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 primiparous woman at 36 weeks’ gestation
presents for a routine visit. She reports intermittent mild
headaches and blurred vision for the past 24 hours. BP today is
150/96 mm Hg (previous visits were normal). Fetal heart tones
are 140 bpm and reactive. Which nursing action is the priority?
A. Advise rest, repeat BP in 1 hour, and reassess.
pg. 1
,B. Obtain urine for protein and notify the provider immediately.
C. Teach patient about preeclampsia warning signs and
schedule follow-up tomorrow.
D. Encourage increased oral fluids and recheck BP at next
prenatal visit.
Correct answer: B
Correct Answer Rationale (3–4 sentences): New-onset
hypertension after 20 weeks with headaches and visual changes
are red flags for preeclampsia; obtaining a urine protein and
notifying the provider allows rapid diagnostic evaluation and
initiation of management to reduce maternal and fetal risk. This
action integrates cue recognition (elevated BP + neurologic
symptoms), analysis (possible hypertensive disorder), and safe
prioritization (rule out organ involvement). Immediate
communication ensures timely diagnostic and therapeutic
interventions.
Incorrect Answer Rationales:
A. Waiting an hour alone risks delaying diagnosis of
preeclampsia given neurologic symptoms; not sufficiently
pg. 2
,urgent.
C. Education and next-day follow-up are incomplete and unsafe
when signs suggest possible severe disease.
D. Encouraging fluids and routine recheck is inadequate;
symptoms plus BP require immediate assessment.
Teaching Point: New hypertension with visual symptoms
suggests preeclampsia—evaluate urine protein and notify
provider.
Citation: Scannell, M. (2025). Davis Advantage for Maternal-
Child Nursing Care (3rd ed.). Ch. 1 — Core Concepts of Maternal
and Pediatric Health Care Across the Continuum.
2
Reference: Ch. 1 — Nursing Roles; Standards of Practice
Stem: As the charge nurse on a mixed maternity–pediatrics
unit, you must assign an RN floated from a medical-surgical unit
to care for a 2-day postpartum patient with a vaginal delivery
and an otherwise healthy newborn. The floated RN reports
basic maternity orientation but no current neonatal experience.
pg. 3
, Which assignment is safest?
A. Assign the floated RN to care for both mother and newborn
together.
B. Assign the RN only to the postpartum mother and another
experienced nurse to the newborn.
C. Assign the RN to the healthy newborn while an experienced
nurse cares for the mother.
D. Allow the RN to choose which patient to take based on
comfort level.
Correct answer: B
Correct Answer Rationale: Patient safety and standards of
practice require matching nurse competency to patient needs.
Assigning the float RN to the mother only (non-complex
postpartum) while an experienced neonatal nurse cares for the
newborn ensures competency alignment and reduces risk to
the neonate. This demonstrates appropriate delegation, unit
charge nurse responsibility, and adherence to safe staffing
principles.
Incorrect Answer Rationales:
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 primiparous woman at 36 weeks’ gestation
presents for a routine visit. She reports intermittent mild
headaches and blurred vision for the past 24 hours. BP today is
150/96 mm Hg (previous visits were normal). Fetal heart tones
are 140 bpm and reactive. Which nursing action is the priority?
A. Advise rest, repeat BP in 1 hour, and reassess.
pg. 1
,B. Obtain urine for protein and notify the provider immediately.
C. Teach patient about preeclampsia warning signs and
schedule follow-up tomorrow.
D. Encourage increased oral fluids and recheck BP at next
prenatal visit.
Correct answer: B
Correct Answer Rationale (3–4 sentences): New-onset
hypertension after 20 weeks with headaches and visual changes
are red flags for preeclampsia; obtaining a urine protein and
notifying the provider allows rapid diagnostic evaluation and
initiation of management to reduce maternal and fetal risk. This
action integrates cue recognition (elevated BP + neurologic
symptoms), analysis (possible hypertensive disorder), and safe
prioritization (rule out organ involvement). Immediate
communication ensures timely diagnostic and therapeutic
interventions.
Incorrect Answer Rationales:
A. Waiting an hour alone risks delaying diagnosis of
preeclampsia given neurologic symptoms; not sufficiently
pg. 2
,urgent.
C. Education and next-day follow-up are incomplete and unsafe
when signs suggest possible severe disease.
D. Encouraging fluids and routine recheck is inadequate;
symptoms plus BP require immediate assessment.
Teaching Point: New hypertension with visual symptoms
suggests preeclampsia—evaluate urine protein and notify
provider.
Citation: Scannell, M. (2025). Davis Advantage for Maternal-
Child Nursing Care (3rd ed.). Ch. 1 — Core Concepts of Maternal
and Pediatric Health Care Across the Continuum.
2
Reference: Ch. 1 — Nursing Roles; Standards of Practice
Stem: As the charge nurse on a mixed maternity–pediatrics
unit, you must assign an RN floated from a medical-surgical unit
to care for a 2-day postpartum patient with a vaginal delivery
and an otherwise healthy newborn. The floated RN reports
basic maternity orientation but no current neonatal experience.
pg. 3
, Which assignment is safest?
A. Assign the floated RN to care for both mother and newborn
together.
B. Assign the RN only to the postpartum mother and another
experienced nurse to the newborn.
C. Assign the RN to the healthy newborn while an experienced
nurse cares for the mother.
D. Allow the RN to choose which patient to take based on
comfort level.
Correct answer: B
Correct Answer Rationale: Patient safety and standards of
practice require matching nurse competency to patient needs.
Assigning the float RN to the mother only (non-complex
postpartum) while an experienced neonatal nurse cares for the
newborn ensures competency alignment and reduces risk to
the neonate. This demonstrates appropriate delegation, unit
charge nurse responsibility, and adherence to safe staffing
principles.
Incorrect Answer Rationales:
pg. 4
