Page 1 of 75
DAVIS ADVANTAGE FOR MATERNAL-CHILD NURSING CARE (4TH EDITION) EXAM 2026
SOLVED QUESTIONS & ANSWERS VERIFIED 100 %
Davis Advantage for Maternal-Child Nursing Care (4th Edition) — Questions with
Rationales
UNIT I: FOUNDATIONS IN THE NURSING CARE OF MATERNAL, FAMILY, AND CHILD
CARE (25 Questions)
Chapter 1: Core Concepts of Maternal and Pediatric Healthcare Across the
Continuum
1. The nurse is reviewing the core principles of family-centered care in the
maternal-child setting. Which statement BEST reflects the philosophy of family-
centered care?
A) The nurse is the primary decision-maker for the patient and family.
B) The family is recognized as the constant in the child's life, and services must support
the family unit.
C) Care is delivered based solely on the nurse's clinical judgment.
D) Family members are permitted to visit only during scheduled hours.
Rationale: Family-centered care recognizes that the family is the constant in a child's
life. Health care services must support, respect, and partner with families. The nurse is
a facilitator, not the sole decision-maker. Restricting visiting hours contradicts this
philosophy.
, Page 2 of 75
2. A nurse working in a maternal-child unit understands that the infant mortality
rate is defined as:
A) The number of deaths of infants under 28 days per 1,000 live births
B) The number of deaths of infants under 1 year per 1,000 live births
C) The number of deaths of infants under 2 years per 1,000 live births
D) The number of deaths of infants under 5 years per 1,000 live births
Rationale: The infant mortality rate is the number of deaths of infants under 1 year of
age per 1,000 live births. Neonatal mortality refers to deaths under 28 days.
3. Which medical pioneer is credited with discovering the relationship between
puerperal fever and unwashed hands?
A) Karl Credé
B) Ignaz Semmelweis
C) Louis Pasteur
D) Joseph Lister
Rationale: Ignaz Semmelweis deduced that puerperal fever was caused by unwashed
hands of healthcare providers, leading to the introduction of handwashing protocols.
4. The maternal mortality rate is defined as the number of maternal deaths per
100,000 live births from:
A) Any cause during pregnancy or within 42 days of termination
B) Any cause during pregnancy or within 1 year of termination
C) Pregnancy-related causes during pregnancy or within 42 days of termination
D) Pregnancy-related causes during pregnancy or within 1 year of termination
Rationale: The maternal mortality rate is the number of pregnancy-related deaths
during pregnancy or within 42 days of termination per 100,000 live births.
, Page 3 of 75
5. A nurse is providing culturally competent care to a family. Which action BEST
demonstrates cultural competence?
A) Applying the nurse's own cultural values to the plan of care
B) Asking the family about their cultural beliefs and practices related to health
C) Assuming all families from a specific culture have the same beliefs
D) Avoiding discussion of cultural differences
Rationale: Cultural competence involves assessing and respecting the family's cultural
beliefs, values, and practices related to health and illness.
6. Which of the following is a leading cause of maternal mortality in the United
States?
A) Hemorrhage
B) Cardiovascular disease
C) Infection
D) Hypertensive disorders
Rationale: Cardiovascular disease is a leading cause of maternal mortality in the
United States, along with hemorrhage, infection, and hypertensive disorders.
7. What is the primary purpose of the patient portal in maternal-child care?
A) To allow patients to access their health information and communicate with providers
B) To replace clinical visits
C) To increase hospital revenue
D) To reduce nursing staff
Rationale: A patient portal is a secure online website that allows patients to access
their health information, view test results, request prescription refills, and
communicate with providers.
, Page 4 of 75
8. Which of the following best describes the concept of "clinical benchmarking" in
maternal-child care?
A) Using the most expensive treatments available
B) Comparing performance against the best in an area of service
C) Ignoring clinical standards
D) Focusing only on patient satisfaction scores
Rationale: Clinical benchmarking is the process of comparing one's performance
against the performance of the best in an area of service, identifying opportunities for
improvement.
9. Which of the following is a modifiable risk factor for poor pregnancy outcomes?
A) Maternal age
B) Cigarette smoking
C) Genetic disorders
D) Race
Rationale: Cigarette smoking is a modifiable risk factor that can be addressed through
cessation programs.
10. Which of the following best defines evidence-based practice in maternal-child
nursing?
A) Providing care based on tradition
B) Providing care based on the nurse's intuition
C) Providing care based on the best available research evidence
D) Providing care based only on physician orders
Rationale: Evidence-based practice is the provision of care based on the best available
research evidence, clinical expertise, and patient preferences.
DAVIS ADVANTAGE FOR MATERNAL-CHILD NURSING CARE (4TH EDITION) EXAM 2026
SOLVED QUESTIONS & ANSWERS VERIFIED 100 %
Davis Advantage for Maternal-Child Nursing Care (4th Edition) — Questions with
Rationales
UNIT I: FOUNDATIONS IN THE NURSING CARE OF MATERNAL, FAMILY, AND CHILD
CARE (25 Questions)
Chapter 1: Core Concepts of Maternal and Pediatric Healthcare Across the
Continuum
1. The nurse is reviewing the core principles of family-centered care in the
maternal-child setting. Which statement BEST reflects the philosophy of family-
centered care?
A) The nurse is the primary decision-maker for the patient and family.
B) The family is recognized as the constant in the child's life, and services must support
the family unit.
C) Care is delivered based solely on the nurse's clinical judgment.
D) Family members are permitted to visit only during scheduled hours.
Rationale: Family-centered care recognizes that the family is the constant in a child's
life. Health care services must support, respect, and partner with families. The nurse is
a facilitator, not the sole decision-maker. Restricting visiting hours contradicts this
philosophy.
, Page 2 of 75
2. A nurse working in a maternal-child unit understands that the infant mortality
rate is defined as:
A) The number of deaths of infants under 28 days per 1,000 live births
B) The number of deaths of infants under 1 year per 1,000 live births
C) The number of deaths of infants under 2 years per 1,000 live births
D) The number of deaths of infants under 5 years per 1,000 live births
Rationale: The infant mortality rate is the number of deaths of infants under 1 year of
age per 1,000 live births. Neonatal mortality refers to deaths under 28 days.
3. Which medical pioneer is credited with discovering the relationship between
puerperal fever and unwashed hands?
A) Karl Credé
B) Ignaz Semmelweis
C) Louis Pasteur
D) Joseph Lister
Rationale: Ignaz Semmelweis deduced that puerperal fever was caused by unwashed
hands of healthcare providers, leading to the introduction of handwashing protocols.
4. The maternal mortality rate is defined as the number of maternal deaths per
100,000 live births from:
A) Any cause during pregnancy or within 42 days of termination
B) Any cause during pregnancy or within 1 year of termination
C) Pregnancy-related causes during pregnancy or within 42 days of termination
D) Pregnancy-related causes during pregnancy or within 1 year of termination
Rationale: The maternal mortality rate is the number of pregnancy-related deaths
during pregnancy or within 42 days of termination per 100,000 live births.
, Page 3 of 75
5. A nurse is providing culturally competent care to a family. Which action BEST
demonstrates cultural competence?
A) Applying the nurse's own cultural values to the plan of care
B) Asking the family about their cultural beliefs and practices related to health
C) Assuming all families from a specific culture have the same beliefs
D) Avoiding discussion of cultural differences
Rationale: Cultural competence involves assessing and respecting the family's cultural
beliefs, values, and practices related to health and illness.
6. Which of the following is a leading cause of maternal mortality in the United
States?
A) Hemorrhage
B) Cardiovascular disease
C) Infection
D) Hypertensive disorders
Rationale: Cardiovascular disease is a leading cause of maternal mortality in the
United States, along with hemorrhage, infection, and hypertensive disorders.
7. What is the primary purpose of the patient portal in maternal-child care?
A) To allow patients to access their health information and communicate with providers
B) To replace clinical visits
C) To increase hospital revenue
D) To reduce nursing staff
Rationale: A patient portal is a secure online website that allows patients to access
their health information, view test results, request prescription refills, and
communicate with providers.
, Page 4 of 75
8. Which of the following best describes the concept of "clinical benchmarking" in
maternal-child care?
A) Using the most expensive treatments available
B) Comparing performance against the best in an area of service
C) Ignoring clinical standards
D) Focusing only on patient satisfaction scores
Rationale: Clinical benchmarking is the process of comparing one's performance
against the performance of the best in an area of service, identifying opportunities for
improvement.
9. Which of the following is a modifiable risk factor for poor pregnancy outcomes?
A) Maternal age
B) Cigarette smoking
C) Genetic disorders
D) Race
Rationale: Cigarette smoking is a modifiable risk factor that can be addressed through
cessation programs.
10. Which of the following best defines evidence-based practice in maternal-child
nursing?
A) Providing care based on tradition
B) Providing care based on the nurse's intuition
C) Providing care based on the best available research evidence
D) Providing care based only on physician orders
Rationale: Evidence-based practice is the provision of care based on the best available
research evidence, clinical expertise, and patient preferences.
