles
Stem: A postpartum RN receives report on a 24-hour
postpartum client who is breastfeeding and reports increasing
uterine cramping and dizziness when standing. The RN must
decide priorities while preparing discharge teaching. Which
nursing role should the RN prioritize to ensure safe transition to
home?
pg. 1
,A. Educator — provide comprehensive breastfeeding technique
review prior to discharge.
B. Advocate — ensure the client's pain relief needs are met
before discharge.
C. Case manager — arrange home health follow-up for
breastfeeding support.
D. Caregiver — perform a focused assessment of uterine
involution and orthostatic symptoms.
Correct answer: D
Rationale (correct): The caregiver role requires direct
assessment to identify potential causes of dizziness and
increased cramping (e.g., orthostatic hypotension, excessive
bleeding, retained placenta). Immediate focused assessment
informs safety decisions such as delaying discharge.
Incorrect rationales:
A. Education is important but premature if the client has
unassessed physiologic instability.
B. Advocacy for pain relief is relevant but assessing cause of
dizziness and cramping comes first.
pg. 2
,C. Case management is valuable for follow-up but arranging
services should follow stabilization.
Teaching point: Always assess physiologic cues before teaching
or arranging services.
Citation: Scannell, M. (2025). Davis Advantage for Maternal-
Child Nursing Care (3rd ed.). Ch. 1.
2)
Reference: Ch. 1 — Standards of Practice — Standards & Scope
Stem: An LPN working in the postpartum unit is asked by the
RN to perform a fundal exam on a client 12 hours after vaginal
birth. The LPN is uncertain if this is within scope. Which action
best demonstrates adherence to standards of practice?
A. Perform the fundal exam and document findings since the
RN delegated it.
B. Refuse to perform the exam and notify the charge nurse
immediately.
C. Clarify scope with facility policy, perform the exam if listed as
permitted, and report findings to RN.
pg. 3
, D. Ask the client if they prefer the RN and then perform the
exam if the client agrees.
Correct answer: C
Rationale (correct): Standards require checking delegation rules
and facility policy before accepting clinical tasks. Clarifying
scope and communicating findings ensures safe, legal practice.
Incorrect rationales:
A. Blindly performing delegated tasks without confirming scope
may violate standards.
B. Immediate refusal without checking policy may delay care
and is unnecessary.
D. Client preference doesn’t replace legal scope and policy
verification.
Teaching point: Verify delegation and facility policy before
accepting clinical tasks.
Citation: Scannell, M. (2025). Davis Advantage for Maternal-
Child Nursing Care (3rd ed.). Ch. 1.
pg. 4
