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 nursing action should the nurse take first?

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

Implement the final step of the care plan before assessing the client.Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.Document the client as stable without reassessment.Wait for the provider's routine visit before acting on abnormal findings.

Answer and explanation

Correct answer

B. Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.

Why

First-action questions on the NCLEX require assessment and safety before treatment, documentation alone, or delegation of nursing judgment.

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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 nursing action should the nurse take first?

Correct answer

Why

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