DAVIS ADVANTAGE FOR MATERNAL-
CHILD NURSING CARE
3RD EDITION
• AUTHOR(S)MEREDITH SCANNELL
TEST BANK
Item 1
Reference
Ch. 1 — Core Concepts of Maternal and Pediatric Health Care
Across the Continuum — Nursing Roles
Stem
A 34-year-old pregnant client at 32 weeks’ gestation presents to
the clinic with mild shortness of breath and fatigue. The nurse
notes tachycardia 110 bpm, O₂ sat 96%, and a hemoglobin of
pg. 1
,9.8 g/dL from prenatal labs; she expresses worry about fetal
growth. As the nurse educator, which action best demonstrates
the advanced practice nursing role in this situation?
A. Provide iron-rich diet counseling and advise return in 4
weeks.
B. Arrange for immediate obstetric evaluation for growth
ultrasound and initiate collaborative care.
C. Reassure the client that mild shortness of breath is normal in
pregnancy and schedule routine follow-up.
D. Document findings and notify the primary care provider to
manage anemia.
Correct answer: B
Correct Answer Rationale (3–4 sentences)
Arranging immediate obstetric evaluation and initiating
collaborative care reflects the advanced practice role of clinical
assessment, prioritization, and care coordination. The
combination of maternal tachycardia, symptomatic anemia, and
concern for fetal growth requires timely evaluation (e.g.,
ultrasound, fetal monitoring) to rule out fetal growth restriction
pg. 2
,or maternal compromise. This action reduces delay in diagnosis
and aligns with scope of practice for advanced clinicians
managing higher-acuity antenatal issues.
Incorrect Answer Rationales
A. Diet counseling alone is insufficient when symptoms and low
hemoglobin suggest potential maternal/fetal compromise; it
delays needed evaluation.
C. Reassurance without assessment risks missing a pathologic
cause of shortness of breath and anemia.
D. Only notifying the PCP without arranging urgent obstetric
assessment may delay fetal evaluation and multidisciplinary
intervention.
Teaching Point
Prioritize timely obstetric assessment when maternal symptoms
and anemia may risk fetal growth.
Citation
Scannell, M. (2025). Davis Advantage for Maternal-Child Nursing
Care (3rd ed.). Ch. 1.
pg. 3
, Item 2
Reference
Ch. 1 — Core Concepts — Standards of Practice
Stem
During a postpartum home visit, a nurse discovers a 22-year-old
primipara who reports increasing sadness, tearfulness, and
insomnia for 3 weeks after delivery. She denies harm to the
infant but is tearful when discussing feeding. Which action best
aligns with professional standards of practice?
A. Document the mood symptoms and encourage more sleep
and support at home.
B. Screen with a validated postpartum depression tool and
develop a safety and care plan with referral.
C. Explain that postpartum blues are common and schedule
routine follow-up in 2 weeks.
D. Suggest herbal remedies and increase frequency of home
visits without formal screening.
Correct answer: B
pg. 4
CHILD NURSING CARE
3RD EDITION
• AUTHOR(S)MEREDITH SCANNELL
TEST BANK
Item 1
Reference
Ch. 1 — Core Concepts of Maternal and Pediatric Health Care
Across the Continuum — Nursing Roles
Stem
A 34-year-old pregnant client at 32 weeks’ gestation presents to
the clinic with mild shortness of breath and fatigue. The nurse
notes tachycardia 110 bpm, O₂ sat 96%, and a hemoglobin of
pg. 1
,9.8 g/dL from prenatal labs; she expresses worry about fetal
growth. As the nurse educator, which action best demonstrates
the advanced practice nursing role in this situation?
A. Provide iron-rich diet counseling and advise return in 4
weeks.
B. Arrange for immediate obstetric evaluation for growth
ultrasound and initiate collaborative care.
C. Reassure the client that mild shortness of breath is normal in
pregnancy and schedule routine follow-up.
D. Document findings and notify the primary care provider to
manage anemia.
Correct answer: B
Correct Answer Rationale (3–4 sentences)
Arranging immediate obstetric evaluation and initiating
collaborative care reflects the advanced practice role of clinical
assessment, prioritization, and care coordination. The
combination of maternal tachycardia, symptomatic anemia, and
concern for fetal growth requires timely evaluation (e.g.,
ultrasound, fetal monitoring) to rule out fetal growth restriction
pg. 2
,or maternal compromise. This action reduces delay in diagnosis
and aligns with scope of practice for advanced clinicians
managing higher-acuity antenatal issues.
Incorrect Answer Rationales
A. Diet counseling alone is insufficient when symptoms and low
hemoglobin suggest potential maternal/fetal compromise; it
delays needed evaluation.
C. Reassurance without assessment risks missing a pathologic
cause of shortness of breath and anemia.
D. Only notifying the PCP without arranging urgent obstetric
assessment may delay fetal evaluation and multidisciplinary
intervention.
Teaching Point
Prioritize timely obstetric assessment when maternal symptoms
and anemia may risk fetal growth.
Citation
Scannell, M. (2025). Davis Advantage for Maternal-Child Nursing
Care (3rd ed.). Ch. 1.
pg. 3
, Item 2
Reference
Ch. 1 — Core Concepts — Standards of Practice
Stem
During a postpartum home visit, a nurse discovers a 22-year-old
primipara who reports increasing sadness, tearfulness, and
insomnia for 3 weeks after delivery. She denies harm to the
infant but is tearful when discussing feeding. Which action best
aligns with professional standards of practice?
A. Document the mood symptoms and encourage more sleep
and support at home.
B. Screen with a validated postpartum depression tool and
develop a safety and care plan with referral.
C. Explain that postpartum blues are common and schedule
routine follow-up in 2 weeks.
D. Suggest herbal remedies and increase frequency of home
visits without formal screening.
Correct answer: B
pg. 4
