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 central cyanosis that does not improve with stimulation. Using the clinical judgment model, what is the nurse's first step?

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

Implement the first intervention on the existing care plan without reviewing new data.Evaluate discharge readiness before addressing acute findings.Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.Document the assessment at the end of the shift and continue the prior plan.

Answer and explanation

Correct answer

C. 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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A 38-week newborn on the mother-baby unit is being evaluated for newborn adaptation after birth. Assessment data include central cyanosis that does not improve with stimulation. Using the clinical judgment model, what is the nurse's first step?

Correct answer

Why

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