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 24-year-old primiparous woman at 36 weeks gestation
arrives for a clinic visit reporting intermittent headaches and
mild swelling of the hands. Her blood pressure is 142/92 mm
Hg, urine dipstick is +1 protein, and fetal movement is reported
as normal. Which nursing action best reflects priority clinical
judgment?
pg. 1
,A. Teach home rest and schedule a follow-up in one week.
B. Arrange immediate evaluation for preeclampsia and contact
the provider now.
C. Reinforce diet and fluid recommendations and advise return
only if symptoms worsen.
D. Document findings and continue routine antenatal
education.
Correct Answer: B
Correct Answer Rationale: The elevated BP with proteinuria
and new edema are red flags for preeclampsia that require
prompt medical evaluation to prevent maternal and fetal
complications. Immediate communication with the provider
and expedited assessment (labs, fetal monitoring) prioritizes
safety. Waiting or giving only education risks progression to
severe disease and fetal compromise. Timely intervention aligns
with maternal–child safety priorities.
Incorrect A Rationale: Waiting a week delays necessary
evaluation and risks worsening maternal/fetal outcomes.
Incorrect C Rationale: Diet/fluid counseling is insufficient for
pg. 2
,suspected hypertensive disorder; this fails to prioritize urgent
assessment.
Incorrect D Rationale: Sole documentation without action
neglects critical early warning signs and is unsafe.
Teaching Point: New-onset hypertension with proteinuria near
term requires urgent evaluation for preeclampsia.
Citation: Scannell, M. (2025). Davis Advantage for Maternal-
Child Nursing Care (3rd ed.). Ch. 1.
2
Reference: Ch. 2 — Nursing Roles — Standards of Practice
Stem: On a busy postpartum unit, the RN is asked to delegate
routine newborn feeding weight checks to a newly hired LPN.
The newborn is 12 hours old, stable, and feeding well. The RN
notes the LPN has no recent newborn experience. What action
best reflects professional standards of practice?
A. Assign the weight checks to the LPN and remain available by
phone.
B. Complete the weight checks personally and provide
pg. 3
, immediate LPN supervision and training.
C. Delegate the task to the LPN and provide a written checklist
only.
D. Refuse to perform the checks and ask the charge nurse to
reassign staff.
Correct Answer: B
Correct Answer Rationale: Standards require the RN to ensure
delegated tasks are within the delegatee’s competence and to
provide supervision and education when needed. Because the
LPN lacks recent newborn experience, the RN should perform
the initial assessments and use the opportunity to train the
LPN, ensuring safe, competent care. This both meets
competence and delegation standards and prioritizes patient
safety.
Incorrect A Rationale: Being available by phone is inadequate
supervision for an inexperienced LPN handling newborn
assessments.
Incorrect C Rationale: A checklist alone does not ensure the
LPN’s competence or immediate safety for a newborn.
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 24-year-old primiparous woman at 36 weeks gestation
arrives for a clinic visit reporting intermittent headaches and
mild swelling of the hands. Her blood pressure is 142/92 mm
Hg, urine dipstick is +1 protein, and fetal movement is reported
as normal. Which nursing action best reflects priority clinical
judgment?
pg. 1
,A. Teach home rest and schedule a follow-up in one week.
B. Arrange immediate evaluation for preeclampsia and contact
the provider now.
C. Reinforce diet and fluid recommendations and advise return
only if symptoms worsen.
D. Document findings and continue routine antenatal
education.
Correct Answer: B
Correct Answer Rationale: The elevated BP with proteinuria
and new edema are red flags for preeclampsia that require
prompt medical evaluation to prevent maternal and fetal
complications. Immediate communication with the provider
and expedited assessment (labs, fetal monitoring) prioritizes
safety. Waiting or giving only education risks progression to
severe disease and fetal compromise. Timely intervention aligns
with maternal–child safety priorities.
Incorrect A Rationale: Waiting a week delays necessary
evaluation and risks worsening maternal/fetal outcomes.
Incorrect C Rationale: Diet/fluid counseling is insufficient for
pg. 2
,suspected hypertensive disorder; this fails to prioritize urgent
assessment.
Incorrect D Rationale: Sole documentation without action
neglects critical early warning signs and is unsafe.
Teaching Point: New-onset hypertension with proteinuria near
term requires urgent evaluation for preeclampsia.
Citation: Scannell, M. (2025). Davis Advantage for Maternal-
Child Nursing Care (3rd ed.). Ch. 1.
2
Reference: Ch. 2 — Nursing Roles — Standards of Practice
Stem: On a busy postpartum unit, the RN is asked to delegate
routine newborn feeding weight checks to a newly hired LPN.
The newborn is 12 hours old, stable, and feeding well. The RN
notes the LPN has no recent newborn experience. What action
best reflects professional standards of practice?
A. Assign the weight checks to the LPN and remain available by
phone.
B. Complete the weight checks personally and provide
pg. 3
, immediate LPN supervision and training.
C. Delegate the task to the LPN and provide a written checklist
only.
D. Refuse to perform the checks and ask the charge nurse to
reassign staff.
Correct Answer: B
Correct Answer Rationale: Standards require the RN to ensure
delegated tasks are within the delegatee’s competence and to
provide supervision and education when needed. Because the
LPN lacks recent newborn experience, the RN should perform
the initial assessments and use the opportunity to train the
LPN, ensuring safe, competent care. This both meets
competence and delegation standards and prioritizes patient
safety.
Incorrect A Rationale: Being available by phone is inadequate
supervision for an inexperienced LPN handling newborn
assessments.
Incorrect C Rationale: A checklist alone does not ensure the
LPN’s competence or immediate safety for a newborn.
pg. 4
