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Maternal-newborn nursing · practice question

A 38-week newborn on the mother-baby unit is being evaluated for newborn adaptation after birth. Assessment data include blood glucose 35 mg/dL with jitteriness. Which action should the nurse take first?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026maternal-newborn
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Answer and explanation

Correct answer

C. Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.

Why

NCLEX priority questions require stabilizing the client first using ABCs and focused assessment before comfort measures, documentation only, or delayed escalation.

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