2024 PN NCLEX Questions Nursing Practice Question
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: A radial pulse rate of 55 beats per minute in a postpartum woman can be within normal limits, especially if she is resting. Documenting this finding is essential for ongoing assessment and monitoring.
Option A, reporting to the healthcare provider immediately, is unnecessary unless there are additional concerning symptoms, as a pulse of 55 can be normal in this context.
Option B, helping the woman rest, may be beneficial but does not directly address the need for monitoring and documentation.
Option D, performing range-of-motion exercises, is inappropriate at this stage as the priority should be monitoring vital signs and ensuring stability.