Maternal-newborn nursing · practice question

A postpartum client on the mother-baby unit is being evaluated for postpartum hemorrhage risk. Assessment data include fundus boggy above the umbilicus and deviated to the right with heavy lochia. Which action should the nurse take first?

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

Offer a warm blanket and reschedule assessment until after lunch.Complete all remaining scheduled tasks before reassessing the client.Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.Wait for the provider's routine visit before acting on abnormal findings.

Answer and explanation

Correct answer

C. 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 postpartum hemorrhage risk. Assessment data include fundus boggy above the umbilicus and deviated to the right with heavy lochia. Which action should the nurse take first?

Correct answer

Why

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