Maternal-newborn nursing · practice question

A postpartum client on the mother-baby unit is being evaluated for breastfeeding initiation. Assessment data include the newborn has 8% weight loss and the parent asks how to know intake is adequate. Using the clinical judgment model, what is the nurse's first step?

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

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

Answer and explanation

Correct answer

B. 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 postpartum client on the mother-baby unit is being evaluated for breastfeeding initiation. Assessment data include the newborn has 8% weight loss and the parent asks how to know intake is adequate. Using the clinical judgment model, what is the nurse's first step?

Correct answer

Why

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