Health Promotion and Maintenance NCLEX Questions - Nurselytic

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Health Promotion and Maintenance NCLEX Questions Questions

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Question 1 of 5

After delivering a healthy newborn 1 hour ago, a nurse notes a woman's radial pulse rate is 55 beats/min. What action should the nurse take based on this finding?

Correct Answer: C

Rationale: After delivery, bradycardia (pulse rate 50-70 beats/min) may occur, reflecting the large amount of blood returning to the central circulation after delivery of the placenta. The increase in central circulation results in increased stroke volume, allowing a slower heart rate to provide adequate maternal circulation. A pulse rate of 55 beats/min falls within the normal range post-delivery, so there is no need to notify the healthcare provider immediately. It is important for the client to remain on bed rest in the immediate postpartum period to prevent complications. While range-of-motion exercises are beneficial for a client on bed rest, it is not the priority based on the data provided.
Therefore, the most appropriate nursing action is to document the finding for accurate record-keeping and monitoring of the client's condition.

Question 2 of 5

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Question 3 of 5

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Question 5 of 5

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