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 28-year-old pregnant patient at 34 weeks gestation
arrives for a prenatal visit reporting intermittent uterine
tightening and mild vaginal spotting. The nurse notes fetal heart
rate of 140 bpm with moderate variability and maternal blood
pressure 138/86 mm Hg. The patient is anxious and asks
whether she should go to the hospital. Which action should the
pg. 1
,nurse take first?
A. Advise the patient to rest at home and return if bleeding
increases.
B. Instruct the patient to go immediately to the labor unit for
evaluation.
C. Arrange an urgent ultrasound in the outpatient clinic.
D. Teach signs of preterm labor and schedule a follow-up in 48
hours.
Correct answer: B
Correct rationale: At 34 weeks with contractions and bleeding,
immediate evaluation in labor unit is warranted to assess
maternal/fetal status and rule out placental issues or preterm
labor. The presence of contractions plus bleeding increases risk
and requires bedside assessment and potential interventions.
Transport to the labor unit allows continuous monitoring and
prompt treatment if needed.
Incorrect rationales:
A. Rest at home is unsafe given contractions and bleeding—
requires professional evaluation.
pg. 2
,C. Outpatient ultrasound delays necessary continuous
monitoring and is not first priority.
D. Scheduling follow-up is inappropriate when immediate
assessment may be needed.
Teaching point: Contractions with bleeding after 34 weeks
warrant immediate in-unit evaluation.
Citation: Scannell, M. (2025). Davis Advantage for Maternal-
Child Nursing Care (3rd ed.). Ch. 1.
2
Reference: Ch. 1 — Core Concepts… — Standards of Practice
Stem: During an admission for a 2-day-old newborn with
jaundice, the nurse recognizes that bilirubin is rising. The
attending requests one nurse to continue routine care and
another to monitor the bilirubin trend every shift, but staffing is
limited. According to nursing standards, what is the primary
nurse responsibility?
A. Delegate bilirubin monitoring to a nursing assistant.
pg. 3
, B. Continue routine care and trust next shift to monitor labs.
C. Prioritize and ensure accurate bilirubin monitoring and
communicate findings.
D. Ask the family to monitor the infant for worsening jaundice
at home.
Correct answer: C
Correct rationale: Standards of practice require the nurse to
prioritize client safety—ensuring accurate monitoring, timely
communication to provider, and appropriate interventions.
Delegation must be appropriate; lab monitoring and
interpretation cannot be delegated to unlicensed assistive
personnel. The nurse must advocate and escalate care if trends
are concerning.
Incorrect rationales:
A. Delegation of lab monitoring to an assistant is unsafe and
outside scope.
B. Leaving monitoring for the next shift risks delayed
intervention.
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 28-year-old pregnant patient at 34 weeks gestation
arrives for a prenatal visit reporting intermittent uterine
tightening and mild vaginal spotting. The nurse notes fetal heart
rate of 140 bpm with moderate variability and maternal blood
pressure 138/86 mm Hg. The patient is anxious and asks
whether she should go to the hospital. Which action should the
pg. 1
,nurse take first?
A. Advise the patient to rest at home and return if bleeding
increases.
B. Instruct the patient to go immediately to the labor unit for
evaluation.
C. Arrange an urgent ultrasound in the outpatient clinic.
D. Teach signs of preterm labor and schedule a follow-up in 48
hours.
Correct answer: B
Correct rationale: At 34 weeks with contractions and bleeding,
immediate evaluation in labor unit is warranted to assess
maternal/fetal status and rule out placental issues or preterm
labor. The presence of contractions plus bleeding increases risk
and requires bedside assessment and potential interventions.
Transport to the labor unit allows continuous monitoring and
prompt treatment if needed.
Incorrect rationales:
A. Rest at home is unsafe given contractions and bleeding—
requires professional evaluation.
pg. 2
,C. Outpatient ultrasound delays necessary continuous
monitoring and is not first priority.
D. Scheduling follow-up is inappropriate when immediate
assessment may be needed.
Teaching point: Contractions with bleeding after 34 weeks
warrant immediate in-unit evaluation.
Citation: Scannell, M. (2025). Davis Advantage for Maternal-
Child Nursing Care (3rd ed.). Ch. 1.
2
Reference: Ch. 1 — Core Concepts… — Standards of Practice
Stem: During an admission for a 2-day-old newborn with
jaundice, the nurse recognizes that bilirubin is rising. The
attending requests one nurse to continue routine care and
another to monitor the bilirubin trend every shift, but staffing is
limited. According to nursing standards, what is the primary
nurse responsibility?
A. Delegate bilirubin monitoring to a nursing assistant.
pg. 3
, B. Continue routine care and trust next shift to monitor labs.
C. Prioritize and ensure accurate bilirubin monitoring and
communicate findings.
D. Ask the family to monitor the infant for worsening jaundice
at home.
Correct answer: C
Correct rationale: Standards of practice require the nurse to
prioritize client safety—ensuring accurate monitoring, timely
communication to provider, and appropriate interventions.
Delegation must be appropriate; lab monitoring and
interpretation cannot be delegated to unlicensed assistive
personnel. The nurse must advocate and escalate care if trends
are concerning.
Incorrect rationales:
A. Delegation of lab monitoring to an assistant is unsafe and
outside scope.
B. Leaving monitoring for the next shift risks delayed
intervention.
pg. 4
