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 28-year-old G1P0 at 36 weeks gestation arrives for a
prenatal visit reporting intermittent uterine cramping and
decreased fetal movement over 12 hours. Fundal height is
appropriate; fetal heart rate auscultation by Doppler is 120 bpm
and reactive. The client is anxious and asks whether she should
go to the labor unit now. What is the nurse’s best immediate
pg. 1
,action?
A. Reassure the client that fetal movement can vary late in
pregnancy and schedule a nonstress test (NST) in 24 hours.
B. Instruct the client to return home and perform kick counts
for the rest of the day; call if movement decreases.
C. Arrange for immediate formal fetal surveillance (NST or
biophysical profile) and further assessment in the facility.
D. Administer oral fluids and observe for 30 minutes in the
clinic, then discharge if fetal heart rate remains 120 bpm.
Correct Answer: C
Correct Rationale: Decreased fetal movement is an urgent
prenatal cue requiring immediate formal fetal surveillance
(NST/biophysical profile) to assess fetal well-being; maternal
hydration alone or delayed testing risks missing fetal
compromise. Prompt facility assessment allows continuous
monitoring and escalation if nonreassuring patterns appear.
This prioritizes fetal safety and maternal anxiety management.
Incorrect A Rationale: Waiting 24 hours is unsafe given
decreased movement and maternal concern—delays may miss
pg. 2
,fetal compromise.
Incorrect B Rationale: Advising only home kick counts ignores
current decreased movement and provides inadequate
immediate assessment.
Incorrect D Rationale: Hydration and brief observation may be
appropriate initially, but formal testing in a facility is warranted
now given prolonged decreased movement.
Teaching Point: Decreased fetal movement → immediate
formal surveillance (NST/BPP) to assess fetal well-being.
Citation: Scannell, M. (2025). Davis Advantage for Maternal-
Child Nursing Care (3rd ed.). Ch. 1.
2
Reference: Ch. 1 — Nursing Roles
Stem: A new mother requests discharge teaching before
hospital discharge after an uncomplicated vaginal birth. The
nurse has five other patients and limited time. Which action
best demonstrates the APN’s role in prioritizing patient
education while ensuring safety?
pg. 3
, A. Provide a standardized printed discharge packet and tell the
mother to read it at home.
B. Use a brief teach-back focused on breastfeeding latch,
warning signs of infection, and newborn feeding cues.
C. Schedule a home visit next week by community nursing and
discharge without teaching.
D. Refer the mother to an online class and discharge once she
signs the form.
Correct Answer: B
Correct Rationale: The advanced practice nurse prioritizes high-
yield, face-to-face teach-back for essential, safety-critical topics
(breastfeeding latch, infection signs, feeding cues) ensuring
comprehension before discharge. Teach-back is evidence-based,
addresses immediate risks, and is efficient in limited time.
Incorrect A Rationale: Printed materials alone may not ensure
comprehension and miss immediate safety checks.
Incorrect C Rationale: Delaying essential education until after
discharge may risk safety — immediate instruction is necessary.
Incorrect D Rationale: Referring to online resources without
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 28-year-old G1P0 at 36 weeks gestation arrives for a
prenatal visit reporting intermittent uterine cramping and
decreased fetal movement over 12 hours. Fundal height is
appropriate; fetal heart rate auscultation by Doppler is 120 bpm
and reactive. The client is anxious and asks whether she should
go to the labor unit now. What is the nurse’s best immediate
pg. 1
,action?
A. Reassure the client that fetal movement can vary late in
pregnancy and schedule a nonstress test (NST) in 24 hours.
B. Instruct the client to return home and perform kick counts
for the rest of the day; call if movement decreases.
C. Arrange for immediate formal fetal surveillance (NST or
biophysical profile) and further assessment in the facility.
D. Administer oral fluids and observe for 30 minutes in the
clinic, then discharge if fetal heart rate remains 120 bpm.
Correct Answer: C
Correct Rationale: Decreased fetal movement is an urgent
prenatal cue requiring immediate formal fetal surveillance
(NST/biophysical profile) to assess fetal well-being; maternal
hydration alone or delayed testing risks missing fetal
compromise. Prompt facility assessment allows continuous
monitoring and escalation if nonreassuring patterns appear.
This prioritizes fetal safety and maternal anxiety management.
Incorrect A Rationale: Waiting 24 hours is unsafe given
decreased movement and maternal concern—delays may miss
pg. 2
,fetal compromise.
Incorrect B Rationale: Advising only home kick counts ignores
current decreased movement and provides inadequate
immediate assessment.
Incorrect D Rationale: Hydration and brief observation may be
appropriate initially, but formal testing in a facility is warranted
now given prolonged decreased movement.
Teaching Point: Decreased fetal movement → immediate
formal surveillance (NST/BPP) to assess fetal well-being.
Citation: Scannell, M. (2025). Davis Advantage for Maternal-
Child Nursing Care (3rd ed.). Ch. 1.
2
Reference: Ch. 1 — Nursing Roles
Stem: A new mother requests discharge teaching before
hospital discharge after an uncomplicated vaginal birth. The
nurse has five other patients and limited time. Which action
best demonstrates the APN’s role in prioritizing patient
education while ensuring safety?
pg. 3
, A. Provide a standardized printed discharge packet and tell the
mother to read it at home.
B. Use a brief teach-back focused on breastfeeding latch,
warning signs of infection, and newborn feeding cues.
C. Schedule a home visit next week by community nursing and
discharge without teaching.
D. Refer the mother to an online class and discharge once she
signs the form.
Correct Answer: B
Correct Rationale: The advanced practice nurse prioritizes high-
yield, face-to-face teach-back for essential, safety-critical topics
(breastfeeding latch, infection signs, feeding cues) ensuring
comprehension before discharge. Teach-back is evidence-based,
addresses immediate risks, and is efficient in limited time.
Incorrect A Rationale: Printed materials alone may not ensure
comprehension and miss immediate safety checks.
Incorrect C Rationale: Delaying essential education until after
discharge may risk safety — immediate instruction is necessary.
Incorrect D Rationale: Referring to online resources without
pg. 4
