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 —
Nursing Roles
Stem
A new graduate APN joins a community clinic and is asked to
lead a quality-improvement project to reduce postpartum
readmissions. The clinic director expects the APN to design the
pg. 1
,plan, collect data, and implement changes. Which action should
the APN prioritize first?
A. Implement evidence-based discharge telephone follow-up
for all postpartum patients.
B. Review clinic baseline readmission data and identify the most
common causes of readmission.
C. Train nursing staff on standardized postpartum education
materials.
D. Create a patient satisfaction survey to evaluate discharge
readiness.
Correct answer: B
Correct answer rationale (3–4 sentences)
Reviewing baseline readmission data identifies the most
common causes and high-risk subgroups, which is necessary
before selecting targeted interventions. Data analysis directs
which evidence-based strategies (education, follow-up, home
visits) will likely reduce readmissions. Without accurate baseline
data, interventions may be misdirected and inefficient.
pg. 2
,Incorrect answer rationales (1–3 sentences each)
A. Telephone follow-up may help, but implementing it before
identifying key causes risks inefficient use of resources.
C. Staff training is important but should follow identification of
specific gaps leading to readmissions.
D. A satisfaction survey provides useful context but does not
identify clinical drivers of readmission.
Teaching point
Start QI by analyzing baseline data to target effective
interventions.
Citation
Scannell, M. (2025). Davis Advantage for Maternal-Child Nursing
Care (3rd ed.). Ch. 1.
2
Reference
Ch. 1 — Standards of Practice — ANA Clinical Practice
Guidelines
pg. 3
, Stem
During a home visit, a postpartum nurse notices the client
reports increasing shortness of breath and leg swelling at 10
days postpartum. The client’s vitals: T 37°C, HR 110, RR 20, BP
118/70, O2 96% on room air. According to ANA clinical practice
standards, what is the nurse’s best next action?
A. Reassure the client that mild edema is normal postpartum
and advise rest.
B. Obtain a focused cardiovascular assessment and contact the
provider immediately.
C. Schedule a routine postpartum clinic visit in 2 weeks for
follow-up.
D. Teach elevation of legs and encourage low-sodium diet.
Correct answer: B
Correct answer rationale (3–4 sentences)
Tachycardia and progressive dyspnea with leg swelling
postpartum raise concern for cardiac decompensation or
thromboembolic disease—urgent assessment is required. ANA
standards mandate that nurses escalate abnormal findings that
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 —
Nursing Roles
Stem
A new graduate APN joins a community clinic and is asked to
lead a quality-improvement project to reduce postpartum
readmissions. The clinic director expects the APN to design the
pg. 1
,plan, collect data, and implement changes. Which action should
the APN prioritize first?
A. Implement evidence-based discharge telephone follow-up
for all postpartum patients.
B. Review clinic baseline readmission data and identify the most
common causes of readmission.
C. Train nursing staff on standardized postpartum education
materials.
D. Create a patient satisfaction survey to evaluate discharge
readiness.
Correct answer: B
Correct answer rationale (3–4 sentences)
Reviewing baseline readmission data identifies the most
common causes and high-risk subgroups, which is necessary
before selecting targeted interventions. Data analysis directs
which evidence-based strategies (education, follow-up, home
visits) will likely reduce readmissions. Without accurate baseline
data, interventions may be misdirected and inefficient.
pg. 2
,Incorrect answer rationales (1–3 sentences each)
A. Telephone follow-up may help, but implementing it before
identifying key causes risks inefficient use of resources.
C. Staff training is important but should follow identification of
specific gaps leading to readmissions.
D. A satisfaction survey provides useful context but does not
identify clinical drivers of readmission.
Teaching point
Start QI by analyzing baseline data to target effective
interventions.
Citation
Scannell, M. (2025). Davis Advantage for Maternal-Child Nursing
Care (3rd ed.). Ch. 1.
2
Reference
Ch. 1 — Standards of Practice — ANA Clinical Practice
Guidelines
pg. 3
, Stem
During a home visit, a postpartum nurse notices the client
reports increasing shortness of breath and leg swelling at 10
days postpartum. The client’s vitals: T 37°C, HR 110, RR 20, BP
118/70, O2 96% on room air. According to ANA clinical practice
standards, what is the nurse’s best next action?
A. Reassure the client that mild edema is normal postpartum
and advise rest.
B. Obtain a focused cardiovascular assessment and contact the
provider immediately.
C. Schedule a routine postpartum clinic visit in 2 weeks for
follow-up.
D. Teach elevation of legs and encourage low-sodium diet.
Correct answer: B
Correct answer rationale (3–4 sentences)
Tachycardia and progressive dyspnea with leg swelling
postpartum raise concern for cardiac decompensation or
thromboembolic disease—urgent assessment is required. ANA
standards mandate that nurses escalate abnormal findings that
pg. 4
