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

February 18

January 18

January 8

December 28

December 18

Answer and Explanation

The Correct Answer is C

Choice A Reason: This is incorrect because it adds 10 months and 7 days to the last menstrual period, which is not Nägele's rule.

Choice B Reason: This is incorrect because it adds 9 months and 7 days to the last menstrual period, which is not Nägele's rule.

Choice C Reason: This is correct because it follows Nägele's rule, which is to subtract 3 months and add 7 days to the last menstrual period.

Choice D Reason: This is incorrect because it subtracts 4 months and adds 7 days to the last menstrual period, which is not Nägele's rule.

Choice E Reason: This is incorrect because it subtracts 4 months and adds 17 days to the last menstrual period, which is not Nägele's rule.

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Correct Answer is D

Explanation

Choice A Reason: This is incorrect because ferrous sulfate is an iron supplement that is used to treat or prevent iron-deficiency anemia. It has no effect on magnesium sulfate, which is a medication that lowers blood pressure and prevents seizures in severe preeclampsia.

Choice B Reason: This is incorrect because potassium chloride is an electrolyte supplement that is used to treat or prevent low levels of potassium in the blood. It has no effect on magnesium sulfate, which can cause hypermagnesemia, or high levels of magnesium in the blood.

Choice C Reason: This is incorrect because calcium carbonate is an antacid that is used to treat or prevent heartburn, indigestion, or calcium deficiency. It has no effect on magnesium sulfate, which can cause hypocalcemia, or low levels of calcium in the blood.

Choice D Reason: This is correct because calcium gluconate is an antidote that is used to treat magnesium toxicity, which can occur when magnesium sulfate is given in high doses or for prolonged periods. Calcium gluconate reverses the effects of magnesium sulfate on the neuromuscular and cardiovascular systems, such as muscle weakness, respiratory depression, cardiac arrhythmias, or cardiac arrest.

A. Chadwick's sign B. Goodell's sign C. Hegar's sign D. Homan's sign

Correct Answer is A

Explanation

Choice A Reason: This is correct because Chadwick's sign is a bluish or purplish discoloration of the cervix, vagina, and vulva caused by increased blood flow to the pelvic area during pregnancy. It is one of the earliest signs of pregnancy and can be observed as early as six to eight weeks of gestation.

Choice B Reason: This is incorrect because Goodell's sign is a softening of the cervix due to increased vascularity and edema during pregnancy. It is another early sign of pregnancy and can be detected by palpation around six to eight weeks of gestation.

Choice C Reason: This is incorrect because Hegar's sign is a softening of the lower uterine segment or isthmus during pregnancy. It is also an early sign of pregnancy and can be felt by bimanual examination around six to twelve weeks of gestation.

Choice D Reason: This is incorrect because Homan's sign is a pain in the calf or popliteal region when the foot is dorsiflexed. It is a sign of deep vein thrombosis, which is a potential complication of pregnancy, but not a normal finding.

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

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Naxlex Comprehensive Predictor Exams

Which compound would the nurse have readily available for a client who is receiving magnesium sulfate to treat severe preeclampsia?

Correct Answer is D

Explanation

On the first prenatal visit, examination of the woman's internal genitalia reveals a bluish coloration of the cervix and vaginal mucosa. The nurse documents this finding as:

Correct Answer is A

Explanation

A client with hyperemesis gravidarum is admitted to the facility after being cared for at home without success. What would the nurse expect to include in the client's plan of care?

During a prenatal visit, a pregnant woman says, "I know the amniotic fluid is important, but can you tell me more about it?" When describing amniotic fluid to a pregnant woman, which description would the nurse most likely include?

A client is suspected of having a ruptured ectopic pregnancy. Which assessment would the nurse identify as the priority?

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

Assessment of a pregnant woman and her fetus reveals tachycardia and hypertension. There is also evidence suggesting vasoconstriction. The nurse would question the woman about use of which substance?

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?

Assessment of a pregnant woman reveals oligohydramnios. The nurse would be alert for the development of which condition?