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 32-year-old pregnant patient at 28 weeks arrives for a routine
visit and says she wants to research using a home blood
pressure cuff and telemedicine visits because she lives 2 hours
pg. 1
,from the clinic. Her BP in clinic is 150/94 mmHg and urine
dipstick shows 1+ protein. The patient asks whether remote
monitoring is enough until her next in-person visit. What is the
nurse’s best action?
A. Teach proper home BP technique and arrange twice-weekly
telemedicine BP checks.
B. Explain that home monitoring is acceptable and schedule the
next routine visit in 4 weeks.
C. Notify the provider for same-day evaluation and arrange in-
person assessment.
D. Document findings and advise the patient to call if symptoms
worsen.
Correct answer
C
Rationales
Correct (C): Clinic blood pressure 150/94 with proteinuria at 28
weeks raises concern for hypertensive disorder of pregnancy
(possible preeclampsia). Same-day provider evaluation and in-
person assessment (labs, fetal assessment) are necessary to
pg. 2
,evaluate severity and fetal wellbeing. This prioritizes safety and
timely intervention per maternal–child standards.
A: Teaching home technique and telemedicine alone
underestimates risk—initial abnormal findings require in-person
evaluation.
B: Delaying routine visit 4 weeks is unsafe given new
hypertension/proteinuria.
D: Passive documentation without escalation fails to prioritize
maternal and fetal risk.
Teaching point
New hypertension with proteinuria in pregnancy requires
immediate in-person evaluation.
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 graduate nurse is assigned to triage calls for a pediatric
clinic. A parent reports a 3-month-old with a rectal temp of
38.0°C (100.4°F) and two episodes of brief stiffening on the
same day. The nurse's scope allows triage and initial guidance.
What is the most appropriate immediate nursing action?
A. Reassure the parent that low-grade fevers are common and
advise supportive care at home.
B. Instruct the parent to bring the infant for immediate in-
person evaluation or go to ED.
C. Recommend acetaminophen and schedule a routine clinic
appointment in 48 hours.
D. Ask about feeding and sleep, then document and call the
provider tomorrow.
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 32-year-old pregnant patient at 28 weeks arrives for a routine
visit and says she wants to research using a home blood
pressure cuff and telemedicine visits because she lives 2 hours
pg. 1
,from the clinic. Her BP in clinic is 150/94 mmHg and urine
dipstick shows 1+ protein. The patient asks whether remote
monitoring is enough until her next in-person visit. What is the
nurse’s best action?
A. Teach proper home BP technique and arrange twice-weekly
telemedicine BP checks.
B. Explain that home monitoring is acceptable and schedule the
next routine visit in 4 weeks.
C. Notify the provider for same-day evaluation and arrange in-
person assessment.
D. Document findings and advise the patient to call if symptoms
worsen.
Correct answer
C
Rationales
Correct (C): Clinic blood pressure 150/94 with proteinuria at 28
weeks raises concern for hypertensive disorder of pregnancy
(possible preeclampsia). Same-day provider evaluation and in-
person assessment (labs, fetal assessment) are necessary to
pg. 2
,evaluate severity and fetal wellbeing. This prioritizes safety and
timely intervention per maternal–child standards.
A: Teaching home technique and telemedicine alone
underestimates risk—initial abnormal findings require in-person
evaluation.
B: Delaying routine visit 4 weeks is unsafe given new
hypertension/proteinuria.
D: Passive documentation without escalation fails to prioritize
maternal and fetal risk.
Teaching point
New hypertension with proteinuria in pregnancy requires
immediate in-person evaluation.
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 graduate nurse is assigned to triage calls for a pediatric
clinic. A parent reports a 3-month-old with a rectal temp of
38.0°C (100.4°F) and two episodes of brief stiffening on the
same day. The nurse's scope allows triage and initial guidance.
What is the most appropriate immediate nursing action?
A. Reassure the parent that low-grade fevers are common and
advise supportive care at home.
B. Instruct the parent to bring the infant for immediate in-
person evaluation or go to ED.
C. Recommend acetaminophen and schedule a routine clinic
appointment in 48 hours.
D. Ask about feeding and sleep, then document and call the
provider tomorrow.
Correct answer
B
pg. 4
