DAVIS ADVANTAGE FOR MATERNAL-
CHILD NURSING CARE
3RD EDITION
• AUTHOR(S)MEREDITH SCANNELL
TEST BANK
Q1
Reference
Ch. 1 — Core Concepts of Maternal and Pediatric Health Care —
Nursing Roles
Stem
A 28-year-old postpartum mother (6 hours after vaginal birth)
reports feeling “overwhelmed” and tearful while holding her
term newborn who has stable vital signs and is breastfeeding
pg. 1
,well. The nurse notes the mother’s respirations are 24/min,
blood pressure 110/68 mm Hg, and lochia rubra moderate. The
partner says the mother “seems different” and is refusing
visitors. Which nursing action takes priority?
A. Encourage skin-to-skin contact and ask the partner to leave
so the mother can rest.
B. Assess maternal mood using a validated screening question
for mood and recent thoughts of harm.
C. Teach the partner about normal newborn behaviors to
reduce family anxiety.
D. Suggest the mother nap while staff observe the newborn in
nursery for a few hours.
Correct answer
B
Rationales
Correct (B): Assessing maternal mood with a validated question
immediately identifies risk of postpartum mood disorders or
safety concerns and guides urgency of intervention. Early
screening is an essential nursing role in postpartum care and
pg. 2
,prioritizes maternal mental health and safety. This choice yields
actionable data for triage (e.g., suicidal ideation) and is
supported by maternal-child safety priorities.
Incorrect (A): Skin-to-skin is beneficial, but unassessed mood
and potential safety risks take precedence over visitor
management. Removing partner without assessment may miss
safety issues or escalate anxiety.
Incorrect (C): Teaching the partner is appropriate but tertiary;
addressing potential maternal mood/safety is higher priority.
Incorrect (D): Delegating newborn observation may delay
assessment of maternal mood and safety; sleep alone is not
first-line when mood concerns exist.
Teaching point
Screen for postpartum mood and safety concerns promptly;
assessment guides immediate interventions.
Citation
Scannell, M. (2025). Davis Advantage for Maternal-Child Nursing
Care (3rd ed.). Ch. 1.
pg. 3
, Q2
Reference
Ch. 1 — Core Concepts — Standards of Practice & Nursing
Process
Stem
A laboring woman at 39 weeks guardedly reports decreased
fetal movement over the past 12 hours. She is normotensive,
fetal heart rate baseline 140 bpm with moderate variability, and
reactive NST with two accelerations in 20 minutes. She is
anxious and asks what should be done next. What is the nurse’s
best immediate action?
A. Reassure the patient because the NST is reactive and
document as normal.
B. Perform a full focused assessment including maternal blood
glucose and review recent fetal movement counts.
C. Prepare the patient for immediate cesarean delivery due to
decreased movement.
D. Offer ice chips and discharge with instructions to return if
movements change.
pg. 4
CHILD NURSING CARE
3RD EDITION
• AUTHOR(S)MEREDITH SCANNELL
TEST BANK
Q1
Reference
Ch. 1 — Core Concepts of Maternal and Pediatric Health Care —
Nursing Roles
Stem
A 28-year-old postpartum mother (6 hours after vaginal birth)
reports feeling “overwhelmed” and tearful while holding her
term newborn who has stable vital signs and is breastfeeding
pg. 1
,well. The nurse notes the mother’s respirations are 24/min,
blood pressure 110/68 mm Hg, and lochia rubra moderate. The
partner says the mother “seems different” and is refusing
visitors. Which nursing action takes priority?
A. Encourage skin-to-skin contact and ask the partner to leave
so the mother can rest.
B. Assess maternal mood using a validated screening question
for mood and recent thoughts of harm.
C. Teach the partner about normal newborn behaviors to
reduce family anxiety.
D. Suggest the mother nap while staff observe the newborn in
nursery for a few hours.
Correct answer
B
Rationales
Correct (B): Assessing maternal mood with a validated question
immediately identifies risk of postpartum mood disorders or
safety concerns and guides urgency of intervention. Early
screening is an essential nursing role in postpartum care and
pg. 2
,prioritizes maternal mental health and safety. This choice yields
actionable data for triage (e.g., suicidal ideation) and is
supported by maternal-child safety priorities.
Incorrect (A): Skin-to-skin is beneficial, but unassessed mood
and potential safety risks take precedence over visitor
management. Removing partner without assessment may miss
safety issues or escalate anxiety.
Incorrect (C): Teaching the partner is appropriate but tertiary;
addressing potential maternal mood/safety is higher priority.
Incorrect (D): Delegating newborn observation may delay
assessment of maternal mood and safety; sleep alone is not
first-line when mood concerns exist.
Teaching point
Screen for postpartum mood and safety concerns promptly;
assessment guides immediate interventions.
Citation
Scannell, M. (2025). Davis Advantage for Maternal-Child Nursing
Care (3rd ed.). Ch. 1.
pg. 3
, Q2
Reference
Ch. 1 — Core Concepts — Standards of Practice & Nursing
Process
Stem
A laboring woman at 39 weeks guardedly reports decreased
fetal movement over the past 12 hours. She is normotensive,
fetal heart rate baseline 140 bpm with moderate variability, and
reactive NST with two accelerations in 20 minutes. She is
anxious and asks what should be done next. What is the nurse’s
best immediate action?
A. Reassure the patient because the NST is reactive and
document as normal.
B. Perform a full focused assessment including maternal blood
glucose and review recent fetal movement counts.
C. Prepare the patient for immediate cesarean delivery due to
decreased movement.
D. Offer ice chips and discharge with instructions to return if
movements change.
pg. 4
