Maternal-newborn nursing · practice question
A 29-year-old client in labor and delivery is being evaluated for labor with external fetal monitoring. Assessment data include the client reports rectal pressure and an urge to push during active labor. Before teaching, what should the nurse assess first?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026maternal-newborn
Answer and explanation
Correct answer
B. Immediate safety, readiness to learn, literacy, cultural needs, barriers, and baseline understanding.
Why
Teaching is effective only after safety and learning readiness are confirmed; the RN cannot delegate assessment of learning needs on unstable clients.
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