Health Promotion and Maintenance Practice Question
Question
The nurse is caring for a postpartum client and is focused on prenatal teaching scenario 14. Which nursing action is most appropriate?
Answer choices
- A. Delay assessment until the next scheduled round if the client is not calling for help.
- B. Delegate the clinical assessment and nursing judgment to assistive personnel.
- C. Teach warning signs such as vaginal bleeding, severe headache, or decreased fetal movement.
- D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.
Correct Answer
C. Teach warning signs such as vaginal bleeding, severe headache, or decreased fetal movement.
Explanation
The priority action for prenatal teaching is to teach warning signs such as vaginal bleeding, severe headache, or decreased fetal movement. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.
Question details
- Difficulty: medium
- Domain: Health Promotion and Maintenance
- Objective: prenatal teaching