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 nursing action should the nurse take first?

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

Document the client as stable without reassessment.Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.Implement the final step of the care plan before assessing the client.Give a blanket answer that everything is fine and continue the prior plan.

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

Correct answer

Why

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