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Which action would be a priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn?.

Assess the newborn's glucose level.

Swaddle the infant and place in the bassinet.

Dry the newborn and place it skin-to-skin on mother.

Complete a full head-to-toe assessment.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C.

Choice A rationale:

While it’s important to monitor a newborn’s glucose level, it’s not the immediate priority following birth.

Choice B rationale:

Placing the infant in the bassinet is not the immediate priority. The newborn needs to be dried and warmed first to prevent hypothermia.

Choice C rationale:

Drying the newborn and placing it skin-to-skin on the mother helps prevent hypothermia and promotes bonding. This is the immediate priority.

Choice D rationale:

A full head-to-toe assessment is important, but it’s not the immediate priority following birth.

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Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

Abdominal pain with scant red vaginal bleeding is more indicative of placental abruption, not placenta previa.

Choice B rationale:

Painless red vaginal bleeding is a classic sign of placenta previa. This happens because the placenta is covering the cervix, which can lead to bleeding.

Choice C rationale:

Increasing abdominal pain with a nonrelaxed uterus is more indicative of a condition like uterine rupture or labor, not placenta previa.

Choice D rationale:

Intermittent abdominal pain following the passage of bloody mucus is more likely a sign of labor, not placenta previa.

A. Anticipate a prescription by the provider for an antidepressant. B. Reinforce postpartum and newborn care discharge teaching. C. Assist the family to identify prior use of positive coping skills in family crises. D. Ask the client if she has considered harming herself or her newborn.

Correct Answer is D

Explanation

The correct answer is choice D.

Choice A rationale:

While antidepressants can be an effective treatment for postpartum depression, it is not the priority action. The priority is to ensure the safety of the mother and the baby.

Choice B rationale:

Reinforcing postpartum and newborn care discharge teaching is important, but it is not the priority action when a client is showing signs of postpartum depression.

Choice C rationale:

Assisting the family to identify prior use of positive coping skills in family crises can be helpful, but it is not the priority action when a client is showing signs of postpartum depression.

Choice D rationale:

The priority action when a client is showing signs of postpartum depression is to assess for suicidal ideation or thoughts of harming herself or her baby. This is because postpartum depression can lead to thoughts of self-harm or harm to the baby, and immediate intervention is necessary to ensure the safety of both the mother and the baby.

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Which action would be a priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa.Which of the following findings support this diagnosis?.

Correct Answer is B

Explanation

A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn.The client reports feeling "down" and sad, having no energy, and wanting to cry.Which of the following is a priority action by the nurse?.

Correct Answer is D

Explanation

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