MATERNITY PRACTICE SCRIPT 2026
TESTED SOLUTIONS GRADED A+
⩥ The nurse visits a client at home who delivered a healthy newborn 2
days ago. The client is complaining of breast discomfort. The nurse
notes that the client is experiencing breast engorgement. The nurse
provides which instructions to the client regarding relief of the
engorgement? Select all that apply.
Answer: Feed the infant at least every 2 hours for 15 to 20 minutes on
each side.
Apply moist heat to both breasts for about 20 minutes before a feeding.
Massage the breasts gently during a feeding, from the outer areas to the
nipples.
Wear a supportive bra between feedings.
Rationale: During breast engorgement, the client should be advised to
feed the infant frequently, at least every 2 hours, for 15 to 20 minutes on
each side. The infant will have an easier time latching on if the client
softens her breast and expresses her milk before a feeding. Instruct the
client to apply moist heat to both breasts for about 20 minutes before a
feeding. This can be done in the shower or with warm wet towels.
During a feeding, it is helpful to massage the breast gently from the
,outer area to the nipple. This helps stimulate the let-down and flow of
milk. The client also should be instructed to wear a supportive bra
between feedings.
⩥ The nurse provides which instructions to the client following delivery
regarding care of the episiotomy site to prevent infection? Select all that
apply.
Answer: Take a warm sitz baths three times a day.
Wipe the perineum from front to back after voiding and defecation.
Use warm water to rinse the perineum after elimination.
Report a foul-smelling discharge.
Rationale: Warm sitz baths and cleansing with warm water are helpful
for relieving pain, and these measures will promote cleanliness in the
perineal area to prevent infection. The client should also be instructed to
wipe the perineum from front to back after voiding and defecation to
decrease the risk for contamination with microorganisms from the anus
to the vagina. Warm water should be used to rinse the perineum after
elimination. The client also should be instructed that the perineal pad
should be changed after each elimination and may be changed in
between.
, ⩥ The nurse is collecting data from a pregnant client in the second
trimester of pregnancy who was admitted to the maternity unit with a
suspected diagnosis of abruptio placentae. Which of the following
findings are associated with abruptio placentae? Select all that apply.
Answer: Acute abdominal pain
A hard, "board-like" abdomen
Increased uterine resting tone on fetal monitoring
Uterine tenderness
Rationale: Painless, bright red vaginal bleeding in the second or third
trimester of pregnancy is a sign of placenta previa. In abruptio placentae,
acute abdominal pain is present. Uterine tenderness accompanies
placental abruption, especially with a central abruption and trapped
blood behind the placenta. The abdomen will feel hard and board-like on
palpation as the blood penetrates the myometrium and causes uterine
irritability. Observation of the fetal monitoring often reveals increased
uterine resting tone, caused by placental abruption.
⩥ Which of the following are modes of heat loss in the newborn? Select
all that apply.
Answer: Convection
TESTED SOLUTIONS GRADED A+
⩥ The nurse visits a client at home who delivered a healthy newborn 2
days ago. The client is complaining of breast discomfort. The nurse
notes that the client is experiencing breast engorgement. The nurse
provides which instructions to the client regarding relief of the
engorgement? Select all that apply.
Answer: Feed the infant at least every 2 hours for 15 to 20 minutes on
each side.
Apply moist heat to both breasts for about 20 minutes before a feeding.
Massage the breasts gently during a feeding, from the outer areas to the
nipples.
Wear a supportive bra between feedings.
Rationale: During breast engorgement, the client should be advised to
feed the infant frequently, at least every 2 hours, for 15 to 20 minutes on
each side. The infant will have an easier time latching on if the client
softens her breast and expresses her milk before a feeding. Instruct the
client to apply moist heat to both breasts for about 20 minutes before a
feeding. This can be done in the shower or with warm wet towels.
During a feeding, it is helpful to massage the breast gently from the
,outer area to the nipple. This helps stimulate the let-down and flow of
milk. The client also should be instructed to wear a supportive bra
between feedings.
⩥ The nurse provides which instructions to the client following delivery
regarding care of the episiotomy site to prevent infection? Select all that
apply.
Answer: Take a warm sitz baths three times a day.
Wipe the perineum from front to back after voiding and defecation.
Use warm water to rinse the perineum after elimination.
Report a foul-smelling discharge.
Rationale: Warm sitz baths and cleansing with warm water are helpful
for relieving pain, and these measures will promote cleanliness in the
perineal area to prevent infection. The client should also be instructed to
wipe the perineum from front to back after voiding and defecation to
decrease the risk for contamination with microorganisms from the anus
to the vagina. Warm water should be used to rinse the perineum after
elimination. The client also should be instructed that the perineal pad
should be changed after each elimination and may be changed in
between.
, ⩥ The nurse is collecting data from a pregnant client in the second
trimester of pregnancy who was admitted to the maternity unit with a
suspected diagnosis of abruptio placentae. Which of the following
findings are associated with abruptio placentae? Select all that apply.
Answer: Acute abdominal pain
A hard, "board-like" abdomen
Increased uterine resting tone on fetal monitoring
Uterine tenderness
Rationale: Painless, bright red vaginal bleeding in the second or third
trimester of pregnancy is a sign of placenta previa. In abruptio placentae,
acute abdominal pain is present. Uterine tenderness accompanies
placental abruption, especially with a central abruption and trapped
blood behind the placenta. The abdomen will feel hard and board-like on
palpation as the blood penetrates the myometrium and causes uterine
irritability. Observation of the fetal monitoring often reveals increased
uterine resting tone, caused by placental abruption.
⩥ Which of the following are modes of heat loss in the newborn? Select
all that apply.
Answer: Convection
