Maternal-newborn nursing · practice question

A 38-week newborn on the mother-baby unit is being evaluated for newborn care on the postpartum unit. Assessment data include central cyanosis that does not improve with stimulation. Which nursing action is the priority to keep the client safe?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026maternal-newborn

Leave the client alone to promote independence while finishing charting.Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.Apply the first intervention in the policy manual without a current assessment.Tell the client symptoms are expected and avoid notifying the health care team.

Answer and explanation

Correct answer

B. 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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A 38-week newborn on the mother-baby unit is being evaluated for newborn care on the postpartum unit. Assessment data include central cyanosis that does not improve with stimulation. Which nursing action is the priority to keep the client safe?

Correct answer

Why

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