Maternal-newborn nursing · practice question
A 29-year-old client in labor and delivery is being evaluated for third-trimester pregnancy. Assessment data include blood pressure 158/96 mm Hg with 3+ proteinuria and headache. Which nursing action is the priority to keep the client safe?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026maternal-newborn
Answer and explanation
Correct answer
C. Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.
Why
Client safety requires direct assessment, hazard reduction, and timely escalation rather than assumptions, abandonment, or policy-only actions.
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