Maternal-newborn nursing · practice question
A 29-year-old client in labor and delivery is being evaluated for labor with epidural analgesia. Assessment data include late decelerations and minimal variability on fetal monitoring. Which nursing action should the nurse take first?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026maternal-newborn
Answer and explanation
Correct answer
A. Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.
Why
First-action questions on the NCLEX require assessment and safety before treatment, documentation alone, or delegation of nursing judgment.
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