Maternity and Women's Health NGN Case Study 2/5/2026
Cracked and peeling skin
A client at 43 weeks’ gestation has just given birth to
an infant with typical postmaturity characteristics. Long scalp hair and fingernails
Which sign of postmaturity would the nurse
identify? Select all that apply. One, some, or all Decreased subcutaneous fat
responses may be correct.
Umbilical meconium staining
Cracked and peeling skin
Long scalp hair and fingernails Creases covering the neonate's full soles and palms
Red, puffy appearance of face and neck
Increased lanugo
Decreased subcutaneous fat
Umbilical meconium staining
Vernix caseosa covering the back and buttocks
Creases covering the neonate’s full soles and palms
Maternity and Women's Health NGN Case Study Page 1 of 20
,Maternity and Women's Health NGN Case Study 2/5/2026
Abdominal pain
A client notes a yellowish green vaginal discharge 4
days after a vaginal hysterectomy. Which additional Rising temperature
clinical manifestation would the nurse expect if
pelvic infection is present? Select all that apply.
One, some, or all responses may be correct.
Abdominal pain
Shortness of breath
Urinary frequency
950 mL urine output in 24 hours
Decreased pulse rate
One pad every two hours, perineal bleeding
Rising temperature
Increased blood pressure
Maternity and Women's Health NGN Case Study Page 2 of 20
, Maternity and Women's Health NGN Case Study 2/5/2026
Perineal pain will not be felt.
A client with a large fetus is to have a pudendal
block during the second stage of labor. Which The bearing-down reflex will be diminished.
education will the nurse plan to provide regarding
the effectiveness of the block? Select all that apply. Contraction-related pain continues.
One, some, or all responses may be correct.
Contractions will decrease.
Perineal pain will not be felt.
Bladder sensation may be lost.
An episiotomy may not be needed.
The bearing-down reflex will be diminished.
Fetal heart rate can be reduced.
Contraction-related pain continues.
Can affect maternal hemodynamics.
Maternity and Women's Health NGN Case Study Page 3 of 20
Cracked and peeling skin
A client at 43 weeks’ gestation has just given birth to
an infant with typical postmaturity characteristics. Long scalp hair and fingernails
Which sign of postmaturity would the nurse
identify? Select all that apply. One, some, or all Decreased subcutaneous fat
responses may be correct.
Umbilical meconium staining
Cracked and peeling skin
Long scalp hair and fingernails Creases covering the neonate's full soles and palms
Red, puffy appearance of face and neck
Increased lanugo
Decreased subcutaneous fat
Umbilical meconium staining
Vernix caseosa covering the back and buttocks
Creases covering the neonate’s full soles and palms
Maternity and Women's Health NGN Case Study Page 1 of 20
,Maternity and Women's Health NGN Case Study 2/5/2026
Abdominal pain
A client notes a yellowish green vaginal discharge 4
days after a vaginal hysterectomy. Which additional Rising temperature
clinical manifestation would the nurse expect if
pelvic infection is present? Select all that apply.
One, some, or all responses may be correct.
Abdominal pain
Shortness of breath
Urinary frequency
950 mL urine output in 24 hours
Decreased pulse rate
One pad every two hours, perineal bleeding
Rising temperature
Increased blood pressure
Maternity and Women's Health NGN Case Study Page 2 of 20
, Maternity and Women's Health NGN Case Study 2/5/2026
Perineal pain will not be felt.
A client with a large fetus is to have a pudendal
block during the second stage of labor. Which The bearing-down reflex will be diminished.
education will the nurse plan to provide regarding
the effectiveness of the block? Select all that apply. Contraction-related pain continues.
One, some, or all responses may be correct.
Contractions will decrease.
Perineal pain will not be felt.
Bladder sensation may be lost.
An episiotomy may not be needed.
The bearing-down reflex will be diminished.
Fetal heart rate can be reduced.
Contraction-related pain continues.
Can affect maternal hemodynamics.
Maternity and Women's Health NGN Case Study Page 3 of 20
