Maternal-newborn nursing · practice question
A 29-year-old client in labor and delivery is being evaluated for preeclampsia symptoms. Assessment data include blood pressure 158/96 mm Hg with 3+ proteinuria and headache. Using the clinical judgment model, what is the nurse's first step?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026maternal-newborn
Answer and explanation
Correct answer
B. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.
Why
NCSBN clinical judgment begins with recognizing and analyzing cues before taking action or evaluating outcomes.
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