Maternal-newborn nursing · practice question

A postpartum client on the mother-baby unit is being evaluated for postpartum hemorrhage risk. Assessment data include blood pressure 88/54 mm Hg, heart rate 128/min, and saturated perineal pads. Using the clinical judgment model, what is the nurse's first step?

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

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

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 postpartum hemorrhage risk. Assessment data include blood pressure 88/54 mm Hg, heart rate 128/min, and saturated perineal pads. Using the clinical judgment model, what is the nurse's first step?

Correct answer

Why

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