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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 assessment approach should the nurse use first?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026maternal-newborn
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Answer and explanation

Correct answer

C. Screen for instability, then perform a focused assessment related to the presenting concern.

Why

Assessment begins with stability screening and focused data collection before invasive or delayed actions.

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