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 & Standards of Practice
Stem
A new RN on the postpartum unit is assigned a woman 12 hours
after vaginal birth who has a fundus that is firm but deviated to
the right and a saturated peripad in 30 minutes. The RN’s float
pg. 1
,orientation included watching an experienced RN care for
similar patients but no formal supervised checklist. Which
nursing action best reflects safe, standard practice?
A. Continue to observe the patient and document findings; the
fundus will return to midline when she voids.
B. Ask the experienced RN to stay with the new RN while she
performs the initial interventions.
C. Notify the charge nurse and request bedside assistance to
assess for uterine atony and bladder distention.
D. Call the provider immediately for an order to inspect the
perineum and initiate IV oxytocin.
Answer: C
Correct rationale (3–4 sentences)
Deviation of the fundus to the right with heavy bleeding
suggests bladder distention and risk for uterine atony—this is
urgent. The new RN should escalate to the charge nurse and
request assistance to perform a rapid assessment (fundal
massage, bladder assessment, vitals) to reduce hemorrhage
risk. This reflects safe practice and appropriate
pg. 2
,delegation/escalation when experience or resources are
limited.
Incorrect rationales (1–3 sentences each)
A. Passive observation delays necessary assessment and risks
hemorrhage—unsafe.
B. Asking the experienced RN to stay is insufficient escalation if
immediate assessment/assistance is needed.
D. Calling the provider without first performing bedside
assessment and basic interventions (fundal massage, bladder
check) delays immediate nursing actions.
Teaching point:
Fundal deviation + heavy bleeding = assess bladder and perform
fundal massage; escalate immediately.
Citation:
Scannell, M. (2025). Davis Advantage for Maternal-Child
Nursing Care (3rd ed.). Ch. 1.
2
pg. 3
, Reference
Ch. 1 — Standards of Practice — ANA Clinical Practice
Guidelines & Nursing Process
Stem
During triage, a pregnant client at 36 weeks reports decreased
fetal movement for 12 hours. The triage RN obtains a fetal heart
rate (FHR) strip showing baseline 120 bpm with minimal
variability. The RN must prioritize which action?
A. Reassure the client that fetal movement varies and advise
home monitoring tonight.
B. Perform a biophysical profile or initiate electronic fetal
monitoring and notify the provider.
C. Offer a high-sugar snack and repeat a nonstress test in the
next 24 hours.
D. Schedule a routine prenatal follow-up visit for the next week.
Answer: B
Correct rationale (3–4 sentences)
Decreased fetal movement and minimal variability at 36 weeks
are red flags for fetal compromise. Immediate objective testing
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 & Standards of Practice
Stem
A new RN on the postpartum unit is assigned a woman 12 hours
after vaginal birth who has a fundus that is firm but deviated to
the right and a saturated peripad in 30 minutes. The RN’s float
pg. 1
,orientation included watching an experienced RN care for
similar patients but no formal supervised checklist. Which
nursing action best reflects safe, standard practice?
A. Continue to observe the patient and document findings; the
fundus will return to midline when she voids.
B. Ask the experienced RN to stay with the new RN while she
performs the initial interventions.
C. Notify the charge nurse and request bedside assistance to
assess for uterine atony and bladder distention.
D. Call the provider immediately for an order to inspect the
perineum and initiate IV oxytocin.
Answer: C
Correct rationale (3–4 sentences)
Deviation of the fundus to the right with heavy bleeding
suggests bladder distention and risk for uterine atony—this is
urgent. The new RN should escalate to the charge nurse and
request assistance to perform a rapid assessment (fundal
massage, bladder assessment, vitals) to reduce hemorrhage
risk. This reflects safe practice and appropriate
pg. 2
,delegation/escalation when experience or resources are
limited.
Incorrect rationales (1–3 sentences each)
A. Passive observation delays necessary assessment and risks
hemorrhage—unsafe.
B. Asking the experienced RN to stay is insufficient escalation if
immediate assessment/assistance is needed.
D. Calling the provider without first performing bedside
assessment and basic interventions (fundal massage, bladder
check) delays immediate nursing actions.
Teaching point:
Fundal deviation + heavy bleeding = assess bladder and perform
fundal massage; escalate immediately.
Citation:
Scannell, M. (2025). Davis Advantage for Maternal-Child
Nursing Care (3rd ed.). Ch. 1.
2
pg. 3
, Reference
Ch. 1 — Standards of Practice — ANA Clinical Practice
Guidelines & Nursing Process
Stem
During triage, a pregnant client at 36 weeks reports decreased
fetal movement for 12 hours. The triage RN obtains a fetal heart
rate (FHR) strip showing baseline 120 bpm with minimal
variability. The RN must prioritize which action?
A. Reassure the client that fetal movement varies and advise
home monitoring tonight.
B. Perform a biophysical profile or initiate electronic fetal
monitoring and notify the provider.
C. Offer a high-sugar snack and repeat a nonstress test in the
next 24 hours.
D. Schedule a routine prenatal follow-up visit for the next week.
Answer: B
Correct rationale (3–4 sentences)
Decreased fetal movement and minimal variability at 36 weeks
are red flags for fetal compromise. Immediate objective testing
pg. 4
