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 pregnant client at 34 weeks gestation
arrives for a routine visit reporting decreased fetal movement
for 18 hours. Her vital signs are stable; fundal height is
appropriate; nonstress test is scheduled but delayed 2 hours.
Which nursing action takes priority now?
A. Instruct client to perform kick counts at home and return
pg. 1
,tomorrow.
B. Initiate immediate fetal movement reactivity assessment
(kick charting) and contact provider for expedited NST.
C. Reassure client and schedule a biophysical profile for next
week.
D. Provide education about third-trimester fetal movement
patterns and document the report.
Correct Answer: B
Correct Answer Rationale (3–4 sentences): Decreased fetal
movement is an urgent cue for possible fetal compromise and
requires immediate bedside assessment. Initiating a focused
movement reactivity assessment and expediting an NST allows
timely detection of hypoxia or distress. Contacting the provider
to prioritize testing reduces risk of delayed intervention for fetal
compromise. This action aligns with early recognition and
escalation in maternal-fetal care.
Incorrect Answer Rationales (1–3 sentences each):
A. Kick counts at home delay evaluation and may miss an
evolving fetal problem; unsafe given 18-hour decrease.
pg. 2
,C. Scheduling a BPP next week is too delayed for current
decreased movements and ignores immediate risk.
D. Education and documentation alone fail to address the
urgent assessment need when decreased movement is
reported.
Teaching Point: Decreased fetal movement requires immediate
bedside assessment and expedited fetal monitoring.
Citation: Scannell, M. (2025). Davis Advantage for Maternal-
Child Nursing Care (3rd ed.). Ch. 1.
2
Reference: Ch. 2 — Nursing Roles: Advocate, Educator, Clinician,
Case Manager
Stem: A new nurse working in a pediatric clinic notices
inconsistent vaccination documentation across charts. The
nurse believes a systemic documentation error may lead to
missed immunizations. What is the nurse’s best initial action?
A. Alert the clinic manager and propose a root-cause review of
documentation processes.
pg. 3
, B. Immediately change the immunization records in the
electronic chart to match parent reports.
C. Inform parents individually to bring children in for re-
vaccination without notifying staff.
D. Ignore it — assume parents will follow up with their primary
provider.
Correct Answer: A
Correct Answer Rationale (3–4 sentences): As a nurse-advocate
and case manager, the priority is to escalate suspected system
errors to leadership for investigation. A root-cause review can
identify documentation gaps and protect multiple clients from
missed immunizations. This action is professional, preserves
chart integrity, and facilitates systematic corrective measures. It
also aligns with the nurse’s role in promoting safe, reliable care.
Incorrect Answer Rationales (1–3 sentences each):
B. Changing charts without verification breaches
documentation standards and legal/ethical boundaries.
C. Telling parents to re-vaccinate without system review may
create duplication or harm and avoids addressing systemic
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 pregnant client at 34 weeks gestation
arrives for a routine visit reporting decreased fetal movement
for 18 hours. Her vital signs are stable; fundal height is
appropriate; nonstress test is scheduled but delayed 2 hours.
Which nursing action takes priority now?
A. Instruct client to perform kick counts at home and return
pg. 1
,tomorrow.
B. Initiate immediate fetal movement reactivity assessment
(kick charting) and contact provider for expedited NST.
C. Reassure client and schedule a biophysical profile for next
week.
D. Provide education about third-trimester fetal movement
patterns and document the report.
Correct Answer: B
Correct Answer Rationale (3–4 sentences): Decreased fetal
movement is an urgent cue for possible fetal compromise and
requires immediate bedside assessment. Initiating a focused
movement reactivity assessment and expediting an NST allows
timely detection of hypoxia or distress. Contacting the provider
to prioritize testing reduces risk of delayed intervention for fetal
compromise. This action aligns with early recognition and
escalation in maternal-fetal care.
Incorrect Answer Rationales (1–3 sentences each):
A. Kick counts at home delay evaluation and may miss an
evolving fetal problem; unsafe given 18-hour decrease.
pg. 2
,C. Scheduling a BPP next week is too delayed for current
decreased movements and ignores immediate risk.
D. Education and documentation alone fail to address the
urgent assessment need when decreased movement is
reported.
Teaching Point: Decreased fetal movement requires immediate
bedside assessment and expedited fetal monitoring.
Citation: Scannell, M. (2025). Davis Advantage for Maternal-
Child Nursing Care (3rd ed.). Ch. 1.
2
Reference: Ch. 2 — Nursing Roles: Advocate, Educator, Clinician,
Case Manager
Stem: A new nurse working in a pediatric clinic notices
inconsistent vaccination documentation across charts. The
nurse believes a systemic documentation error may lead to
missed immunizations. What is the nurse’s best initial action?
A. Alert the clinic manager and propose a root-cause review of
documentation processes.
pg. 3
, B. Immediately change the immunization records in the
electronic chart to match parent reports.
C. Inform parents individually to bring children in for re-
vaccination without notifying staff.
D. Ignore it — assume parents will follow up with their primary
provider.
Correct Answer: A
Correct Answer Rationale (3–4 sentences): As a nurse-advocate
and case manager, the priority is to escalate suspected system
errors to leadership for investigation. A root-cause review can
identify documentation gaps and protect multiple clients from
missed immunizations. This action is professional, preserves
chart integrity, and facilitates systematic corrective measures. It
also aligns with the nurse’s role in promoting safe, reliable care.
Incorrect Answer Rationales (1–3 sentences each):
B. Changing charts without verification breaches
documentation standards and legal/ethical boundaries.
C. Telling parents to re-vaccinate without system review may
create duplication or harm and avoids addressing systemic
pg. 4
