Maternity Nursing – |Test bank Verified Practice|
Questions with A+ Answers | Final Exam Guide
FOR 2025/2026 (the most recent quizzes)
On the second postpartum day, a client complains of burning, urgency, and frequency of
urination. A urinalysis is obtained, and the results indicate the presence of a urinary tract
infection. The nurse instructs the client regarding which measures to take for the prevention
and treatment of the infection? Select all that apply. - 1.Urinate frequently throughout
the day.
2.
Fluid intake should be increased to at least 3000 mL/day.
3.
Prescribed medication must be taken until it is completed.
5.
Wipe the perineal area from front to back after urinating.
Rationale: The woman with a urinary tract infection must be encouraged to take the medication
for the entire time it is prescribed. The woman also should be instructed to drink at least 3000
mL of fluid each day to flush the infection from the bladder and to urinate frequently
throughout the day. Foods and fluids that acidify the urine need to be encouraged. The client is
also taught to wipe the perineal area from front to back after urinating or having a bowel
movement.
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. - 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. - 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. -
Acute abdominal pain
A hard, "board-like" abdomen
Questions with A+ Answers | Final Exam Guide
FOR 2025/2026 (the most recent quizzes)
On the second postpartum day, a client complains of burning, urgency, and frequency of
urination. A urinalysis is obtained, and the results indicate the presence of a urinary tract
infection. The nurse instructs the client regarding which measures to take for the prevention
and treatment of the infection? Select all that apply. - 1.Urinate frequently throughout
the day.
2.
Fluid intake should be increased to at least 3000 mL/day.
3.
Prescribed medication must be taken until it is completed.
5.
Wipe the perineal area from front to back after urinating.
Rationale: The woman with a urinary tract infection must be encouraged to take the medication
for the entire time it is prescribed. The woman also should be instructed to drink at least 3000
mL of fluid each day to flush the infection from the bladder and to urinate frequently
throughout the day. Foods and fluids that acidify the urine need to be encouraged. The client is
also taught to wipe the perineal area from front to back after urinating or having a bowel
movement.
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. - 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. - 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. -
Acute abdominal pain
A hard, "board-like" abdomen
