Maternal-newborn nursing · practice question

A postpartum client on the mother-baby unit is being evaluated for breastfeeding initiation. Assessment data include the client reports nipple pain and the newborn falls asleep after 2 minutes at the breast. Which action should the nurse take first?

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

Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.Complete all remaining scheduled tasks before reassessing the client.Offer a warm blanket and reschedule assessment until after lunch.Tell the client symptoms are expected and avoid notifying the health care team.

Answer and explanation

Correct answer

A. 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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A postpartum client on the mother-baby unit is being evaluated for breastfeeding initiation. Assessment data include the client reports nipple pain and the newborn falls asleep after 2 minutes at the breast. Which action should the nurse take first?

Correct answer

Why

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