A client comes to the prenatal clinic for her first visit. When determining the client's estimated due date, the nurse understands that which method is the most accurate?

Nagele's rule

Ultrasound

Gestation wheel

Birth calculator

Answer and Explanation

The Correct Answer is B

Choice A Reason: Nagele's rule is a formula that estimates the due date by subtracting three months from the first day of the last menstrual period and adding seven days. However, this method assumes a regular 28-day cycle and may not be accurate for women with irregular cycles or who are unsure of their last menstrual period.

Choice B Reason: Ultrasound is the most accurate method of determining the estimated due date, especially in the first trimester. Ultrasound uses sound waves to create an image of the fetus and measure its size and development. Ultrasound can also detect any abnormalities or complications that may affect the pregnancy.

Choice C Reason: Gestation wheel is a circular calendar that estimates the due date by aligning the first day of the last menstrual period with a corresponding date on the wheel. However, this method also assumes a regular 28-day cycle and may not account for variations in ovulation or implantation.

Choice D Reason: Birth calculator is an online tool that estimates the due date based on various factors such as the last menstrual period, cycle length, ovulation date, conception date, or ultrasound date. However, this method may not be reliable as it depends on the accuracy of the input data and the algorithm used by the calculator.

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Correct Answer is B

Explanation

Choice A Reason: Linea nigra is a dark vertical line that appears on the abdomen of some pregnant women. It is caused by increased melanin production and usually fades after delivery.

Choice B Reason: Pica is a condition in which a person has an abnormal desire to eat substances that are not food, such as ice, clay, dirt, or chalk. It is more common in pregnant women and may indicate a deficiency in iron or other nutrients.

Choice C Reason: Ballottement is a technique of palpating a floating structure by bouncing it gently and feeling it rebound. In obstetrics, it can be used to detect the presence of the fetus by feeling its head move when the cervix is tapped.

Choice D Reason: Quickening is the first perception of fetal movements by the pregnant woman. It usually occurs between 16 and 20 weeks of gestation.

A. Absence of pain B. Insidious onset C. Dark red vaginal bleeding D. Rigid uterus

Correct Answer is ["C","D","E"]

Explanation

Choice A: Absence of pain is not a sign of abruptio placenta. Abruptio placenta is a condition where the placenta separates from the uterine wall before delivery, causing bleeding and pain. The pain is usually severe and constant.

Choice B: Insidious onset is not a sign of abruptio placenta. Abruptio placenta is usually a sudden and acute event that occurs in the third trimester or during labor.

Choice C: Dark red vaginal bleeding is a sign of abruptio placenta. The bleeding is caused by the rupture of blood vessels between the placenta and the uterus. The blood may be dark red because it is old or clotted.

Choice D: Rigid uterus is a sign of abruptio placenta. The uterus becomes hard and tense as a result of the bleeding and contraction of the uterine muscles. This can impair the blood flow to the fetus and cause fetal distress.

Choice E: Absent fetal heart tones is a sign of abruptio placenta. The loss of blood and oxygen to the fetus can cause fetal death or stillbirth. Fetal heart tones can be detected by using a Doppler device or a fetoscope.
Placenta abruption | Pregnancy Birth and Baby

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A client comes to the prenatal clinic for her first visit. When determining the client's estimated due date, the nurse understands that which method is the most accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Assessment of a pregnant woman reveals that she compulsively craves ice. The nurse documents this finding as

Correct Answer is B

Explanation

A nurse suspects that a pregnant client may be experiencing placenta abruption based on assessment of which finding? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

A nurse is providing teaching about nutrition to a client at her first prenatal visit. Which of the following statements by the nurse should be included in the teaching?

A nurse is conducting an in-service program for a group of nurses working at the women's health facility about the causes of spontaneous abortion. The nurse determines that the teaching was successful when the group identifies which condition as the most common cause of first trimester abortions?

When describing perinatal education to a pregnant woman and her partner, the nurse emphasizes which goal as the primary one?

Assessment of a pregnant woman reveals a pigmented line down the middle of her abdomen. The nurse documents this as which finding?

When assessing a woman in her first trimester, which emotional response would the nurse most likely expect to find?

A client's last menstrual period was April 11. Using Nägele's rule, her estimated date of birth (EDB) would be:

While talking with a pregnant woman who has undergone genetic testing, the woman informs the nurse that her baby will be born with Down syndrome. The nurse understands that Down syndrome is an example of: